Dental treatment of a rare case of pyoderma gangrenosum with aggressive periodontal disease

HIV infection can lead to varied spectrum of associated disease conditions. Pyoderma gangrenosum is a neutrophilic dermatosis that may be associated with myeloid malignancies. Less information is available about the association of pyoderma gangrenosum with lymphoid malignancies. We report a rare case of pyoderma gangrenosum in association with Non hodgkins lymphoma(NHL) of diffuse large B cell type. In this case the lesion which showed NHL features occurred in the perianal region, coexisting with pyoderma gangrenosum lesions in the perianal, lower limb and abdominal region. Another interesting feature is the occurrence of both these conditions in a HIV-positive patient with severe immunologic failure to first line antiretroviral therapy contributing to the refractoriness to treatment. Key Words: HIV; pyoderma gangrenosum; Non Hodgkins Lymphoma DOI: http://dx.doi.org/10.3126/ajms.v2i2.4029 Asian Journal of Medical Sciences 2 (2011) 128-130

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Genetic parameters for periodontal disease: an analysis of electronic dental treatment records linked to pedigree, genomic, sociodemographic and clinical data

International Journal for Population Data Science ◽

10.23889/ijpds.v1i1.373 ◽

2017 ◽

Vol 1 (1) ◽

Author(s):

Mairead Bermingham ◽

Archie Campbell ◽

David Porteous ◽

Angus Walls

Keyword(s):

Periodontal Disease ◽

Clinical Data ◽

Genetic Parameters ◽

Dental Treatment ◽

Population Based ◽

Diabetes Diagnosis ◽

Health Records ◽

Epidemiological Research ◽

Study Participants ◽

Gum Disease

ABSTRACT BackgroundElectronic health records provides unprecedented opportunity for their re-use in genetic epidemiological research. However, electronic health records data from clinical settings, such as dental practices may be inaccurate or of insufficient granularity to be of use in research. In this study, we wish to determine the utility of National Health Service (NHS) electronic dental treatment records in genetic epidemiological research. ObjectiveTo estimate the heritability of periodontal disease using NHS electronic dental treatment records linked to health and non-health data within the Generation Scotland: Scottish Family Health Study (GS:SFHS). ApproachWe linked 852,355 NHS Scotland electronic dental treatment records from April 2000 to July 2015 to 20,626 participants within the GS:SFHS with pedigree, genomic, sociodemographic and clinical data. We then conducted a proof-of-principle genetic epidemiological analysis using periodontal (gum) disease treatment records. The data set analysed, consisted of 160,508 dental treatment records from 13,717 study participants; 3,387 of which were periodontal treatment records (from 2,192 study participants). We adjusted for the effects of previous treatment record, interval since last treatment, age, sex, treatment year, and treatment month, Scottish index of multiple deprivation, alcohol consumption, diabetes diagnosis, and smoking status in a linear model in the statistical software ASReml. We then calculated the mean risk of periodontal disease for each study participant based on residuals extracted from the aforementioned model. Genome-complex trait analysis (GCTA; with correction for population stratification) was used to estimate the pedigree and genomic based heritability of periodontal disease. ResultsWe estimate the familial heritability of periodontal (gum) disease at 10.42% (95% confidence interval 5.97-14.88%). The genomic component did not contribute significantly to the heritability estimate. Conclusionwe have demonstrated the usefulness of electronic dental treatment records in population based genetic epidemiological research .This study has also, to the best of our knowledge provided the first population based estimates of the genetic parameters for periodontal disease; confirming its familial nature. This invaluable and unique data resource will allow the acceleration of oral health research in Scotland and the exploration of research questions that could not be considered previously.

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Inflammatory Bowel Disease Associated Pulmonary Pyoderma Gangrenosum Without Cutaneous Involvement: A Rare Case

10.1164/ajrccm-conference.2020.201.1_meetingabstracts.a1385 ◽

2020 ◽

Author(s):

L. Morgan ◽

M.L. Ribeiro Neto ◽

S. Mukhopadhyay

Keyword(s):

Inflammatory Bowel Disease ◽

Pyoderma Gangrenosum ◽

Bowel Disease ◽

Rare Case ◽

Cutaneous Involvement ◽

Inflammatory Bowel

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Dental extraction in patients with HIV/AIDS: report of two cases

RSBO ◽

10.21726/rsbo.v16i1.535 ◽

2019 ◽

Vol 16 (1) ◽

pp. 51-06

Author(s):

Mariane Cristina Sloniak ◽

Sara Regina Barancelli Todero ◽

Luciana Aparecida Lyra ◽

Elenara Beatriz Fontana ◽

Paulo Sérgio Batista ◽

...

Keyword(s):

Oral Health ◽

Periodontal Disease ◽

Hiv Infection ◽

Dental Treatment ◽

Treatment Plan ◽

Healing Process ◽

Special Treatment ◽

Individual Treatment ◽

Dental Surgery ◽

First Case

The oral health of patients with HIV infection is often compromised by caries and periodontal disease. Thus, many patients need to undergo oral surgical procedures. Case report: This article describes two cases of patients with HIV infection who had undergone exodontia due to prosthetic indications. Both patients had been hospitalized for treatment of respiratory complications from HIV infection and were referred for dental treatment. In the first case, the adult patient had generally good oral health. However, the treatment plan for the installation of a removable prosthesis required the removal of tooth 38 since it was fairly inclined to the mesial. The second patient had poor oral conditions due to advanced periodontal disease. Thus, all upper arch teeth were removed in a single session followed by the installation of an immediate total prosthesis. No postoperative complications were recorded and the healing process occurred without incident for both patients. Dental treatment of patients with asymptomatic HIV infection does not differ from that performed for any other patient in practice. Nevertheless, patients in advanced stages of disease may require special treatment and an individual treatment plan must be developed for even routine procedures. Conclusion: The dental care of these individuals often requires more rigorous clinical follow-up for maintaining oral health. The performance of dental surgery in patients with HIV infection does not require technical modifications, but does require a complete anamnesis.

