Generalized Aggressive Periodontitis Associated with Plasma Cell Gingivitis Lesion: a Case Report and Non-Surgical Treatment
Total Page:16
File Type:pdf, Size:1020Kb
Load more
Recommended publications
-
ABC of Oral Health Periodontal Disease John Coventry, Gareth Griffiths, Crispian Scully, Maurizio Tonetti
Clinical review ABC of oral health Periodontal disease John Coventry, Gareth Griffiths, Crispian Scully, Maurizio Tonetti Most periodontal disease arises from, or is aggravated by, accumulation of plaque, and periodontitis is associated particularly with anaerobes such as Porphyromonas gingivalis, Bacteroides forsythus, and Actinobacillus actinomycetemcomitans. Calculus (tartar) may form from calcification of plaque above or below the gum line, and the plaque that collects on calculus exacerbates the inflammation. The inflammatory reaction is associated with progressive loss of periodontal ligament and alveolar bone and, eventually, with mobility and loss of teeth. Periodontal diseases are ecogenetic in the sense that, in subjects rendered susceptible by genetic or environmental factors (such as polymorphisms in the gene for interleukin 1, cigarette smoking, immune depression, and diabetes), the infection leads to more rapidly progressive disease. Osteoporosis also seems to have some effect on periodontal bone loss. The possible effects of periodontal disease on systemic Chronic marginal gingivitis showing erythematous oedematous appearance health, via pro-inflammatory cytokines, have been the focus of much attention. Studies to test the strength of associations with atherosclerosis, hypertension, coronary heart disease, cerebrovascular disease, and low birth weight, and any effects on diabetic control, are ongoing. Gingivitis Chronic gingivitis to some degree affects over 90% of the population. If treated, the prognosis is good, but otherwise it may progress to periodontitis and tooth mobility and loss. Marginal gingivitis is painless but may manifest with bleeding from the gingival crevice, particularly when brushing the teeth. The gingival margins are slightly red and swollen, eventually with mild gingival hyperplasia. Management—Unless plaque is assiduously removed and Gingivitis with hyperplasia kept under control by tooth brushing and flossing and, where necessary, by removal of calculus by scaling and polishing by dental staff, the condition will recur. -
Catha Edulis): a Brief Review
International Journal of Health Sciences and Research www.ijhsr.org ISSN: 2249-9571 Review Article Plasma Cell Stomatitis Associated With Khat (Catha Edulis): A Brief Review Sadeq Ali Al-Maweri1, Walid Ahmed Al-Soneidar2, Ghadah Al-Sufyani3, Saleem Abdulrab4, Ziyad kamal mohammad5, Amer Al Maqtari6 1Assistant Professor, Department of Oral Medicine and Diagnostic Sciences, AL-Farabi colleges, Riyadh, Saudi; Department of oral Medicine and Diagnosis, Faculty of Dentistry, Sana’a University, Yemen. 2Graduate Research Assistant, Department of Health Policy and Administration, Washington State University, Pullman, USA. 3General dental practitioner, Private Dental clinic, Sana’a, Yemen. 4Lecturer, Department of Restorative Dentistry, AL-Farabi Colleges, Riyadh, Saudi. 5Assistant Professor, Department of Prosthodontic & Conservative Dentistry, Faculty of Dentistry, Arab American University, Jenin, Palestine. 6General Dental Practitioner, Private Dental Center, Sana’a, Yemen. Corresponding Author: Sadeq Ali Al-Maweri Received: 28/05/2016 Revised: 15/06/2016 Accepted: 20/06/2016 ABSTRACT Plasma cell stomatitis (PCS), an uncommon condition, is characterized by massive and dense infiltration of plasma cells into the connective tissue. The etiology of PCS is unclear, but this condition is believed to be an immunological reaction to certain allergens present in chewing gum, flavoring mint, dentifrices and cinnamon flavoring products. Recently, plasma cell stomatitis has also been reported among habitual khat chewers. Khat, a psychostimulant herb, is cultivated and habitually chewed by millions of people in East Africa and the Arabian Peninsula as well as by immigrants in the west. This article aims to briefly review the current literature of the association of PCS with Khat use and to highlight the treatment approaches for such cases. -
