Violation

A 52 year old patient presents with restricted or limited mouth opening. The patient has loss of attached gingiva and multiple areas of gingival recession and tight skin. A panoramic radiograph shows diffuse widening of the periodontal ligament. What is the most likely diagnosis?

Progressive systemic sclerosis

Hyperparathyroidism.

Cicatricial pemphigoid.

Erythema multiforme.

Advanced adult periodontitis.

Please describe the matter of abuse