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RISS 인기검색어
- 검색키워드
- 저자 : Liebana, Jose (검색결과 2 건)
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Two cases of an atypical presentation of necrotizing stomatitis
Magan-Fernandez, Antonio,O'Valle, Francisco,Pozo, Elena,Liebana, Jose,Mesa, Francisco Korean Academy of Periodontology 2015 Journal of Periodontal & Implant Science Vol.45 No.6
Purpose: The purpose of this report was to describe the clinical and microbiological characteristics of two rare cases of necrotizing stomatitis, and the outcomes of a non-invasive treatment protocol applied in both cases. Methods: We report two cases of necrotizing stomatitis in a rare location in the hard palate of a 40-year-old woman and a 28-year-old man. Neither had a relevant medical history and both presented with highly painful ulceration in the palate and gingival margin that was accompanied by suppuration and necrosis. 3% hydrogen peroxide was applied to the lesions using sterile swabs, and antibiotic and anti-inflammatory treatment was prescribed to both patients in addition to two daily oral rinses of 0.2% chlorhexidine. Results: In both cases, radiological examination ruled out bone involvement, and exfoliative cytology revealed a large inflammatory component and the presence of forms compatible with fusobacteria and spirochetes. There was a rapid response to treatment and a major improvement was observed after 48 hours, with almost complete resolution of the ulcerated lesions and detachment of necrotic areas with partial decapitation of gingival papillae. Conclusions: Necrotizing periodontal lesions can hinder periodontal probing and the mechanical removal of plaque in some cases due to the extreme pain suffered by the patients. We present a non-invasive treatment approach that can manage these situations effectively.
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Two cases of an atypical presentation of necrotizing stomatitis
Antonio Magan-Fernandez,Francisco O’Valle,Elena Pozo,Jose Liebana,Francisco Mesa 대한치주과학회 2015 Journal of Periodontal & Implant Science Vol.45 No.6
Purpose: The purpose of this report was to describe the clinical and microbiological characteristicsof two rare cases of necrotizing stomatitis, and the outcomes of a non-invasivetreatment protocol applied in both cases. Methods: We report two cases of necrotizing stomatitis in a rare location in the hard palateof a 40-year-old woman and a 28-year-old man. Neither had a relevant medical historyand both presented with highly painful ulceration in the palate and gingival margin thatwas accompanied by suppuration and necrosis. 3% hydrogen peroxide was applied to thelesions using sterile swabs, and antibiotic and anti-inflammatory treatment was prescribedto both patients in addition to two daily oral rinses of 0.2% chlorhexidine. Results: In both cases, radiological examination ruled out bone involvement, and exfoliativecytology revealed a large inflammatory component and the presence of forms compatiblewith fusobacteria and spirochetes. There was a rapid response to treatment and amajor improvement was observed after 48 hours, with almost complete resolution of theulcerated lesions and detachment of necrotic areas with partial decapitation of gingivalpapillae. Conclusions: Necrotizing periodontal lesions can hinder periodontal probing and the mechanicalremoval of plaque in some cases due to the extreme pain suffered by the patients. We present a non-invasive treatment approach that can manage these situations effectively.
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