Review: Differential Diagnosis of Drug-Induced Gingival Hyperplasia and Other Oral Lesions
ISSN: 2469-5734 Moshe. Int J Oral Dent Health 2020, 6:108 DOI: 10.23937/2469-5734/1510108 Volume 6 | Issue 2 International Journal of Open Access Oral and Dental Health REVIEW ARTICLE Review: Differential Diagnosis of Drug-Induced Gingival Hyper- plasia and Other Oral Lesions Einhorn Omer Moshe* Private Dental Office, Israel Check for *Corresponding author: Einhorn Omer Moshe, Private Dental Office, Dr. Einhorn, 89 Medinat Hayehudim updates street, Herzliya, Israel tooth discoloration, alteration of taste sensation and Abstract even appearance of lesions on the tissues of the oral Chronic medication usage is a major component of the cavity. Early recognition and diagnosis of these effects medical diagnosis of patients. Nowadays, some of the most common diseases such as cancer, hypertension, diabetes can largely assist in the prevention of further destruc- and etc., are treated with drugs which cause a variety of oral tive consequences in patients’ health status. As life ex- side-effects including gingival over growth and appearance pectancy increases, the number of elderly patients in of lesions on the tissues of the oral cavity. As such, drug-in- the dental practice also rises. Individuals of this popula- duced oral reactions are an ordinary sight in the dental prac- tice. This review will point out the main therapeutic agents tion are usually subjected to chronic medication intake causing gingival hyperplasia and other pathologic lesions which requires the clinician to be aware of the various in the oral cavity. Some frequently used medications, in side-effects accompanying these medications. This re- particular antihypertensives, nonsteroidal anti-inflammatory view will point out the main therapeutic agents causing drugs and even antibiotics, can lead to overgrowth of the gingival hyperplasia and other pathologic lesions in the gingiva and to the multiple unwanted conditions, namely: Lupus erythematosus, erythema multiforme, mucositis, oral oral cavity. -
ISSN: 2320-5407 Int. J. Adv. Res. 6(12), 164-169 RESEARCH ARTICLE
ISSN: 2320-5407 Int. J. Adv. Res. 6(12), 164-169 Journal Homepage: - www.journalijar.com Article DOI: 10.21474/IJAR01/8128 DOI URL: http://dx.doi.org/10.21474/IJAR01/8128 RESEARCH ARTICLE CHRONIC PERIODONTITIS ASSOCIATED WITH CINNAMOMUN ZEYLANICUM INDUCED PLASMA CELL GINGIVITIS: A CASE REPORT. Mohammed Salman1, Dr Anuroopa P2, Savita Sambashivaiah3, Vinaya Kumar. R4, and Navnita Singh1. 1. BDS, (MDS) Post Graduate, Department of Periodontology,Rajarajeswari Dental College & Hospital, Bangalore. 2. MDS Reader, Department of Periodontology, Rajarajeswari Dental College & Hospital, Bangalore. 3. MDS, Professor & Head Of The Department,Department of Periodontology,Rajarajeswari Dental College & Hospital, Bangalore. 4. MDS, Professor, Department of Periodontology, Rajarajeswari Dental College & Hospital, Bangalore. …………………………………………………………………………………………………….... Manuscript Info Abstract ……………………. ……………………………………………………………… Manuscript History Plasma Cell Gingivitis (PCG) is a rare condition of the gingiva which is Received: 01 October 2018 characterized by massive infiltration of plasma cells into the underlying Final Accepted: 03 November 2018 sub-epithelial connective tissue. Clinically it appears as a diffuse Published: December 2018 reddening and edematous swelling of the gingiva with clear demarcation from the mucogingival border. Although the etiology is Keywords: Plasma cell gingivitis, PCG, dentifrices, largely unknown; it is considered to be an immunologic reaction to cinnamon, gingival enlargement. allergens. Here we present a case of plasma cell gingivitis along with chronic generalized periodontitis in a 27 year old male patient brought upon by use of cinnamon containing toothpaste. Copy Right, IJAR, 2018,. All rights reserved. …………………………………………………………………………………………………….... Introduction:- Plasma cell gingivitis (PCG) is a rare inflammatory benign condition of gingival tissue characterized by a marked infiltration of plasma cell into sub epithelial connective tissue (1). -
