scholarly journals Periodontal and Systemic Treatment Approach on Pemphigus Vulgaris: A Case Report

2020 ◽  
Vol 7 (1) ◽  
pp. 390-393
Author(s):  
Ömer Birkan Ağrali ◽  
Gamze Kavuncu ◽  
Filiz Namdar Pekiner ◽  
Cuyan Demirkesen ◽  
Leyla Kuru
Keyword(s):  
Case Report ◽  
Oral Hygiene ◽  
Treatment Approach ◽  
Pemphigus Vulgaris ◽  
Periodontal Treatment ◽  
Gingival Inflammation ◽  
Non Invasive ◽  
Probing Depth ◽  
Negative Effect ◽  
Treatment Procedures

Objective:  In this case report, both the diagnosis of pemphigus vulgaris and the periodontal treatment approach including the use of local/systemic medications are presented. Case Presentation: 36-year-old female patient applied to the periodontology clinic with complaints of burning mouth and pain. Physical examination revealed cutaneous blisters on nose, hand and fingers while intra-oral examination showed widespread desquamation and ulcers depending on PV and severe gingival inflammation due to the lack of oral hygiene and oral PV. Initial periodontal treatment (IPT) was implemented to the patient along with local and systemic medications. Periodontal parameters including plaque Index (PI), gingival Index (GI), probing depth (PD) and clinical attachment level (CAL) were recorded before and six weeks after IPT.  Periodontal treatment procedures did not cause any negative effect on the lesions. Six weeks following IPT and the use systemic medications, all clinical parameters improved significantly. Furthermore, lesions including mucosal blisters and desquamations partially recovered, the patient started to perform oral hygiene more effectively. It was concluded that atraumatic and non-invasive periodontal treatment supported by the use of local/systemic corticosteroid and immunosuppressive medications was efficient on controlling of widespread desquamations and gingival inflammation of PV patients. 

Evaluation of periodontal indices in young adults submitted to chlorhexidine 0.12% mouthwash: a randomized clinical trial

2021 ◽  
Vol 50 ◽  
Author(s):  
Nathale Cruz BATISTA ◽  
Camila Possal de PAULA ◽  
Isis Andréa Venturini Pola POIATE ◽  
Edgard POIATE JUNIOR ◽  
Elizangela Cruvinel ZUZA ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Young Adults ◽  
Randomized Clinical Trial ◽  
Oral Hygiene ◽  
Saline Solution ◽  
Gingival Index ◽  
Gingival Inflammation ◽  
Inflammatory Agent ◽  
Probing Depth ◽  
Periodontal Indices

Abstract Introduction Gingivitis is a gingival inflammation which can often be treated with oral hygiene such as brushing, flossing, and an antiseptic mouthwash. Objective The aim of this randomized clinical trial was to clinically evaluate the effectiveness of 0.12% chlorhexidine (CHX) solution as an anti-inflammatory agent and for reducing the presence of plaque and inflammation in young adults. Material and method Thirty patients with gingivitis aged 18 to 30 years with a probing depth ≤ 3 mm and a minimum of 20 teeth in the whole mouth were selected and evaluated at baseline and 30 days after treatment. Periodontal clinical parameters were verified: plaque index (PI), gingival index (GI), Simplified Oral Hygiene Index (OHI-S), Simplified Debris Index (DI-S), and Simplified Calculus Index (CI-S) Patients were then randomly allocated into two groups: CHX Group, received chlorhexidine 0.12% labeled as solution 1, and Placebo Group, received saline solution labeled as solution 2. Both groups were included in a hygiene program and received mouthwash. Result Statistically significant differences between CHX and Placebo groups were observed for the variables PI, GI, DI-S, CI-S, and OHI-S (p<0.05 - Paired T Test) after 30 days. The CHX group presented improved GI compared to Placebo at 30 days. Chlorhexidine 0.12% was efficient in the control of periodontium inflammation. Conclusion It can be concluded that chlorhexidine as a mouthwash is efficient in improving periodontal indices in young adults, but it is still controversial whether age can influence GI and OHI-S.

