11/18. Aggressive periodontal destruction and herpes zoster in a suspected AIDS patient.An unusual case of spontaneous and rapidly destructive lesions involving the periodontal structures is described in a 54 year old, bi-sexual patients suspected of having AIDS. Concomitant with the periodontal breakdown, the patient developed a severe case of herpes zoster involving the area of the face innervated by the 5th cranial nerve. The dermal lesions involved the face, nose, eyes and scalp. Similar lesions were noted on the gingival and palatal mucosa on the same side of the jaw as the skin lesions. The differences between this type of periodontal destruction and more conventional forms of periodontitis are discussed.- - - - - - - - - - ranking = 1keywords = jaw (Clic here for more details about this article) |
12/18. Osseo-integrated implant treatment of a patient with rapidly progressive periodontitis. A case report.The case report presented describes placement of osseointegrated fixtures in a patient with a probable history of rapidly progressive periodontitis. A 12-year history is presented. The post-operative sequelae of placing fixtures in a fully edentulous maxilla and partially edentulous mandible were the worst seen by the Implant Team at Emory University. The hypothesis presented is that patients with aggressive forms of periodontal disease should be subjected to appropriate mechanical and antimicrobial therapy to produce a healthy oral flora before any implants are placed.- - - - - - - - - - ranking = 3.4412490561253keywords = mandible (Clic here for more details about this article) |
13/18. osteomyelitis associated with chronic periodontitis: a report of three cases.Correctly differentiating between periodontal abscess (localized, acute suppurative infection of the periodontium) and osteomyelitis (the extension of an infection into the bone medullary cavity) is crucial since the former may not require antibiotics for resolution, while the latter will. Initial assessment and treatment of osteomyelitis should be based on clinical examination, radiographic interpretation, and experience. Three case histories of osteomyelitis are presented, ranging from a periodontally well-localized case to one involving a hemimandible and crossing the midline. Successful early diagnosis and case management may benefit from scintigraphic interpretation and culture-and-sensitivity studies.- - - - - - - - - - ranking = 3.4412490561253keywords = mandible (Clic here for more details about this article) |
14/18. Diagnostic problems of periodontitis-like lesions caused by eosinophilic granuloma.eosinophilic granuloma is the localized and mildest form of histiocytosis X. It is a destructive osseous lesion characterized by large numbers of eosinophils and histiocytes. The etiology of the disease is unknown. Frequently the jaws, including the periodontium, are involved and the disease stimulates severe localized periodontitis. A case of eosinophilic granuloma of the jawbone is presented. The pertinent clinical features are emphasized and possible problems in the interpretation of clinical periodontal features are discussed.- - - - - - - - - - ranking = 2keywords = jaw (Clic here for more details about this article) |
15/18. Odontomas. A review, case presentation and periodontal considerations in treatment.odontogenic tumors normally occur within the tooth-bearing areas of the jaws. When they involve the dentogingival complex of adjacent teeth, their removal may become the responsibility of the periodontist. The odontomas are the most common of the odontogenic solid tumors and will be encountered most often by the periodontist. A review of the odontomas is presented followed by a case report and a discussion of the periodontal considerations in their removal. Emphasis is placed on following standard hygiene procedures before and after any periodontal surgery along with conservative removal of the lesion to preserve the periodontal attachment around the adjacent teeth.- - - - - - - - - - ranking = 1keywords = jaw (Clic here for more details about this article) |
16/18. Manifestations and treatment of periodontal disease in a patient suffering from cyclic neutropenia.A case of severe periodontitis in a young man suffering from cyclic neutropenia is reported. The periodontal status as evaluated from oral radiographs at the age of 13 reveals advanced periodontal breakdown around the molars and the incisors in both jaws. At the age of 21, when clinical examination was performed, all teeth were found to be periodontally involved. The treatment was divided into three phases: (1) a causative treatment phase (oral hygiene phase) aimed at achieving the highest possible level of oral cleanliness, (2) a corrective phase including periodontal surgery and prosthetic rehabilitation and (3) a maintenance phase aimed at prevention of recurrence of periodontal disease. The oral hygiene phase was markedly extended both in time (2 years) and intensity. Several reexaminations were carried out during the course of this phase to evaluate the patient's ability to exercise proper plaque control and the response of the tissues to treatment. The progression of the periodontal disease could be arrested and the prosthetic treatment indicated was successfully performed. Following the corrective treatment phase a maintenance care program was designed including frequent recall appointments in order to prevent disease recurrence. Four years after active treatment no further periodontal breakdown could be observed as evaluated from pocket depth, attachment level and bone height measurements. The result of the treatment of this patient shows that treatment, designed to eliminate plaque infection, is effective also in an individual with defective host defense against bacterial infections, but the demand on the patient's cooperation must be extraordinary high as well as the demand on the effectiveness of the maintenance care program.- - - - - - - - - - ranking = 1keywords = jaw (Clic here for more details about this article) |
17/18. osteomyelitis associated with chronic periodontitis in a patient with end-stage renal disease: a case report.The end-stage renal patient undergoing dialysis is susceptible to a number of infections. We report a case of localized suppurative osteomyelitis of the jaws, secondary to periodontitis, in a patient with chronic renal failure, with review of the physiologic and biochemical changes associated with renal failure. The clinical, radiographic, histologic, and microbiologic findings are presented with a discussion of the differential diagnosis and treatment provided.- - - - - - - - - - ranking = 1keywords = jaw (Clic here for more details about this article) |
18/18. Multifocal eosinophilic granuloma with sequential periodontitis-like lesions.eosinophilic granuloma (EG) is the localized and mildest form of the triad commonly known as Langerhans cell histiocytosis. This report describes a case manifesting itself as a periodontal problem with the localized osseous lesions in jawbones which was first diagnosed as early-onset periodontitis. Later on, the diagnosis of EG was established, relying on histopathological and immunohistochemical evaluations. Immunohistochemical findings confirm that a minor component of cell aggregates is phenotypically related to langerhans cells among the sheet-like accumulations of histiocytes and eosinophils. The aetiology of the disease remains largely unknown. Although surgical curettage of lesions is usually effective in treatment of EG of bone, corticosteroids might be used as an adjunctive. This multifocal case of EG stresses the importance of clinical follow-up examinations, since the sequential lesions appear with irregular intervals, and this may cause diagnostic problems as well as a delay in starting the treatment regimen.- - - - - - - - - - ranking = 1keywords = jaw (Clic here for more details about this article) |
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