Orofacial Granulomatosis Presenting As Gingival Enlargement – Report of Three Cases
Open Access Journal of Dentistry & Oral Disorders Case Report Orofacial Granulomatosis Presenting as Gingival Enlargement – Report of Three Cases Savithri V*, Janardhanan M, Suresh R and Aravind T Abstract Department of Oral Pathology & Microbiology, Amrita Orofacial Granulomatosis (OFG) is an uncommon disease characterized School of Dentistry, Amrita VishwaVidyapeetham, Amrita by non-caseating granulomatous inflammation in the oral and maxillofacial University, India region. They present clinically as labial enlargement, perioral and/or mucosal *Corresponding author: Vindhya Savithri, swelling, angular cheilitis, mucosal tags, vertical fissures of lips, lingua plicata, Department of Oral Pathology & Microbiology, Amrita oral ulcerations and gingival enlargement. The term OFG was introduced by School of Dentistry, Amrita VishwaVidyapeetham, Amrita Wiesenfeld in 1985. The diagnosis of OFG is done by the clinical presentation University, India and histological picture and this may be further complicated by the fact that OFG may be the oral manifestation of a systemic condition, such as Crohn’s Received: October 16, 2017; Accepted: November 27, disease, sarcoidosis, or, more rarely, Wegener’s granulomatosis. In addition, 2017; Published: December 04, 2017 several conditions, including tuberculosis, leprosy, systemic fungal infections, and foreign body reactions may show granulomatous inflammation on histologic examination. They have to be excluded out by appropriate investigations. They have to be excluded out by appropriate investigations. -
Chronic Inflammatory Gingival Enlargement and Treatment: a Case Report
Case Report Adv Dent & Oral Health Volume 9 Issue 4- July 2018 Copyright © All rights are reserved by Mehmet Özgöz DOI: 10.19080/ADOH.2018.09.555766 Chronic Inflammatory Gingival Enlargement and Treatment: A Case Report Mehmet Özgöz1* and Taner Arabaci2 1Department of Periodontology, Akdeniz University, Turkey 2Department of Periodontology, Atatürk University, Turkey Submission: June 14, 2018; Published: July 18, 2018 *Corresponding author: Özgöz, Department of Periodontology, Akdeniz University Faculty of Dentistry, Antalya, Turkey, Fax:+902423106967; Email: Abstract Gingival enlargement is a common feature in gingival disease. If gingival enlargement isn’t treated, it may some aesthetic problems, plaque accumulation,Keywords: Gingival gingival enlargement; bleeding, and Periodontal periodontitis. treatments; In this paper, Etiological inflammatory factors; Plasma gingival cell enlargement gingivitis and treatment was presented. Introduction and retention include poor oral hygiene, abnormal relationship of Gingival enlargement is a common feature in gingival disease adjacent teeth, lack of tooth function, cervical cavities, improperly contoured dental restorations, food impaction, nasal obstruction, connection with etiological factors and pathological changes [3-5]. [1,2]. Many types of gingival enlargement can be classified in orthodontic therapy involving repositioning of the teeth, and habits such as mouth breathing and pressing the tongue against the gingival [18-20]. a)b) InflammatoryDrug-induced enlargement:enlargement [7-12]. chronic and acute [6]. c) Gingival enlargements associated with systemic diseases: patients to maintain oral hygiene [9,21]. Surgical correction of Overgrowth of the gingival tissue makes it more difficult for i. Conditioned enlargement (pregnancy, puberty, vitamin the gingival overgrowth is still the most frequent treatment. Such treatment is only advocated when the overgrowth is severe. -
