Violation

A 52 year old patient presents with a limitation of mouth opening. The patient has loss of attached gingiva and multiple areas of gingival recession. A panoramic radiograph shows diffuse widening of the periodontal ligament. The most likely diagnosis is

scleroderma.

hyperparathyroidism.

cicatricial pemphigoid.

erythema multiforme.

advanced adult periodontitis.

Please describe the matter of abuse