Two cases of an atypical presentation of necrotizing stomatitis
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Purpose: The purpose of this report was to describe the clinical and microbiological characteristicsof two rare cases of necrotizing stomatitis, and the outcomes of a non-invasivetreatment protocol applied in both cases. Methods: We report two cases of necrotizing stomatitis in a rare location in the hard palateof a 40-year-old woman and a 28-year-old man. Neither had a relevant medical historyand both presented with highly painful ulceration in the palate and gingival margin thatwas accompanied by suppuration and necrosis. 3% hydrogen peroxide was applied to thelesions using sterile swabs, and antibiotic and anti-inflammatory treatment was prescribedto both patients in addition to two daily oral rinses of 0.2% chlorhexidine. Results: In both cases, radiological examination ruled out bone involvement, and exfoliativecytology revealed a large inflammatory component and the presence of forms compatiblewith fusobacteria and spirochetes. There was a rapid response to treatment and amajor improvement was observed after 48 hours, with almost complete resolution of theulcerated lesions and detachment of necrotic areas with partial decapitation of gingivalpapillae. Conclusions: Necrotizing periodontal lesions can hinder periodontal probing and the mechanicalremoval 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.
Abstract
Purpose: The purpose of this report was to describe the clinical and microbiological characteristicsof two rare cases of necrotizing stomatitis, and the outcomes of a non-invasivetreatment protocol applied in both cases. Methods: We report two cases of necrotizing stomatitis in a rare location in the hard palateof a 40-year-old woman and a 28-year-old man. Neither had a relevant medical historyand both presented with highly painful ulceration in the palate and gingival margin thatwas accompanied by suppuration and necrosis. 3% hydrogen peroxide was applied to thelesions using sterile swabs, and antibiotic and anti-inflammatory treatment was prescribedto both patients in addition to two daily oral rinses of 0.2% chlorhexidine. Results: In both cases, radiological examination ruled out bone involvement, and exfoliativecytology revealed a large inflammatory component and the presence of forms compatiblewith fusobacteria and spirochetes. There was a rapid response to treatment and amajor improvement was observed after 48 hours, with almost complete resolution of theulcerated lesions and detachment of necrotic areas with partial decapitation of gingivalpapillae. Conclusions: Necrotizing periodontal lesions can hinder periodontal probing and the mechanicalremoval 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.
참고문헌 (11)
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