Periodontal Health, Gingival Diseases and Conditions 99 Section 1 Periodontal Health
CHAPTER Periodontal Health, Gingival Diseases 6 and Conditions Section 1 Periodontal Health 99 Section 2 Dental Plaque-Induced Gingival Conditions 101 Classification of Plaque-Induced Gingivitis and Modifying Factors Plaque-Induced Gingivitis Modifying Factors of Plaque-Induced Gingivitis Drug-Influenced Gingival Enlargements Section 3 Non–Plaque-Induced Gingival Diseases 111 Description of Selected Disease Disorders Description of Selected Inflammatory and Immune Conditions and Lesions Section 4 Focus on Patients 117 Clinical Patient Care Ethical Dilemma Clinical Application. Examination of the gingiva is part of every patient visit. In this context, a thorough clinical and radiographic assessment of the patient’s gingival tissues provides the dental practitioner with invaluable diagnostic information that is critical to determining the health status of the gingiva. The dental hygienist is often the first member of the dental team to be able to detect the early signs of periodontal disease. In 2017, the American Academy of Periodontology (AAP) and the European Federation of Periodontology (EFP) developed a new worldwide classification scheme for periodontal and peri-implant diseases and conditions. Included in the new classification scheme is the category called “periodontal health, gingival diseases/conditions.” Therefore, this chapter will first review the parameters that define periodontal health. Appreciating what constitutes as periodontal health serves as the basis for the dental provider to have a stronger understanding of the different categories of gingival diseases and conditions that are commonly encountered in clinical practice. Learning Objectives • Define periodontal health and be able to describe the clinical features that are consistent with signs of periodontal health. • List the two major subdivisions of gingival disease as established by the American Academy of Periodontology and the European Federation of Periodontology. -
Plasma Cell Gingivitis Among Herbal Toothpaste Users: a Report of Three Cases
Plasma Cell Gingivitis Among Herbal Toothpaste Users: A Report of Three Cases Abstract Aim: The aim of this article is to present a brief review of plasma cell gingivitis (PCG) along with reports of three cases with varying clinical presentations of the condition associated with the use of herbal toothpaste. Background: PCG is a rare benign condition of the gingiva characterized by sharply demarcated erythematous and edematous gingivitis often extending to the mucogingival junction. This is considered a hypersensitive reaction. The histological appearance consists of a dense infiltration of normal plasma cells separated by collagenous stroma, usually confined to the free and attached gingiva. The lesion can be eliminated by identifying and avoiding the source of the allergen. Report: Three patients ages 26, 27, and 36, respectively, presented with acutely inflamed gingival and a history of recently switching to herbal toothpaste. The gingiva bled readily on probing. Blood tests and gingival biopsy were not contributory. Patients were advised to refrain from the use of herbal toothpaste, and, along with periodontal treatment, the condition underwent remission within a week to two weeks in all three cases. Summary: As more and more herbal products are gaining popularity, clinicians should be aware of some of the untoward effects of these products. Since PCG mimics lesions associated with leukemia and myeloma an early diagnosis of the condition is vital. Keywords: Plasma cell gingivitis, PCG, dentifrices, herbal dentifrices, cinnamon Citation: Anil S. Plasma Cell Gingivitis Among Herbal Toothpaste Users: A Report of Three Cases. J Contemp Dent Pract 2007 May;(8)4:060-066. © Seer Publishing 1 The Journal of Contemporary Dental Practice, Volume 8, No. -
