Pathology · single question

A classic radiographic finding in patients with scleroderma is:

  1. Generalized widening of the periodontal ligament (PDL) space
  2. Narrowing of the PDL space
  3. Loss of lamina dura with no PDL change
  4. Diffuse hypercementosis
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Correct answer: A. Generalized widening of the periodontal ligament (PDL) space

Scleroderma causes fibrosis of the PDL, producing a characteristic generalized widening of the PDL space radiographically (sometimes called the 'PDL widening sign'), most often noted around the posterior teeth. Resorption of the mandibular angle/ramus and microstomia from perioral skin tightening are other oral features.

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