Necrotizing gingivitis treatment: A case report
POSTER SUNUMU, Rize, Türkiye, 5 - 06 Mayıs 2023, ss.308-309, (Özet Bildiri)
- Yayın Türü: Bildiri / Özet Bildiri
- Basıldığı Şehir: Rize
- Basıldığı Ülke: Türkiye
- Sayfa Sayıları: ss.308-309
- Recep Tayyip Erdoğan Üniversitesi Adresli: Evet
Özet
Introduction and Aim: Necrotizing gingivitis is a periodontal disease caused by plaque microorganisms that occur with decreased host resistance. Its etiology includes psychological stress, malnutrition, smoking, lack of oral hygiene, and diseases in which the immune system is suppressed. The disease, which is usually seen in young and middle-aged individuals, is called necrotizing gingivitis, which is caused by necrosis in the papillae, burning in the gums, pseudomembrane formation, pain and spontaneous bleeding. Halitosis also accompanies these symptoms in patients. The aim of this case report is to present the non-surgical treatment of necrotizing gingivitis.
Case Report: A 32-year-old systemically healthy male patient was admitted to our clinic with complaints of bleeding in his gingiva, severe pain and bad breath. In the patient's anamnesis, it was learned that he had a stressful work life and used 1.5 packs of cigarettes a day. Pseudomembrane formation and spontaneous bleeding gingiva were observed in the intraoral examination. No bone loss was observed in the radiographic examination. Systemic findings such as lymphadenopathy and fever were not observed in the clinical examination. In the first session, the pseudomembranes were removed by making attachments with pellets containing 3% H₂O₂. The patient was prescribed 0.12% chlorhexidine mouthwash and 3% H₂O₂. In the second session, two days later, tooth surface cleaning and root surface straightening were performed as much as the patient could tolerate under local anesthesia. It was observed that the patient's complaints decreased. Phase I periodontal treatment was completed in the third session and the patient was taken to the maintenance phase.
Conclusions: In patients with necrotizing gingivitis disease, when predisposing factors were reduced and oral hygiene motivation was increased with Phase I periodontal treatment, the diseased tissue disappeared and left its place to healthy periodontal tissues.