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- Title
Dental treatment of a rare case of pyoderma gangrenosum with aggressive periodontal disease.
- Authors
Carmagnola, Daniela; Pispero, Alberto; Canciani, Elena; Dellavia, Claudia; Barbieri, Christian; Lodi, Giovanni; Varoni, Elena Maria
- Abstract
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.
- Subjects
ADRENOCORTICAL hormones; DENTAL care; ORAL surgery; PERIODONTAL disease; RISK management in business; STEROIDS; DENTAL extraction; SEVERITY of illness index; PREOPERATIVE period; DIAGNOSIS; PYODERMA gangrenosum; THERAPEUTICS; DISEASE risk factors
- Publication
Journal of the American Dental Association (JADA), 2018, Vol 149, Issue 9, p794
- ISSN
0002-8177
- Publication type
Article
- DOI
10.1016/j.adaj.2018.04.025