Introduction: Necrotizing periodontal diseases (NPD) are acute lesions with a rapid onset that may cause considerable periodontal tissue destruction. Among these conditions, necrotizing gingivitis (NG) is caused by microorganisms from the oral biofilm, and is associated with predisposing factors such as psychological stress, HIV/AIDS, alcohol and tobacco consumption, malnutrition, inadequate oral hygiene, and other systemic conditions that may compromise the host immune response. Objective: The aim of this narrative literature review was to describe the available evidence on the diagnosis and treatment of NG, and present a successfully treated case of NG in a 22-year-old woman. Case report: The patient was smoker, had poor oral hygiene and was experiencing psychological stress. Her complaints were abundant gingival bleeding and halitosis during the past two weeks preceding the first appointment. Clinical findings included considerable biofilm accumulation, generalized gingival bleeding, pseudomembrane and necrotic tissue. Treatment consisted of supragingival scaling, professional prophylaxis, 0.12% chlorhexidine rinsing for two weeks, prescription of analgesics and oral hygiene instructions. Results: The patient’s response to initial therapy was satisfactory. Successful clinical outcomes were observed at seven days after initial therapy, and the patient has remained stable without signs of disease recurrence for six months. Conclusion: Periodontal health and function were successfully reestablished.
|Necrotizing gingivitis – diagnosis and treatment: a narrative review and case report Lília Aguiar Maia, Daniele Ferreira Da Cruz, Letícia De Lorenzo Abreu, Miguel Rojas Caceres, César José Da Silva, Celeste Urdinaga Hung, Magda Feres, Belén Retamal-Valdes||Download|
|Patient’s perceptions and self-esteem before and after periodontal surgery for altered passive eruption type 1B: 18-months follow-up Ana Emília Farias Pontes, Sara Conceição Almeida Ribeiro, Fernanda de Oliveira Bello Corrêa, Cleverton Corrêa Rabelo, Adriano Piattelli, Fernando Salimon Ribeiro||Download|
|Acidification of blue photosensitizers for antimicrobial photodynamic therapy impairs photodynamic reaction Carla Andreotti Damante, Lauro Michielin Neto, Sebastião Luiz Aguiar Greghi, Ana Carolina Magalhães, Adriana Campos Passanezi Sant’Ana, Mariana Schutzer Ragghianti Zangrando||Download|
|Influence of mineralized and demineralized xenograft bone on the repair of intraoral bone defect in rats Juliano Douglas Silva Albergaria, Sarah Morais de Oliveira, Bruno Machado Bertassoli, Tânia Mara Pimenta Amaral, Fernando Antônio Mauad Abreu, Erika Cristina Jorge, Gerluza Aparecida Borges Silva||Download|
|Sleep duration and periodontal health in older adults: an analysis of the Health, Aging and Body Composition Study Francisco Wilker Mustafa Gomes Muniz, Natália Marcumini Pola, Taciane Menezes da Silveira, Fernando Neves Hugo, Juliana Balbinot Hilgert, Eleanor M. Simonsick||Download|
|Cyanoacrylate tissue adhesive vs. conventional sutures in free gingival grafts: a prospective clinical randomized study Elton Gonçalves Zenóbio, Elias Youssef Abou Abdallah, Flávia Isabela Barbosa, Daniel Guião Fernandes, Maria Isabel de Oliveira e Britto Villalobos, Polianne Alves Mendes, Dayane Ferreira Resende, Vitória Netto Albuquerque, Maurício Greco Cosso||Download|