A Concise Guide to Treating Painful Oral Lesions
Drugs Used to Treat Osteoporosis and Bone Cancer Perio & Implant Centers The Team for of the Monterey Bay (831) 648-8800 Jochen P. Pechak, DDS, MSD in Silicon Valley (408) 738-3423 Which May Cause Osteonecrosis of the Jaws mobile: www.DrPechakapp.com he many bisphosphonates and monoclonal antibodies which are used to treat osteoporosis and bone cancer often web: GumsRus.com causeDrugsDrugs osteonecrosis Used Used of the to jaws.to Treat AsTreat dental clinicians,Osteoporosis Osteoporosis it is important that and andwe are Bone awareBone of this Cancers Cancers side effect before Ttreating our patients who are taking these drugs. The tables below summarize these drugs, the route these drugs are administered, andWhich Whichtheir likelihood May May of causing Cause Cause osteonecrosis Osteonecrosis Osteonecrosis of the jaws as reported byof of Dr. the theRobert Jaws JawsMarx at the University of Miami Division of Oral and Maxillofacial Surgery. PDL tm Osteoporosis Drugs Drugs Osteoporosis Used to Treat Drugs Osteoporosis PerioDontaLetter Jochen P. Pechak, DDS, MSD, Periodontics and Implant Dentistry Spring DrugDrug ClassificationClassification ActionAction DoseDose RouteRoute %% of of ReportedReported CasesCases of of OsteonecrosisOsteonecrosis AlendronateAlendronate BisphosphonateBisphosphonate OsteoclastOsteoclast 7070 mg/wk mg/wk OralOral 8282%% From Our Office A Concise Guide to Treating (Fosamax(Fosamax ToxicityToxicity to Yours... Generic)Generic) Painful Oral Lesions ResidronateResidronate BisphosphonateBisphosphonate OsteoclastOsteoclast 3535 mg/wk mg/wk OralOral 1%1% As dentists specializing in treat- (Actonel Toxicity (Actonel Toxicity ment of diseases of the oral cavity atients present frequently with Treating Cold Sores Atelvia)Atelvia) and associated structures, we are painful oral lesions. They are often also called upon to treat pain- IbandronateIbandronate BisphosphonateBisphosphonate OsteoclastOsteoclast 150150 mg/mos mg/mos OralOral 1%1% usually not serious, but patients And Canker Sores (Boniva) Toxicity IV ful oral lesions in the mouth. -
Gingival Diseases in Children and Adolescents
8932 Indian Journal of Forensic Medicine & Toxicology, October-December 2020, Vol. 14, No. 4 Gingival Diseases in Children and Adolescents Sulagna Pradhan1, Sushant Mohanty2, Sonu Acharya3, Mrinali Shukla1, Sonali Bhuyan1 1Post Graduate Trainee, 2Professor & Head, 3Professor, Department of Paediatric and Preventive Dentistry, Institute of Dental Sciences, Siksha O Anusandhan (Deemed to be University), Bhubaneswar 751003, Odisha, India Abstract Gingival diseases are prevalent in both children and adolescents. These diseases may or may not be associated with plaques, maybe familial in some cases, or may coexist with systemic illness. However, gingiva and periodontium receive scant attention as the primary dentition does not last for a considerable duration. As gingival diseases result in the marked breakdown of periodontal tissue, and premature tooth loss affecting the nutrition and global development of a child/adolescent, precise identification and management of gingival diseases is of paramount importance. This article comprehensively discusses the nature, spectrum, and management of gingival diseases. Keywords: Gingival diseases; children and adolescents; spectrum, and management. Introduction reddish epithelium with mild keratinization may be misdiagnosed as inflammation. Lesser variability in the Children are more susceptible to several gingival width of the attached gingiva in the primary dentition diseases, paralleling to those observed in adults, though results in fewer mucogingival problems. The interdental vary in numerous aspects. Occasionally, natural variations papilla is broad buccolingual, and narrow mesiodistally. in the gingiva can masquerade as genuine pathology.1 The junctional epithelium associated with the deciduous On the contrary, a manifestation of a life-threatening dentition is thicker than the permanent dentition. underlying condition is misdiagnosed as normal gingiva. -