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Dental Treatment for a European Red Tail Deer

Bulletin of University of Agricultural Sciences and Veterinary Medicine Cluj-Napoca Veterinary Medicine ◽

10.15835/buasvmcn-vm:2020.0026 ◽

2020 ◽

Vol 77 (2) ◽

pp. 174

Author(s):

Raluca Ioana NEDELEA ◽

Adrian TOMA ◽

Andreea MĂRINCUȘ

Keyword(s):

Differential Diagnosis ◽

Oral Cavity ◽

Periodontal Disease ◽

Dental Treatment ◽

Dental Pain ◽

Oral Examination ◽

One Year ◽

Cold Metal

The veterinarian doctor has to be prepared to help various kind of species. Our team had to perform dental treatment for a five years old European red tail deer. The deer was eating with difficulty. Even thou it was a hot summertime, the hind presented late shedding. Her calm and kind behaviour changed into an aggressive one. She was biting cold, metal objects, obviously to calm her dental pain. Our approach aimed to re-establish the biological and physiological balance of the oral cavity. A thorough general exam was performed for differential diagnosis. Oral examination revealed an aggressive periodontal disease. Surgical extractions were the only possible treatment. One year follow up is good, changing the prognosis from a reserved one into very good.

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Dental extraction in patients with HIV/AIDS: report of two cases

RSBO ◽

10.21726/rsbo.v16i1.785 ◽

2019 ◽

Vol 16 (1) ◽

pp. 51

Author(s):

Mariane Cristina Sloniak ◽

Sara Regina Barancelli Todero ◽

Luciana Aparecida Lyra ◽

Elenara Beatriz Fontana ◽

Paulo Sérgio Batista ◽

...

Keyword(s):

Oral Health ◽

Periodontal Disease ◽

Hiv Infection ◽

Dental Treatment ◽

Treatment Plan ◽

Healing Process ◽

Special Treatment ◽

Individual Treatment ◽

Dental Surgery ◽

First Case

Introduction and objective: The oral health of patients with HIV infection is often compromised by caries and periodontal disease. Thus, many patients need to undergo oral surgical procedures. Case report: This article describes two cases of patients with HIV infection who had undergone exodontia due to prosthetic indications. Both patients had been hospitalized for treatment of respiratory complications from HIV infection and were referred for dental treatment. In the first case, the adult patient had generally good oral health. However, the treatment plan for the installation of a removable prosthesis required the removal of tooth 38 since it was fairly inclined to the mesial. The second patient had poor oral conditions due to advanced periodontal disease. Thus, all upper arch teeth were removed in a single session followed by the installationof an immediate total prosthesis. No postoperative complications were recorded and the healing process occurred without incident for both patients. Dental treatment of patients with asymptomatic HIV infection does not differ from that performed for any other patient in practice. Nevertheless, patients in advanced stages of disease may require special treatment and an individual treatment plan must be developed for even routine procedures. Conclusion: The dental careof these individuals often requires more rigorous clinical follow-up for maintaining oral health. The performance of dental surgery in patients with HIV infection does not require technical modifications, but does require a complete anamnesis.

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Dental treatment procedures for periodontal disease and the subsequent risk of ischaemic stroke: A retrospective population‐based cohort study

Journal Of Clinical Periodontology ◽

10.1111/jcpe.13113 ◽

2019 ◽

Vol 46 (6) ◽

pp. 642-649 ◽

Cited By ~ 1

Author(s):

Hsiao‐Wei Lin ◽

Chun‐Min Chen ◽

Yi‐Chun Yeh ◽

Yen‐Yu Chen ◽

Ru‐Yu Guo ◽

...

Keyword(s):

Cohort Study ◽

Periodontal Disease ◽

Ischaemic Stroke ◽

Dental Treatment ◽

Population Based ◽

Treatment Procedures ◽

Subsequent Risk

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Dental evagination (dens evaginatus) of the second premolar in the upper jaw. Clinical case

Medical alphabet ◽

10.33667/2078-5631-2021-2-53-55 ◽

2021 ◽

pp. 53-55

Author(s):

L. A. Mamedova ◽

O. I. Efimovich ◽

I. V. Podojnikov ◽

A. A. Podoinikova ◽

A. A. Bashtovoy

Keyword(s):

Early Diagnosis ◽

Rare Case ◽

Clinical Case ◽

Dental Treatment ◽

Tooth Development ◽

Patient Treatment ◽

Developmental Abnormality ◽

X Ray ◽

Lower Jaw ◽

Upper Jaw

Dens evaginatus (DE) is an odontogenic developmental abnormality that can be defined as a tubercle or bulge on the surface of a tooth, consisting of the outer layer of enamel, dentin, and possibly pulp. Early diagnosis and treatment of dental evagination is important to prevent untimely endodontic treatment, occlusal trauma, aesthetics, and the development of fissure caries. This pathology of tooth development is usually found on the premolars of the lower jaw as an additional tubercle or bulge between the buccal and lingual tubercles. DE in the maxillary premolar has been reported rarely in the literature. We report one such rare case in the maxillary premolar.Material and methods. The article describes a clinical case of treating a patient with dental evagination. For observation, we used X-ray images made with CBCT, as well as a photo protocol of the stages of patient treatment.Conclusions. Since this pathology is rare, the description of this clinical case will help doctors better understand the approaches to dental treatment with such anomalies in the development of tooth tissues.

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