1/5. Combined systemic and local antimicrobial therapy of periodontal disease in Papillon-Lefevre syndrome. A report of 4 cases.4 patients, 2 pairs of siblings, suffering from Papillon-Lefevre syndrome were treated for periodontal disease. Following extraction of hopeless teeth, the children received scaling and adjunctive systemic antibiotics (metronidazole and amoxicillin for 7 to 10 days). In addition, they performed supragingival pulsated jet irrigation with 0.06% chlorhexidine digluconate 1 x daily. In 2 siblings, A. actinomycetemcomitans was suppressed subgingivally below detectable levels, pocket probing depths were reduced to 4 mm or less, and plaque and bleeding indices were low. No further disease progression was seen over a 3-year-period. Another female patient also showed clinical improvement and suppression of subgingival A. actinomycetemcomitans and B. forsythus up to the 9-month-follow-up, while her sister showed further attachment loss over the course of 4 years. The present case reports indicated that in some patients suffering from Papillon-Lefevre syndrome periodontal disease may be arrested by means of (i) oral hygiene instruction, (ii) extraction of severely diseased teeth, (iii) scaling, (iv) systemic antibiotics and (v) long-term antimicrobial irrigation.- - - - - - - - - - ranking = 1keywords = suffering (Clic here for more details about this article) |
2/5. Generalized periodontal involvement in a young patient with systemic lupus erythematosus.inflammation is considered to be a leading cause of morbidity in systemic lupus erythematosus (SLE), yet inflammatory periodontal involvement is rarely encountered. A young lady suffering from active SLE accompanied by severe periodontal loss, manifested by gingival recession of all her teeth, was referred to our clinic for treatment. The association between periodontal involvement and connective tissue diseases is unclear, and the literature dealing with periodontal involvement in patients suffering from sjogren's syndrome and rheumatoid arthritis is comprised of studies showing both normal and pathological periodontal status. We discuss the possible underlying mechanisms.- - - - - - - - - - ranking = 1keywords = suffering (Clic here for more details about this article) |
3/5. Endogenous endophthalmitis caused by actinobacillus actinomycetemcomitans.actinobacillus actinomycetemcomitans is a rare cause of infection in humans. It has been mainly reported in cases of endocarditis and destructive periodontal disease. This report describes the case of a 51-year-old female who had an acute onset of anterior iridocyclitis, followed by the appearance of a white nodule on the lens and subsequent involvement of the vitreous. The course of the disease was long and insidious. actinobacillus actinomycetemcomitans was isolated from 3 of 26 blood cultures drawn over a period of 40 days, and also from the vitreous. The patient had been suffering from periodontal disease for 3 months prior to her admission. Only two cases of endophthalmitis presumably caused by this organism have previously been reported, but the organism has never been recovered from the eye. This report presents the first case of culture-proven actinobacillus actinomycetemcomitans endophthalmitis following destructive periodontal disease.- - - - - - - - - - ranking = 0.5keywords = suffering (Clic here for more details about this article) |
4/5. Septic pulmonary embolism due to periodontal disease in a patient with hereditary hemorrhagic telangiectasia.A patient suffering from multiple episodes of fever and chills due to septic pulmonary emboli is reported. Hereditary hemorrhagic telangiectasia was involving the mucous membranes of his oral cavity and the stomach but not the pulmonary vascular bed. Since no other infectious embolic sources were found and the patient's pulmonary infection was not extirpated by a prolonged course of antibiotics but only cured after surgical treatment of multiple periodontal abscesses, we speculate that gingival arteriovenous malformations being involved by periodontitis were the source of small septic emboli.- - - - - - - - - - ranking = 0.5keywords = suffering (Clic here for more details about this article) |
5/5. Orthodontic treatment of a patient with multidisciplinary problems.This report reviews the orthodontic treatment of a patient suffering from a metabolic disease controlled by medication. The patient also had periodontal problems on both hard and soft tissue support. The results of involvement of general medicine, periodontal surgery, and proper biomechanics is shown and the problems of the multidisciplinary treatment discussed.- - - - - - - - - - ranking = 0.5keywords = suffering (Clic here for more details about this article) |