6533b7d1fe1ef96bd125ceb6

RESEARCH PRODUCT

Necrotizing periodontitis in the context of Takayasu s disease: report of a case

Javier Silvestre RangilFrancisco Javier Silvestre DonatFernando Llambés ArenasA. Puente Sandoval

subject

PeriodontitisPathologymedicine.medical_specialtybiologybusiness.industryPrevotella intermediaContext (language use)OdontologíaDiseasebiology.organism_classificationmedicine.disease:CIENCIAS MÉDICAS [UNESCO]Ciencias de la saludImmune systemClinical attachment lossUNESCO::CIENCIAS MÉDICASMedicinebusinessVasculitisGeneral DentistryDental alveolus

description

Necrotizing periodontitis is characterized by gingival necrosis with bleeding and pain, and alveolar bone attachment loss. The disease is associated to spirochete and Prevotella intermedia infection, as well as to a series of bacterial infections, with an altered local host immune response and tissue destruction. We present the case of a 40-year-old woman with inflammatory vasculitis of the aorta and its main branches, known as Takayasu’s disease. In the course of treatment of the latter, she developed necrotizing periodontitis. In this case local factors such as abundant bacterial plaque accumulation secondary to a lack of tooth brushing, and the administration of methotrexate, may have played a role. The clinical condition improved notoriously after emergency treatment with local antiseptics and tartar removal

http://hdl.handle.net/10550/54226