Aggressive Periodontitis with
Streptococcal Gingivitis: A Case Report

ABSTRACTAcute streptococcal gingivitis is an acute inflammation of the oral mucosa and also may be seen with the other oral diseases as aggressive periodontitis that is characterized by a considerable attachment loss over a relatively short period of time. Streptococcal infections of gingiva are seen rarely; also the origin of this gingival inflammation is occasionally different from that of routine plaque-associated gingivitis. The clinical features and treatment methods of these diseases are already reported in previous literatures. This case report describes a patient who presented with severe gingival inflammation and attachment loss that was diagnosed as an acute streptococcal infection associated with aggressive periodontitis. In this study a supportive treatment option was demonstrated based on these data and antacid treatment as adjunctive to the recommended treatment modalities was used for streptococcal gingivitis. (Eur J Dent 2007;1:251-255)

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Aggressive periodontitis of the primary dentition associated with idiopathic immune deficiency: case report and treatment considerations

Journal of Clinical Pediatric Dentistry ◽

10.17796/jcpd.29.1.724584t234465907 ◽

2005 ◽

Vol 29 (1) ◽

pp. 27-31 ◽

Cited By ~ 4

Author(s):

Enrique Bimstein ◽

Michael McIlwain ◽

Joseph Katz ◽

Greg Jerrell ◽

Robert Primosch

Keyword(s):

Immune Deficiency ◽

Case Report ◽

Primary Teeth ◽

Aggressive Periodontitis ◽

Primary Dentition ◽

Permanent Teeth ◽

Gingival Inflammation ◽

Adequate Treatment ◽

Treatment Considerations ◽

Topical Applications

The present case, of a child with an idiopathic immune deficiency and aggressive periodontitis in the primary dentition, serves as an example for the treatment considerations in these cases. Extraction of all the primary teeth proved to be the most adequate treatment. It allowed the child to eat properly and prevented unwanted infections that could endanger the life of the child. The newly erupted permanent teeth have been subjected to careful oral hygiene, clorhexidine topical applications, and have mild gingival inflammation and no attachment loss.

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Streptococcal Gingivitis: A Report of Case with a Description of a Unique Gingival Prothesis

The Journal of Contemporary Dental Practice ◽

10.5005/jcdp-5-3-150 ◽

2004 ◽

Vol 5 (3) ◽

pp. 150-157 ◽

Cited By ~ 3

Author(s):

Yasin Çiçek ◽

Mehmet Özgöz ◽

Varol Çanakçi ◽

Recep Orbak

Keyword(s):

Bacterial Infections ◽

Acute Inflammation ◽

Streptococcal Infection ◽

Treponema Pallidum ◽

Gingival Recession ◽

Gingival Inflammation ◽

Secondary Infections ◽

Histopathologic Evaluation ◽

Neisseria Gonorrhea ◽

Root Planning

Abstract Acute streptococcal gingivitis is an acute inflammation of the oral mucosa. Specific bacterial infections of the gingiva may be due to neisseria gonorrhea, treponema pallidum, streptococci, and other organisms. Streptococcal infections are seen rarely. This case report describes a patient who presented with severe gingival inflammation and pain that was diagnosed as an acute streptococcal infection. Bacterial cultures were obtained from the lesion, and biopsies were obtained from the gingiva of lower incisors for histopathologic evaluation. The patient was successfully treated using conventional periodontal therapy (scaling, root planning, curettage) and antibacterial agents. The reconstructive phase for this patient consisted of the fabrication of a heat-cured acrylic gingival facade to mask the gingival recession. The treatment of acute gingivostomatitis is of importance because of the possibility of systemic secondary infections. When esthetics is important, a gingival prostheses can be considered. The differential diagnosis, etiology, and treatment of acute streptococcal gingivitis are discussed and the literature is reviewed in this report. Citation Çiçek Y, Özgöz M, Çanakçi, et. al Streptococcal Gingivitis: A Report of Case with a Description of a Unique Gingival Prosthesis. J Contemp Dent Pract 2004 August;(5)3:150-157.

