1/10. Combined treatment of periodontal disease and benign mucous membrane pemphigoid. Case report with 8 years maintenance.BACKGROUND: Desquamative gingivitis may be the clinical manifestation of one of several systemic diseases. The clinical course of the disease can be complicated by plaque-associated periodontitis. However, there is no information currently available for the concurrent management of both conditions. CASE REPORT AND RESULTS: This paper presents the treatment and 8-year maintenance of a patient with periodontal disease and benign mucous membrane pemphigoid (BMMP). The first phase of treatment included oral hygiene instructions and local corticosteroid administration, followed by scaling and root planing. The patient's compliance and excellent response to therapy allowed for subsequent surgical pocket elimination and augmentation of the zone of keratinized tissue for prosthetic reasons. Over the following 8 years, the patient's periodontal condition remained stable even though periodontal maintenance was erratic. For the control of BMMP, intermittent administration of corticosteroids was necessary, without any significant local or systemic side effects. CONCLUSIONS: We suggest that combined treatment and long-term maintenance of BMMP and periodontitis are feasible under certain conditions and propose a clinical protocol for treatment which could serve as a guideline for similar conditions.- - - - - - - - - - ranking = 1keywords = periodontal disease (Clic here for more details about this article) |
2/10. Acupuncture: a unique effort to treat periodontal disease.BACKGROUND: Acupuncture, a technique for conscious sedation, was introduced as a modality for pain control in 1958 in the united states. It has been used to treat illnesses in asia for more than 3,000 years. CASE DESCRIPTION: This case report describes the use of acupuncture as a treatment for periodontal disease as prescribed and administered by a Korean practitioner. The patient was treated in 1991 by the insertion of multiple acupuncture needles in response to a diagnosis of "gum pain." Chronic, low-grade discomfort, diagnosed as a symptom of the disease, disappeared after the acupuncture treatment. The patient had minimal professional care in this country since the acupuncture therapy. She had experienced low-grade, but persistent, discomfort over the previous two years. CLINICAL IMPLICATIONS: The oral diagnosis is moderate to advanced generalized chronic periodontitis with primary occlusal trauma. The present findings tend to implicate parafunction as the etiology for the current pain and perhaps the etiology for the discomfort experienced 10 years ago.- - - - - - - - - - ranking = 1keywords = periodontal disease (Clic here for more details about this article) |
3/10. Detection of a highly toxic clone of actinobacillus actinomycetemcomitans (JP2) in a Moroccan immigrant family with multiple cases of localized aggressive periodontitis.The JP2 clone of actinobacillus actinomycetemcomitans, a high-leukotoxin-producing strain, characterized by a 530-basepair (bp) deletion in the promoter region of the leukotoxin gene operon and mainly found among individuals with African origin, is associated with localized aggressive periodontitis. The objective of the study was to examine the occurrence of periodontal disease in a Moroccan immigrant family living in denmark in which the oldest son (14 year) was referred and treated for localized aggressive periodontitis. Further, the potential occurrence of the JP2 clone of A. actinomycetemcomitans in the family was examined. Here we present the clinical, radiographic, and microbiological findings from the family. Clinical and radiographic examination of the other family members revealed that 3 of 5 younger siblings had localized aggressive periodontitis, one had gingivitis and the mother had chronic periodontitis. Despite scaling followed by intensive maintenance therapy several family members, including the sibling with gingivitis, had further attachment loss at the 1-year examination. The JP2 clone of A. actinomycetemcomitans was isolated from subgingival plaque samples from 4 children with periodontitis. In contrast, it was not detected in plaque from the oldest boy, who had been treated for localized aggressive periodontitis by surgery combined with antibiotic therapy. The 4 children with periodontitis and colonized with the JP2 clone were treated by scaling and antibiotic administration. One month later the JP2 clone could still be detected in plaque samples. In conclusion, it is confirmed that members of immigrant families with African origin are potential carriers of the JP2 clone and that those families often have multiple family members with localized aggressive periodontitis. It is proposed that those families are given periodontal examination frequently to benefit from early diagnosis and treatment of the disease.- - - - - - - - - - ranking = 0.2keywords = periodontal disease (Clic here for more details about this article) |
4/10. Periodontitis as a manifestation of chronic benign neutropenia.BACKGROUND: A subcategory of chronic neutropenia is chronic benign neutropenia, which is characterized by a prolonged non-cyclic neutropenia as the sole abnormality, with no underlying disease to which the neutropenia can be attributed. Chronic neutropenia is defined as a low absolute neutrophil count for >6 months. In this presentation, periodontitis seems to be the sole manifestation of a juvenile patient with chronic benign neutropenia. A 7-year-old white male presented with periodontitis of the primary dentition and early tooth loss. His medical and dental history was otherwise unremarkable. Suspecting some systemic illness as the underlying cause, the patient was referred for a medical consultation and a series of blood tests. methods: blood analyses included a complete blood count (CBC), sequential multiple analyzer 24 (SMA 24), glycated