Desquamative Gingivitis Desquamative Gingivitis
DOI: 10.5772/intechopen.69268 Provisional chapter Chapter 1 Desquamative Gingivitis Desquamative Gingivitis Hiroyasu Endo, Terry D. Rees, Hideo Niwa, HiroyasuKayo Kuyama, Endo, Morio Terry D.Iijima, Rees, Ryuuichi Hideo Niwa, KayoImamura, Kuyama, Takao Morio Kato, Iijima, Kenji Doi,Ryuuichi Hirotsugu Imamura, TakaoYamamoto Kato, and Kenji Takanori Doi, Hirotsugu Ito Yamamoto and TakanoriAdditional information Ito is available at the end of the chapter Additional information is available at the end of the chapter http://dx.doi.org/10.5772/intechopen.69268 Abstract Desquamative gingivitis (DG) is characterized by erythematous, epithelial desquama‐ tion, erosion of the gingival epithelium, and blister formation on the gingiva. DG is a clinical feature of a variety of diseases or disorders. Most cases of DG are associated with mucocutaneous diseases, the most common ones being lichen planus, mucous membrane pemphigoid, and pemphigus vulgaris. Proper diagnosis of the underlying cause is important because the prognosis varies, depending on the disease. This chapter presents the underlying etiology that is most commonly associated with DG. The current literature on the diagnostic and management modalities of patients with DG is reviewed. Keywords: gingival diseases/pemphigus/pemphigoid, benign mucous membrane/lichen planus, oral/hypersensitivity/autoimmune diseases 1. Introduction Manifestations of desquamative gingivitis (DG) include erythematous gingiva, epithelial des‐ quamation, and erosion of the gingival epithelium, as well as blister formation on the gingiva [1, 2] (Figure 1). The DG lesions may be localized or generalized and may extend into the alveolar mucosa. Similar lesions are often found on the buccal mucosa, tongue, and palate in the oral cavity. The signs of DG are clearly different from those of dental plaque‐induced gingivitis. -
A Concurrence of Periodontitis, Gingival Overgrowth and Plasma Cell Gingivitis: a Case Report
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279-0853, p-ISSN: 2279-0861.Volume 19, Issue 4 Ser.4 (April. 2020), PP 51-55 www.iosrjournals.org A Concurrence of Periodontitis, Gingival overgrowth and Plasma cell gingivitis: a case report Dr Yogesh Kumar Chanania1 Post Graduate Student, Dr C S Baiju2 MDS Professor & Head of Department, Dr Sumidha Bansal3 MDS Professor, Dr Karuna Joshi4 MDS Senior Lecturer 1(Department of Periodontics, Sudha Rustagi College of Dental Sciences & Research Faridabad, Pt. B. D. Sharma University of Health Sciences Rohtak, India) 2(Department of Periodontics, Sudha Rustagi College of Dental Sciences & Research Faridabad, Pt. B. D. Sharma University of Health Sciences Rohtak, India) 3(Department of Periodontics, Sudha Rustagi College of Dental Sciences & Research Faridabad, Pt. B. D. Sharma University of Health Sciences Rohtak, India) 4(Department of Periodontics, Sudha Rustagi College of Dental Sciences & Research Faridabad, Pt. B. D. Sharma University of Health Sciences Rohtak, India) Abstract: Periodontitis is inflammation of supporting tissues of the teeth, it causes destructive change that leads to loss of bone and periodontal ligament. Gingival overgrowth is increase in the size of gingiva. Gingival overgrowth may be associated with hormonal, nutritional imbalance or other local factors and systemic diseases. Plasma cell gingivitis is a condition that is clinically characterized by diffuse reddening and edematous swelling of gingiva. A non-smoker systemically healthy 35-year-old female patient reported with the chief complaint of swollen gums since 3 years. Clinically patient presented with generalized gingival overgrowth and was diagnosed as a stage IV grade ‘C’ periodontitis.