Dental treatment of a rare case of pyoderma gangrenosum with aggressive periodontal disease.
Background and Overview. Pyoderma gangrenosum (PG) is a rare neutrophil-mediated autoinflammatory dermatosis that can involve the oral mucosa. Dental surgery is a potential triggering factor for the onset of PG lesions. The authors describe and discuss the dental management of a rare case of aggress...
| Publicado en: | Journal of the American Dental Association (JADA) Vol. 149; no. 9; pp. 794 - 801 |
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| Autores principales: | , , , , , , |
| Formato: | case study diagnostic images pictorial Journal Article |
| Publicado: |
American Dental Association
Sep2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=131879477&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 131879477 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00028177 DEN jtl: Journal of the American Dental Association (JADA) issn: 00028177 maglogo: N pubinfo: dt: Sep2018 vid: 149 iid: 9 pid: 8266 pub: American Dental Association place: Chicago, Illinois artinfo: ui: 131879477 131879477 131879477 10.1016/j.adaj.2018.04.025 131879477 ppf: 794 ppct: 7 formats: tig: atl: Dental treatment of a rare case of pyoderma gangrenosum with aggressive periodontal disease. aug: au: Carmagnola, Daniela Pispero, Alberto Canciani, Elena Dellavia, Claudia Barbieri, Christian Lodi, Giovanni Varoni, Elena Maria affil: Research fellow, Department of Biomedical Surgical and Dental Sciences, Ground Sections Laboratory, Università degli Studi di Milano, Milan, Italy sug: subj: Dental Care Pyoderma Gangrenosum Therapy Severity of Illness Pyoderma Gangrenosum Diagnosis Male Young Adult Betamethasone Administration and Dosage Surgery, Oral Methods Preoperative Period Adrenal Cortex Hormones Therapeutic Use Risk Management Pyoderma Gangrenosum Risk Factors Tooth Extraction Pyoderma Gangrenosum Prevention and Control Periodontal Diseases Rehabilitation Periodontal Diseases Drug Therapy Male ab: Background and Overview. Pyoderma gangrenosum (PG) is a rare neutrophil-mediated autoinflammatory dermatosis that can involve the oral mucosa. Dental surgery is a potential triggering factor for the onset of PG lesions. The authors describe and discuss the dental management of a rare case of aggressive periodontitis in a patient with PG, from multiple tooth extractions to prosthetic rehabilitation, including administration of systemic steroid prophylaxis before surgery to prevent the potential onset of PG-related lesions. Case Description. A 22-year-old man who had a diagnosis of PG and who had aggressive periodontal disease underwent dental extractions, gingivoplastic surgery, and prosthetic rehabilitation. The patient received 8 milligrams of betamethasone intramuscularly 20 minutes before the oral surgery. The tissues healed perfectly, and no adverse effects were reported. Conclusions and Practical Implications. For minor oral surgery, prophylactic corticosteroids might help reduce the risk of developing PG-related lesions. The clinician should plan the prosthetic devices to be as atraumatic as possible. pubtype: Academic Journal doctype: case study diagnostic images pictorial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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