1/44. Focal malakoplakia in chronic periapical periodontitis.AIMS: Three cases of chronic periapical periodontitis including focal areas with malakoplakia changes are reported. methods AND RESULTS: These areas included both von Hansemann-type macrophages and periodic acid-Schiff-positive, iron- and calcium-containing concretions. Some concretions corresponded to spherules with a targetoid configuration, thus fitting the morphological criteria for classical Michaelis-Gutmann bodies. CONCLUSION: The vast majority of the cases of malakoplakia that have been reported in the literature corresponded to a characteristic, fairly homogeneous lesion, but a few instances of focal malakoplakia have been described in various chronic conditions. These considerations support the opinion that the local conditions for the production of Michaelis-Gutmann bodies may occur focally in diseases characterized by macrophage accumulation.- - - - - - - - - - ranking = 1keywords = periodontitis, periapical (Clic here for more details about this article) |
2/44. Chronic factitial ulcer of chin cured by endodontic (root-canal) surgery for underlying periapical abscess.In a determined search for the cause of a "factitial" ulcer of the jaw, consultation with 3 dentists was required before an underlying periapical abscess was discovered. Within 3 months of endodontic surgery, this ulcer of 12 years duration had completely healed and remains healed. Too often dental infection is neither suspected nor detected as a cause of skin disease.- - - - - - - - - - ranking = 0.038250712535907keywords = periapical (Clic here for more details about this article) |
3/44. 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 = 0.38469971498564keywords = periodontitis (Clic here for more details about this article) |
4/44. Garre's osteomyelitis of an unusual origin in a 8-year-old child. A case report.Garre's osteomyelitis is a type of chronic osteomyelitis that primarily affects children and adolescents. Although the disease is well described in the dental literature and is usually associated with an odontogenic infection resulting from caries, a number of other causative factors have been occasionally reported, such as a dental extraction or a mild periodontitis. There have also been cases of unknown aetiology. This paper describes a case of Garre's osteomyelitis in an 8-year-old child, in whom the condition arose following a local periodontal infection in an ectopically erupting first permanent molar that was in infraocclusion. The lesion remained unresolved for a period of over 6 months as a result of misdiagnosis, following a number of unsuccessful treatment attempts. Identification of the true cause and treatment through periodontal surgery resulted in lesion resolution and resolved the diagnostic problem. dentists should be aware that the periodontium may be a potential source of infection for Garre's osteomyelitis in children, particularly in the presence of ectopically erupting posterior teeth. In such cases, periodontal treatment should be sufficient to treat the disease and extraction of the tooth involved may not be necessary.- - - - - - - - - - ranking = 0.19234985749282keywords = periodontitis (Clic here for more details about this article) |
5/44. Chronic idiopathic neutropenia associated with gingival enlargement.A girl with chronic idiopathic neutropenia who developed gingival enlargement at seven years of age is presented. Intraoral examination revealed generalized gingival inflammation with a tendency to bleeding and inflammatory gingival enlargement localized to the anterior region. A considerable amount of bacterial plaque was noted on the teeth. There were also 4-5 mm pocket depths around the first molars. Radiographic examination also indicated the presence of incipient bone loss around the first molars in both jaws. The patient, who was diagnosed as localized prepubertal periodontitis with generalized gingival inflammation and anterior gingival enlargement, accentuates the importance of evaluation of periodontal status in patients with chronic idiopathic neutropenia, to avoid the destruction of supporting structures of the dentition.- - - - - - - - - - ranking = 0.19234985749282keywords = periodontitis (Clic here for more details about this article) |
6/44. Charcot-Leyden crystals within a periapical lesion.Transmission electron microscopy revealed the presence of Charcot-Leyden crystals within a periapical lesion, which was assessed histopathologically as consistent with a periapical granuloma that failed to resolve after conventional endodontic treatment. This paper presents the clinical, radiographic, histological, and ultrastructural findings of this case and discusses their potential clinical significance.- - - - - - - - - - ranking = 0.045900855043089keywords = periapical (Clic here for more details about this article) |
7/44. Infantile genetic agranulocytosis, morbus Kostmann: presentation of six cases from the original "Kostmann family" and a review.In 1956 Rolf Kostmann reported on six children with severe neutropenia associated with a block in myelopoiesis at the promyelocyte/myelocyte stage and an autosomal recessive inheritance. He named the new syndrome infantile genetic agranulocytosis. Today it is known as Kostmann's syndrome or severe congenital neutropenia. In 1975 an additional 10 cases from northern sweden were published. This article reports on the only long-term survivor from the 1975 report plus another five patients born after 1975 who belong to the original "Kostmann family". Treatment and survival have changed dramatically since Kostmann's first publication. In the pre-antibiotic era, Kostmann's syndrome was inevitably fatal during the first year of life. CONCLUSION: Since the introduction of recombinant human granulocyte colony-stimulating factor (G-CSF) about 10 y ago, most patients now enjoy a normal life span and a greatly improved quality of life. Although the threat of death has disappeared, patients still have problems with infections, especially chronic gingivitis and periodontitis. In other groups of severe neutropenia, not related to the original "Kostmann family", an increased incidence of myeloid leukaemia has been observed. However, in this small cohort none of the children on chronic G-CSF therapy have developed malignancies.- - - - - - - - - - ranking = 0.19234985749282keywords = periodontitis (Clic here for more details about this article) |
8/44. 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 = 0.19234985749282keywords = periodontitis (Clic here for more details about this article) |
9/44. Garre's osteomyelitis associated with a fistula: a case report.A report of Garre's osteomyelitis of the mandible associated with a fistula is presented. Elimination of pulpal periapical infection through endodontic therapy was shown to be an effective treatment. The total bone healing was observed one year later.- - - - - - - - - - ranking = 0.0076501425071815keywords = periapical (Clic here for more details about this article) |
10/44. Chronic pigmented purpura associated with odontogenic infection.Five patients with chronic pigmented purpura associated with odontogenic infection are described. Four patients had Schamberg's disease, and one had itching purpura. These patients were resistant to topical corticosteroid treatment, but appearance of purpuric spots ceased after treatment for periodontitis, pulpitis, or both. No circulating immune complexes were detected, and neither immunoglobulin nor complement was deposited in the papillary vessels of the skin. Odontogenic infection might be one of the precipitating factors for chronic pigmented purpura.- - - - - - - - - - ranking = 0.19234985749282keywords = periodontitis (Clic here for more details about this article) |
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