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Severe Necrotizing Periodontitis in HIV-Infected Patient: Case Report and Non-Surgical Treatment.
Clin Adv Periodontics. 2020 Apr 11 [Online ahead of print]CA

Abstract

INTRODUCTION

Necrotizing periodontitis (NP) is an atypical and painful form of periodontal disease, it is described by a promptly progress of ulceration and destruction of periodontal tissues; the NP is commonly linked to HIV-positive patients. The aim of this report is to present a rare case of severe necrotizing ulcerative periodontitis treated non-surgically.

CASE PRESENTATION

A 28-year-old dark skin female patient was referred to a dentistry college with the main complaint of spontaneous gingival bleeding and enlargement, oral pain during deglutition and dental hypersensitivity. Clinical and radiographic examination revealed generalized severe periodontal destruction, extensive bleeding, increased biofilm presence and spontaneous suppuration. Medical exams were requested, red and white blood cells were evaluated and among those exams an enzyme-linked immunosorbent assay for HIV-1 antibodies, the result reveled reagent to HIV-1. The diagnosis of NP was assigned based on periodontal parameters such as necrosis and ulceration of the coronal portion of interdental papillae and gingival margin. Treatment established was scaling and root planning plus antibiotics. At 3 months of treatment the clinical and periodontal condition were stable.

CONCLUSION

This case report highlights a severe and generalized form of NP, where periodontal non-surgical associated with antimicrobials resulted in elimination of the gingival enlargement, necrosis and ulceration of the coronal portion of interdental papillae and significant improvement of periodontal parameters.

Authors+Show Affiliations

Laboratory of Virology, Institute of Biological Sciences, Federal University of Pará, Belém, PA, Brazil.Department of periodontology, University Center of State of Pará, Belém, PA, Brazil.Department of periodontology, University Center of State of Pará, Belém, PA, Brazil.Department of Special Needs Care, University Center of State of Pará, Belém, PA, Brazil.Department of periodontology, University Center of State of Pará, Belém, PA, Brazil.Laboratory of Virology, Institute of Biological Sciences, Federal University of Pará, Belém, PA, Brazil.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

32277739

Citation

Fonseca, Ricardo R S., et al. "Severe Necrotizing Periodontitis in HIV-Infected Patient: Case Report and Non-Surgical Treatment." Clinical Advances in Periodontics, 2020.
Fonseca RRS, Carvalho CA, Rodrigues TMS, et al. Severe Necrotizing Periodontitis in HIV-Infected Patient: Case Report and Non-Surgical Treatment. Clin Adv Periodontics. 2020.
Fonseca, R. R. S., Carvalho, C. A., Rodrigues, T. M. S., Cavaleiro, R. M. S., Menezes, S. A. F., & Machado, L. F. A. (2020). Severe Necrotizing Periodontitis in HIV-Infected Patient: Case Report and Non-Surgical Treatment. Clinical Advances in Periodontics. https://doi.org/10.1002/cap.10105
Fonseca RRS, et al. Severe Necrotizing Periodontitis in HIV-Infected Patient: Case Report and Non-Surgical Treatment. Clin Adv Periodontics. 2020 Apr 11; PubMed PMID: 32277739.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Severe Necrotizing Periodontitis in HIV-Infected Patient: Case Report and Non-Surgical Treatment. AU - Fonseca,Ricardo R S, AU - Carvalho,Carlos A, AU - Rodrigues,Tânia M S, AU - Cavaleiro,Rosely M S, AU - Menezes,Silvio A F, AU - Machado,Luiz F A, Y1 - 2020/04/11/ PY - 2019/09/04/received PY - 2020/03/27/accepted PY - 2020/4/12/pubmed PY - 2020/4/12/medline PY - 2020/4/12/entrez KW - HIV KW - necrotizing ulcerative gingivitis KW - periodontal medicine KW - periodontitis JF - Clinical advances in periodontics JO - Clin Adv Periodontics N2 - INTRODUCTION: Necrotizing periodontitis (NP) is an atypical and painful form of periodontal disease, it is described by a promptly progress of ulceration and destruction of periodontal tissues; the NP is commonly linked to HIV-positive patients. The aim of this report is to present a rare case of severe necrotizing ulcerative periodontitis treated non-surgically. CASE PRESENTATION: A 28-year-old dark skin female patient was referred to a dentistry college with the main complaint of spontaneous gingival bleeding and enlargement, oral pain during deglutition and dental hypersensitivity. Clinical and radiographic examination revealed generalized severe periodontal destruction, extensive bleeding, increased biofilm presence and spontaneous suppuration. Medical exams were requested, red and white blood cells were evaluated and among those exams an enzyme-linked immunosorbent assay for HIV-1 antibodies, the result reveled reagent to HIV-1. The diagnosis of NP was assigned based on periodontal parameters such as necrosis and ulceration of the coronal portion of interdental papillae and gingival margin. Treatment established was scaling and root planning plus antibiotics. At 3 months of treatment the clinical and periodontal condition were stable. CONCLUSION: This case report highlights a severe and generalized form of NP, where periodontal non-surgical associated with antimicrobials resulted in elimination of the gingival enlargement, necrosis and ulceration of the coronal portion of interdental papillae and significant improvement of periodontal parameters. SN - 2163-0097 UR - https://www.unboundmedicine.com/medline/citation/32277739/Severe_Necrotizing_Periodontitis_in_HIV-Infected_Patient:_Case_Report_and_Non-Surgical_Treatment L2 - https://doi.org/10.1002/cap.10105 DB - PRIME DP - Unbound Medicine ER -
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