Artigo: Conservative treatment of necrotizing gingivitis in adolescence with a 2-year followup: case report - Periodontology 2022 v32n2 - DentalGO


Conservative treatment of necrotizing gingivitis in adolescence with a 2-year followup: case report

Relato de Caso

OBJECTIVE: The present study aimed to report a clinical case of necrotizing gingivitis, as well as the treatment and follow-up for 2 years, in an adolescent patient. CASE REPORT: The examinations revealed the presence of lesions located in the interdental papillae and gingival margin covered by yellowish-white pseudomembranous necrotic epithelium, with a foul odor, spontaneous bleeding, gingival tissue with a shiny and reddish appearance, large accumulation of bacterial biofilm on the dental surfaces and absence of bone loss. Initial treatment consisted of supragingival scaling, prescription...

Autores: Luciana Prado Maia, Yara Loyanne Almeida Silva LEVI, Bruna Luísa DE-PAULA, Samira SALMERON, Elcia Maria Varize SILVEIRA, 

Tratamento conservador da gengivite necrosante na adolescência: relato de caso com acompanhamento de dois anos
Tratamento conservador da gengivite necrosante na adolescência: relato de caso com acompanhamento de dois anos

O presente estudo teve como objetivo relatar um caso clínico de gengivite necrosante, bem como o tratamento e acompanhamento durante dois anos, em uma paciente adolescente. RELATO DE CASO: Os exames revelaram presença de lesões localizadas nas papilas interdentais e margem gengival, cobertas por epitélio necrótico pseudomembranoso branco-amarelado, com odor fétido, sangramento espontâneo, tecido gengival com aspecto brilhante e avermelhado, grande acúmulo de biofilme bacteriano nas...

Osseointegração de implantes em crianças e adolescentes: uma revisão de literatura
Osseointegração de implantes em crianças e adolescentes: uma revisão de literatura

INTRODUÇÃO: Durante a infância, é comum a perda de elementos dentáriosem função de traumas e/ou patologias como anodontia e alterações congênitas ounão do processo alveolar. Para tais problemas, intervenções conservadoras são asmais propagadas, tanto no meio acadêmico quanto na prática clínica. Contudo, ainstalação de implantes dentários em crianças com ausência de elementos dentá-rios pode ser considerada uma forma de tratamento. Nesse sentido, o crescimentocontínuo...

Recobrimento radicular de recessões gengivais múltiplas pela técnica VISTA (Vestibular Incision Subperiosteal Tunnel Access): relato de caso clínico
Recobrimento radicular de recessões gengivais múltiplas pela técnica VISTA (Vestibular Incision Subperiosteal Tunnel Access): relato de caso clínico

Apresentar um relato de caso onde foi realizado o recobrimento radicular por uma modificação da técnica de tunelização subperiosteal por incisão vestibular (VISTA). As modificações da técnica original foram: a presença de incisões na região posterior e a inserção do enxerto a partir de tais incisões, diminuindo a chance de laceração do retalho e das papilas. A escolha da técnica foi baseada na necessidade de um procedimento conservador e previsível, visto que a paciente...

Perfil da microbiota subgengival e do proteoma salivar associados à periodontite
Perfil da microbiota subgengival e do proteoma salivar associados à periodontite

OBJETIVO: O presente estudo descreveu perfis relacionados à periodontite (P) eà saúde periodontal (SP), baseados na microbiota subgengival e no proteoma salivar.MATERIAL E MÉTODOS: Amostras de biofilme subgengival e saliva foram obtidas de 30 indivíduos com P e dez com SP. A microbiota subgengival foi determinada pelo método do checkerboard; e o proteoma salivar, analisado por espectrometria de massas com ionização por electrospray. Diferenças nas espécies microbianas e proteínas...

Conservative treatment of necrotizing gingivitis in adolescence with a 2-year followup: case report
Conservative treatment of necrotizing gingivitis in adolescence with a 2-year followup: case report

OBJECTIVE: The present study aimed to report a clinical case of necrotizing gingivitis, as well as the treatment and follow-up for 2 years, in an adolescent patient. CASE REPORT: The examinations revealed the presence of lesions located in the interdental papillae and gingival margin covered by yellowish-white pseudomembranous necrotic epithelium, with a foul odor, spontaneous bleeding, gingival tissue with a shiny and reddish appearance, large accumulation of bacterial biofilm on the dental...

Assessment of a Practical Guide to Periodontal Instrumentation as a Device to Enhance Learning in Dentistry
Assessment of a Practical Guide to Periodontal Instrumentation as a Device to Enhance Learning in Dentistry

INTRODUCTION: Periodontal instrumentation performed with hand instruments has been proven to be an important, although a difficult procedure. OBJECTIVE: A Practical Guide for Periodontal Instrumentation (PGPI) was developed by the authors, containing drawings and graphs with the purpose of instructing dental students. The aim of this study was to assess the application of the PGPI as a tool for learning periodontal scaling and root planning (SRP). MATERIALS AND METHODS: Participants were...

Osseointegration of implants in children and adolescents: a literature review
Osseointegration of implants in children and adolescents: a literature review

INTRODUCTION: During childhood, it is common to lose dental elements due to trauma and/or pathologies such as anodontia and congenital or non-congenital alterations of the alveolar process. For such problems, conservative interventions are the most widespread, both in academia and in clinical practice. However, the installation of dental implants in children with missing teeth can be considered a form of treatment. In this sense, the continuous and dynamic growth of the maxilla and mandible...

Root coverage of multiple gingival recession using vista (Vestibular Incision Subperiosteal Tunnel Access) technique: a case report
Root coverage of multiple gingival recession using vista (Vestibular Incision Subperiosteal Tunnel Access) technique: a case report

OBJECTIVE: To present a case report where root coverage was performed by amodification of the vestibular incision supra-periosteal tunnel access (VISTA).The modifications of the original technique were the presence of incisions in theposterior region and the insertion of the graft from such incisions, reducing thechances of flap and papilla laceration. The technique was chosen based on theneed for a conservative and predictable procedure, since the patient had a thinphenotype and gingival...

Subgingival microbiota and salivary proteome signatures associated with periodontitis
Subgingival microbiota and salivary proteome signatures associated with periodontitis

OBJECTIVE: This study determined profiles related to periodontitis (P) and periodontal health (PH) based on the subgingival microbiota and salivary proteome. MATERIAL AND METHODS: Subgingival biofilm and stimulated whole saliva were obtained from 30 individuals with P and 10 with PH. Microbial evaluation was determined by the checkerboard method and salivary proteome analyzed by mass spectrometry using a LTQ Orbitrap Velos with a nanoelectrospray ion source. Differences in microbial and...