Two cases of an atypical presentation of necrotizing stomatitis
Journal of Periodontal & Implant Science
;
: 252-256, 2015.
Article
in English
| WPRIM
| ID: wpr-72791
ABSTRACT
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Palate
/
Spirochaetales
/
Stomatitis
/
Suppuration
/
Ulcer
/
Chlorhexidine
/
Clinical Protocols
/
Palate, Hard
/
Fusobacteria
/
Decapitation
Type of study:
Practice guideline
Limits:
Adult
/
Female
/
Humans
Language:
English
Journal:
Journal of Periodontal & Implant Science
Year:
2015
Type:
Article
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