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Stroke warning syndromes

British Journal of Hospital Medicine ◽

10.12968/hmed.2019.0222 ◽

2020 ◽

Vol 81 (1) ◽

pp. 1-5

Author(s):

Arup Sen ◽

Jonathan Birns ◽

Ajay Bhalla

Keyword(s):

Small Vessel Disease ◽

Recombinant Tissue Plasminogen Activator ◽

Cerebral Hypoperfusion ◽

Treatment Modalities ◽

Haemodynamic Instability ◽

Anterior Circulation ◽

Focal Neurological Deficit ◽

Recommended Treatment ◽

Short Period ◽

Capsular Warning Syndrome

It is important for physicians to be aware of stroke warning syndromes because, although rare, there is a high associated risk of subsequent ischaemic infarction. Stroke warning syndromes present as stereotypical, recurrent transient episodes of focal neurological deficit, in the absence of cortical signs, occurring within a short period of time. They are broadly divided into two main subtypes, based on vascular territory: capsular warning syndrome and pontine warning syndrome. The exact underlying pathophysiology related to stroke warning syndromes is incompletely established, but proposed pathophysiological hypotheses for cerebral hypoperfusion include micro-atherosclerosis (cerebral small vessel disease) and haemodynamic instability (e.g. hypotension). Atherosclerotic disease involving small perforating arteries in the anterior circulation (e.g. lenticulostriatal arteries) gives rise to capsular warning syndrome and subsequent risk of capsular infarcts. Conversely, involvement of the posterior circulation pontine perforator arteries gives rise to pontine warning syndrome, which can result in paramedian pontine infarcts. Although the evidence is limited, recommended treatment modalities include permissive hypertension, intravenous recombinant tissue plasminogen activator, dual antiplatelet therapy and statins.

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Regenerative treatment modalities with implant placement in a diabetic patient with aggressive periodontitis: A case report

International Journal of Applied Dental Sciences ◽

10.22271/oral.2021.v7.i2g.1243 ◽

2021 ◽

Vol 7 (2) ◽

pp. 437-440

Author(s):

Mayur Kaushik ◽

Amit Wadhawan ◽

Mrinalini Agarwal ◽

Cherry Jain

Keyword(s):

Case Report ◽

Diabetic Patient ◽

Aggressive Periodontitis ◽

Treatment Modalities ◽

Implant Placement

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A Case Report of Comminuted Mandibular Fracture with Condylar Neck Fracture

Global Journal of Medical Research ◽

10.34257/gjmrjvol19is4pg7 ◽

2019 ◽

pp. 7-10

Author(s):

Dr. Kavita Wadde ◽

Dr. Nazmul Alam ◽

Dr. Ashwini Chapane ◽

Dr. Sandip Rathod

Keyword(s):

Case Report ◽

Internal Fixation ◽

Open Reduction ◽

Mandibular Fracture ◽

Treatment Modalities ◽

Mandibular Fractures ◽

Pin Fixation ◽

Short Period ◽

Neck Fracture ◽

Condylar Neck Fracture

The fracture of the comminuted type has a prevalence of 30 to 50 % when related to the affecting mandibular bone. They are characterized by the presence of multiple bone involving several lines of fracture, resulting in small fragments within the same area. Treatment modalities for the management of comminuted mandibular fractures include closed reduction, external pin fixation, internal wire fixation, and open reduction and internal fixation using miniplates, titanium mesh tray and screws. The following case report highlights open reduction and internal fixation of a comminuted mandibular fracture in a 24-year-old male patient. The patient treated with open reduction and with a reconstruction plate followed by a short period of maxillomandibular fixation.

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GENERALIZED AGGRESSIVE PERIODONTITIS, MULTIFACTORIAL TREATMENT MODALITIES- A CASE REPORT.

International Journal of Advanced Research ◽

10.21474/ijar01/461 ◽

2016 ◽

Vol 4 (5) ◽

pp. 1053-1057

Author(s):

Dr.Payal Sharma ◽

◽

Dr.Shivlal Vishnoi ◽

Dr.Sarath Chandran ◽

Dr.Digvijaysinh Rathod2 ◽

...

