Scleroderma is a chronic connective tissue disorder characterized by collagenous fibrosis, leading to the stiffening and contraction of the skin and mucosa. Most people with scleroderma experience Raynaud’s phenomenon, where their fingers and toes become numb, tingling, and cold when exposed to stress or low temperatures. The fibrotic changes in the skin and soft tissues contribute to microstomia, a condition characterized by limited mouth opening, which poses challenges for both patients and dental practitioners. Common oral health complications associated with scleroderma include limited mobility of the lips and tongue, xerostomia, myofascial pain, gastroesophageal reflux disease, dysgeusia, and periodontal issues. Prosthetic rehabilitation management for patients with microstomia can be complex, as the reduced oral aperture often makes the insertion and removal of dentures difficult. This clinical report presents a semi-digital approach to prosthetic rehabilitation for 2 partially edentulous patients with scleroderma-induced microstomia. Intraoral scanning was used for impression-making, and 3D-printed models were generated. Both patients were successfully rehabilitated with conventional removable partial dentures. Intraoral scanning appears to be a viable alternative to traditional impression techniques and can be effectively used for impression-making in patients with microstomia.