scholarly journals Nonsurgical Management of Nifedipine Induced Gingival Overgrowth

2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
George Sam ◽  
Staly Chakkalakkal Sebastian
Keyword(s):  
Case Report ◽  
Oral Hygiene ◽  
Medical Community ◽  
Unwanted Effect ◽  
Gingival Inflammation ◽  
Drug Induced ◽  
Gingival Overgrowth ◽  
Nonsurgical Management ◽  
Gingival Enlargement ◽  
Oral Hygiene Practice

Drug-induced gingival overgrowth is frequently associated with three particular drugs: phenytoin, cyclosporin, and nifedipine. As gingival enlargement develops, it affects the normal oral hygiene practice and may interfere with masticatory functions. The awareness in the medical community about this possible side effect of nifedipine is less when compared to the effects of phenytoin and cyclosporin. The frequency of gingival enlargement associated with chronic nifedipine therapy remains controversial. Within the group of patients that develop this unwanted effect, there appears to be variability in the extent and severity of the gingival changes. Although gingival inflammation is considered a primary requisite in their development, few cases with minimal or no plaque induced gingival inflammation have also been reported. A case report of gingival overgrowth induced by nifedipine in a patient with good oral hygiene and its nonsurgical management with drug substitution is discussed in this case report.

scholarly journals Peripheral Odontogenic Fibroma: A Rare Case Report

2018 ◽  
Vol 8 (1) ◽  
pp. 45-49
Author(s):  
Raif Alan ◽  
Bilge Can ◽  
Fahriye Kılınç
Keyword(s):  
Case Report ◽  
Oral Hygiene ◽  
Rare Case ◽  
Maintenance Phase ◽  
Periodontal Treatment ◽  
Odontogenic Fibroma ◽  
Gingival Enlargement ◽  
Rare Case Report ◽  
Maxillary Region

To present the clinical presence, histopathological features, and management of a rare peripheral odontogenic fibroma (POF) case. A 32-year-old male patient was referred to the clinic complaining of a localized gingival enlargement of the anterior maxillary region. Initial periodontal treatment was delivered and the patient was informed about proper oral hygiene. After the initial periodontal treatment, the lesion was surgically excised while preserving the marginal line. POF was diagnosed based on clinical and histopathological findings. Normal mechanical oral hygiene was established in the postoperative period. No recurrence was observed during this follow-up period, and the patient was included in the maintenance phase. POF was treated with local excision and the prognosis was excellent. Regular follow-ups are very important for such patients after surgery.

scholarly journals A Case Report: Papillon Lefevre Syndrome

2019 ◽  
Vol 3 (2) ◽  
Keyword(s):  
Case Report ◽  
Autosomal Recessive ◽  
Alveolar Bone ◽  
Genetic Disorder ◽  
Autosomal Recessive Disorder ◽  
Antimicrobial Treatment ◽  
Periodontal Treatment ◽  
Permanent Teeth ◽  
Gingival Inflammation ◽  
Palmoplantar Hyperkeratosis

Study Background: Papillon Lefevre Syndrome (PLS) is an autosomal recessive inherited genetic disorder characterized by palmoplantar hyperkeratosis and premature loss of deciduous and permanent teeth. Mutation of cathepsin C gene has been detected in the patient with PLS. In this case report, oral and radioghaphic findings of one PLS patient were discussed. 14 year old male patient diagnosed with PLS after radiographic, dermatologic and dental examination was referred to our clinic due to severe gingival inflamation and mobility. Severe gingival inflamation, alveolar bone resorption and multiple teeth loss due to periodontal reasons were observed. Mild palmar and moderate plantar hyperkeratosis were observed but no other systemic problems were detected. Methods: Non-surgical periodontal treatment was perfomed among multiple sessions and in each session subgingival tissues had been irrigated with %2 chlorhexidine irrigation solution. To reduce severe gingival inflammation antibiotherary has been prescribed. Hopeless teeth were extracted. Results: After non-surgical periodontal treatment and antibiotherary severe gingival inflammation was reduced but not eliminated completely, mobility score of some teeth reached to zero score, patient was motivated about oral hygiene and was taken into maintanence phases. After having extracted hopeless teeth patient was directed for prosthodontic rehabilitation. Conclusion: PLS is a rare autosomal recessive disorder. With PLS-specific dermatologic findings and characteristic periodontal view, it is possible to be able to identify the disease in its very early stages. Early diagnosis of the disease and institution of an appropriate periodontal and antimicrobial treatment might improve the prognosis.