hemoglobin levels, and screening for anti-white blood cell antibodies. blood levels of calcium, vitamin d, dihydroxyvitamin-D, phosphorus, and alkaline phosphatase were also measured. liver function tests were performed. RESULTS: Following analysis of recent and previous blood test results, a diagnosis of chronic benign neutropenia was assigned. The patient's periodontal condition was treated with scaling and root planing, oral hygiene instruction, and antimicrobial mouthrinses. Three-month recall visits were recommended as a follow-up protocol. CONCLUSIONS: This case represents the importance of diagnosing periodontal disease as a possible indicator of underlying systemic disease. When a patient presents with an unusual, generalized form of periodontal disease, screening for systemic disorders is required, as the oral condition may be the first or only manifestation of a systemic abnormality. This case also illustrates the reason for the change in classification of such a condition to periodontitis as a manifestation of systemic disease. This condition was previously classified as prepubertal periodontitis, a disease diagnosis that focused on the patient's age at the onset of the disease rather than the etiology.- - - - - - - - - - ranking = 0.4keywords = periodontal disease (Clic here for more details about this article) |
5/10. Rapidly progressive periodontal disease associated with HIV infection: report of case.A case of rapidly progressive periodontal disease associated with human immunodeficiency virus (HIV) infection is presented. Rapid horizontal bone loss, with only moderate inflammation, occurred during a 13-month period. Pocket depth was significantly less than anticipated, given the degree of bone loss. The patient had no signs or symptoms of acquired immune deficiency syndrome (AIDS). The cause, features, diagnosis, and management are discussed.- - - - - - - - - - ranking = 1keywords = periodontal disease (Clic here for more details about this article) |
6/10. Periodontal status associated with chronic neutropenia.A case of chronic neutropenia in a 12-year-old boy is reported. The patient presented with severe gingival inflammation and alveolar bone loss. Immunologic analysis of the patient's serum revealed the presence of precipitating antibodies against antigenic components of actinobacillus actinomycetemcomitans Y4 and 652. It was also found that the serum neutralized the leukotoxic activity of actinobacillus actinomycetemcomitans Y4. The etiology and the pathogenesis of periodontal disease in neutropenic patients are discussed in view of these findings.- - - - - - - - - - ranking = 0.2keywords = periodontal disease (Clic here for more details about this article) |
7/10. Familial benign chronic neutropenia associated with periodontal disease. A case report.A rare case report of periodontal disease associated with familial benign chronic neutropenia is presented. The medical, dental and family histories as well as clinical and histologic observations are described and discussed.- - - - - - - - - - ranking = 1keywords = periodontal disease (Clic here for more details about this article) |
8/10. Chronic urticaria associated with bacterial infection. A case of dental infection.In most cases of chronic urticaria, a specific etiology cannot be determined. This should not discourage the physician from continuing to search for its underlying cause. infection has long been considered a cause of urticaria, although the incidence is probably low when all other common causes are considered. A case of chronic urticaria of five years duration, which was associated with chronic extensive dental infection and periodontal disease, is presented to show the importance of infection as a trigger mechanism of urticaria.- - - - - - - - - - ranking = 0.2keywords = periodontal disease (Clic here for more details about this article) |
9/10. periodontal diseases affecting children and young adults.There is a group of periodontal diseases affecting children and young adults that is characterized by onset prior to age 35, often with a rapid rate of periodontal destruction. Although a wide variation in patterns of presentation exist, these diseases can be described under the broad categories of (a) early onset periodontitis (juvenile periodontitis), (b) necrotizing ulcerative gingivitis/periodontitis, (c) periodontitis associated with systemic diseases. A discussion of each of these categories is followed by two case reports which illustrate possible clinical presentations of these diseases.- - - - - - - - - - ranking = 0.2keywords = periodontal disease (Clic here for more details about this article) |
10/10. Clinical and radiographic presentations of hiv-1 necrotizing ulcerative periodontitis.hiv-1-associated periodontal diseases have been reported in the literature for several years. Criteria for the diagnosis of these diseases have not been universally accepted, although there are numerous papers describing the clinical entity. These case reports provide clinical and radiographic evidence of a type of periodontal disease with bone and soft tissue destruction which differentiates it from "conventional" periodontal diseases found in both hiv-1-infected patients and those not infected by the virus. It is important, from both diagnostic and therapeutic aspects, for clinicians to be able to make this distinction. The appropriate use of clinical and radiographic findings is extremely helpful in the diagnosis, particularly in the case of defining hiv-1 necrotizing ulcerative periodontitis (NUP). Whether the patterns of gingival changes and bone loss described in these case reports are specific to hiv-1-seropositive persons or rather represent severe immunosuppression requires further investigation.- - - - - - - - - - ranking = 0.6keywords = periodontal disease (Clic here for more details about this article) |
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