Keyword(s):

Case Report ◽

Aggressive Periodontitis ◽

Treatment Modalities

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HBOT Application at Cases of Gingival Inflammation

Journal of Dentistry and Oral Sciences ◽

10.37191/mapsci-2582-3736-1(3)-017 ◽

2019 ◽

Author(s):

Ilma Robo

Keyword(s):

Root Resorption ◽

Periodontal Diseases ◽

Therapeutic Effects ◽

Clinical Effects ◽

Gingival Inflammation ◽

Beneficial Effects ◽

New Therapeutic Approaches ◽

Short Period ◽

Mechanical Therapy ◽

The Impact

The treatment of periodontal diseases, mainly of their origin, with the most common clinical manifestation in form of gingival inflammation, is manifold and powerful, including: mechanical therapy, antibiotic, antiseptic and various approaches to treatment, which are recommended to be used within a short period of time. New therapeutic approaches have been proven as alternative treatment to conventional therapy, or in combination with conventional therapies, to reduce the number of periodontopathic pathogens in gingival sulcus. HBOT has a detrimental effect on periodontal microorganisms, as well as beneficial effects on the healing of periodontal tissue, increasing oxygen pressure in gingival pockets. Our study is aimed at reviewing the current published literature on hyperbaric oxygen therapy and focuses on role of HBOT as a therapeutic measure for the individual with periodontal disease in general and for the impact on the recovery of gingival inflammation. HBOT and periodontal treatment together, reduce up to 99% of the gram-negative anaerobic load of subgingival flora. HBOT, significantly reduces subgingival anaerobic flora. Clinical effects in 2-year follow-up of treated patients are sensitive. Reduction of gingival hemorrhage indexes, depth of peritoneum, plaque index, occurs in cases of combination of HBOT and detraction. Reduced load persists up to 2 months after therapy. The significant increase in connective tissue removal starts at the end of 2nd week, to achieve the maximum in week 3-6 of application. HBOT used for re-implantation, stimulates the healing of periodontal membrane, pulp, prevents root resorption, healing of periodontal lining tissues. HBOT, significantly reduces the hemorrhage index with 1.2 value difference, 0.7mm probe depth, reduces gingival fluid by 2. HGH exposure is increased by gingival blood flow, with a difference of 2 in measured value. The therapeutic effects of HBOT in the value of the evaluation index can be saved up to 1-year post treatment.

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A rare case report of Oral Ranula: an insight into its diagnosis, differential diagnosis & treatment modalities

Asian Pacific Journal of Health Sciences ◽

10.21276/apjhs.2014.1.3.24 ◽

2014 ◽

Vol 1 (3) ◽

pp. 278-281

Author(s):

Mohammed Abidullah ◽

◽

G. Kiran, ◽

Kavitha Gaddiker

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Rare Case ◽

Treatment Modalities ◽

Rare Case Report ◽

Insight Into

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Case report: Manual therapies promote resolution of persistent post-concussion symptoms in a 24-year-old athlete

SAGE Open Medical Case Reports ◽

10.1177/2050313x20952224 ◽

2021 ◽

Vol 9 ◽

pp. 2050313X2095222

Author(s):

Susan Vaughan Kratz

Keyword(s):

Case Report ◽

Symptom Severity ◽

Impact Test ◽

Manual Therapies ◽

Symptom Checklist ◽

Post Concussion Syndrome ◽

Persistent Symptoms ◽

Short Period ◽

History Of ◽

Headache Impact

This case report illustrates the treatment outcomes of a collegiate athlete presenting with an 18-month history of post-concussion syndrome who received a series of mixed manual therapies in isolation of other therapy. Persistent symptoms were self-reported as debilitating, contributing to self-removal from participation in school, work, and leisure activities. Patient and parent interviews captured the history of multiple concussions and other sports-related injuries. Neurological screening and activities of daily living were baseline measured. Post-Concussion Symptom Checklist and Headache Impact Test-6™ were utilized to track symptom severity. Treatments applied included craniosacral therapy, manual lymphatic drainage, and glymphatic techniques. Eleven treatment sessions were administered over 3 months. Results indicated restoration of oxygen saturation, normalized pupil reactivity, and satisfactory sleep. Post-concussion syndrome symptom severity was reduced by 87% as reflected by accumulative Post-Concussion Symptom Checklist scores. Relief from chronic headaches was achieved, reflected by Headache Impact Test-6 scores. Restoration of mood and quality of life were reported. A 6-month follow-up revealed symptoms remained abated with full re-engagement of daily activities. The author hypothesized that post-concussion syndrome symptoms were related to compression of craniosacral system structures and lymphatic fluid stagnation that contributed to head pressure pain, severe sleep deprivation, and multiple neurological and psychological symptoms. Positive outcomes over a relatively short period of time without adverse effects suggest these therapies may offer viable options for the treatment of post-concussion syndrome.

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