Effects of drug abuse and mental disorders on oral health: a case report

2022 ◽  
Vol 71 (12) ◽  
Author(s):  
Marine Ortiz Magdaleno ◽  
Gabriel Romo Ramirez
Keyword(s):  
Mental Health ◽  
Case Report ◽  
Oral Hygiene ◽  
Treatment Plan ◽  
Psychological State ◽  
Health Issues ◽  
Poor Oral Hygiene ◽  
Invasive Treatment ◽  
Negative Effect ◽  
Oral Conditions

Substance use disorders, related to mental health issues can lead to oral pathologies. The purpose of this case report was to identify the oral conditions and manifestations in a 28-year-old male narco-dependent schizophrenic who smoked tobacco and marijuana. In intra-oral clinical exploration, poor oral hygiene, excessive tartar formation and dental plaque were observed, and the diagnosis of severe chronic periodontitis was established. The choice of a treatment plan in such patients is complex because the consequences of an invasive treatment can aggravate the psychological state and emotional stability leading to a negative effect on behaviour and mental health due to edentulism. The effects of excessive drug consumption related to schizophrenia can cause poor oral hygiene habits leading to oral pathologies and the loss of teeth. Keywords: drugs, schizophrenia, oral manifestations, mental health, oral pathologies.

Childhood pemphigus vulgaris treated with dapsone: a case report.

1998 ◽  
Vol 15 (5) ◽  
pp. 381-383 ◽  
Author(s):  
B Bjarnason ◽  
C Skoglund ◽  
E Flosadottir
Keyword(s):  
Case Report ◽  
Pemphigus Vulgaris

scholarly journals The comparative effect of propolis in two different vehicles; mouthwash and chewing-gum on plaque accumulation and gingival inflammation

2015 ◽  
Vol 09 (02) ◽  
pp. 272-276 ◽  
Author(s):  
Nuray Ercan ◽  
Ebru Olgun Erdemir ◽  
Serdar Yucel Ozkan ◽  
Meltem Karsiyaka Hendek
Keyword(s):  
Health Care ◽  
Clinical Study ◽  
Oral Health ◽  
Oral Hygiene ◽  
Chewing Gum ◽  
Gingival Inflammation ◽  
Comparative Effect ◽  
Gingival Health ◽  
General Chemical ◽  
Single Blind

ABSTRACT Objective: In general, chemical plaque agents have been used in mouthwashes, gels, and dentifrices. In some situations, application of mouthwashes and dentifrices can be difficult. Therefore, different approaches for oral health-care have been needed. The aim of this study was to evaluate the effect of propolis chewing-gum compared to propolis-containing mouthwash on gingival inflammation and plaque accumulation on patients that refrained from daily oral hygiene procedures for 5 days. Materials and Methods: 10 college students with systemically healthy and very good oral hygiene and gingival health were included in this randomized, single-blind, crossover 5-day plaque regrowth with a 3-day washout period clinical study. After plaque scores were reduced to zero, participants were asked to refrain from oral hygiene procedures and allocated to either propolis mouthwash or chewing-gum group. Chewing-gum was performed after meals 3 times a day for 20 min mouthwash group was instructed to rinse mouthwash 2 times a day for 1 min. On day 5, the clinical periodontal measurements containing plaque and gingival indexes were taken from the participants. Results: The both plaque and gingival indexes of propolis mouthwash group were significantly lower than that of the propolis chewing-gum group (P = 0.005). Conclusion: It was demonstrated that the propolis mouthwash was more effective than the propolis chewing gum on the plaque inhibition and the gingival inflammation.

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