Two cases of an atypical presentation of necrotizing stomatitis.
10.5051/jpis.2015.45.6.252
- Author:
Antonio MAGAN-FERNANDEZ
1
;
Francisco O'VALLE
;
Elena POZO
;
Jose LIEBANA
;
Francisco MESA
Author Information
1. Department of Periodontology, University of Granada School of Dentistry, Granada, Spain. amaganf@correo.ugr.es
- Publication Type:Case Report
- Keywords:
Histology;
Microbiology;
Necrotizing stomatitis;
Necrotizing ulcerative gingivitis
- MeSH:
Adult;
Chlorhexidine;
Clinical Protocols;
Decapitation;
Female;
Fusobacteria;
Gingivitis, Necrotizing Ulcerative;
Humans;
Hydrogen Peroxide;
Necrosis;
Palate;
Palate, Hard;
Spirochaetales;
Stomatitis*;
Suppuration;
Ulcer
- From:Journal of Periodontal & Implant Science
2015;45(6):252-256
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: The purpose of this report was to describe the clinical and microbiological characteristics of two rare cases of necrotizing stomatitis, and the outcomes of a non-invasive treatment protocol applied in both cases. METHODS: We report two cases of necrotizing stomatitis in a rare location in the hard palate of a 40-year-old woman and a 28-year-old man. Neither had a relevant medical history and both presented with highly painful ulceration in the palate and gingival margin that was accompanied by suppuration and necrosis. 3% hydrogen peroxide was applied to the lesions using sterile swabs, and antibiotic and anti-inflammatory treatment was prescribed to both patients in addition to two daily oral rinses of 0.2% chlorhexidine. RESULTS: In both cases, radiological examination ruled out bone involvement, and exfoliative cytology revealed a large inflammatory component and the presence of forms compatible with fusobacteria and spirochetes. There was a rapid response to treatment and a major improvement was observed after 48 hours, with almost complete resolution of the ulcerated lesions and detachment of necrotic areas with partial decapitation of gingival papillae. CONCLUSIONS: Necrotizing periodontal lesions can hinder periodontal probing and the mechanical removal of plaque in some cases due to the extreme pain suffered by the patients. We present a non-invasive treatment approach that can manage these situations effectively.
