Dental treatment of a rare case of pyoderma gangrenosum with aggressive periodontal disease
Articolo
Data di Pubblicazione:
2018
Citazione:
Dental treatment of a rare case of pyoderma gangrenosum with aggressive periodontal disease / D. Carmagnola, A. Pispero, E. Canciani, C. Dellavia, C. Barbieri, G. Lodi, E.M. Varoni. - In: THE JOURNAL OF THE AMERICAN DENTAL ASSOCIATION. - ISSN 0002-8177. - 149:9(2018 Sep), pp. 794-800. [10.1016/j.adaj.2018.04.025]
Abstract:
Background and Overview: Pyoderma gangrenosum (PG) is a rare neutrophil-mediated autoinflammatory dermatosis that can involve the oral mucosa. Dental surgery is a potential triggering factor for the onset of PG lesions. The authors describe and discuss the dental management of a rare case of aggressive periodontitis in a patient with PG, from multiple tooth extractions to prosthetic rehabilitation, including administration of systemic steroid prophylaxis before surgery to prevent the potential onset of PG-related lesions. Case Description: A 22-year-old man who had a diagnosis of PG and who had aggressive periodontal disease underwent dental extractions, gingivoplastic surgery, and prosthetic rehabilitation. The patient received 8 milligrams of betamethasone intramuscularly 20 minutes before the oral surgery. The tissues healed perfectly, and no adverse effects were reported. Conclusions and Practical Implications: For minor oral surgery, prophylactic corticosteroids might help reduce the risk of developing PG-related lesions. The clinician should plan the prosthetic devices to be as atraumatic as possible.
Tipologia IRIS:
01 - Articolo su periodico
Keywords:
Oral surgery; prosthetics; tooth extraction; Dentistry (all)
Elenco autori:
D. Carmagnola, A. Pispero, E. Canciani, C. Dellavia, C. Barbieri, G. Lodi, E.M. Varoni
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