Sarcoidosis Affecting the Periodontium: A Long-Term Follow-Up Case

• Autores: Catherine M. Flaitz, Antonio J. Moretti, Maria F. Fiocchi
• Localización: Journal of periodontology, ISSN 0022-3492, Vol. 78, Nº. 11, 2007, págs. 2209-2215
• Idioma: inglés
• Texto completo no disponible (Saber más ...)
• Resumen

  • Sarcoidosis Affecting the Periodontium: A Long-Term Follow-Up Case Antonio J. Moretti,* Maria F. Fiocchi,† and Catherine M. Flaitz‡ *Currently, Department of Periodontology, The University of North Carolina at Chapel Hill School of Dentistry, Chapel Hill, NC; previously: Department of Periodontics, The University of Texas Dental Branch at Houston, Houston, TX.

    †Department of Periodontics, The University of Texas Dental Branch at Houston.

    ‡Department of Diagnostic Sciences, The University of Texas Dental Branch at Houston.

    Correspondence: Dr. Antonio J. Moretti, 111 Brauer Hall, Chapel Hill, NC 27599-7450.

    Background: Clinical manifestations of sarcoidosis affecting the periodontium could mimic aggressive periodontitis. This case report documents the occurrence of sarcoidosis affecting the periodontium, including its clinical features, diagnosis, treatment, and 6-year follow-up.

    Methods: An individual with a history of pulmonary sarcoidosis was referred for evaluation and treatment of an aggressive periodontal condition. Clinical, radiographic, and histopathologic findings supported the diagnosis of sarcoidosis affecting the periodontium. Initial treatment consisted of reinforcement of oral hygiene, scaling and root planing, chlorhexidine rinses, and periodontal maintenance. The systemic disease was managed with prednisone, alendronate, and losartan. Twelve months later, the patient returned with severe attachment loss of sudden onset and gingival recession affecting the facial right surfaces of maxillary posterior teeth. In addition, he complained of chronic pain of moderate to severe intensity involving both jaws. The affected teeth were extracted and the surrounding alveolar bone was debrided. Intraoral sarcoidosis was confirmed by histologic findings, and his medications were changed to methotrexate and hydroxychloroquine.

    Results: The patient has been followed for 6 years with continuation of the systemic medications and periodontal maintenance every 3 to 4 months without recurrence of intraoral sarcoidosis.

    KEYWORDS: Diagnosis, gingival recession, pain, periodontitis, sarcoidosis, treatment Cited by Online publication date: 1-Aug-2012.

    CrossRef James E. Hinrichs and M. John Novak. 2012. Classfication of Diseases and Conditions Affecting the Periodontium. Carranza's Clinical Periodontology, 34-54.

    CrossRef I. Marie, A. Proux, H. Levesque, S. Bony-Rerolle and P. Chenal. (2008) Tongue involvement revealing sarcoidosis. QJM 101, 909-911.

    Online publication date: 29-Jul-2008.

    CrossRef Antonio J. Moretti, Maria F. Fiocchi and Catherine M. Flaitz. (2008) Letter to the Editor: Authors' Response. Journal of Periodontology 79:6, 978-978.

    Online publication date: 1-Jun-2008.

    Citation | Full Text | PDF (414 KB) | PDF Plus (422 KB) Gianpaolo Guzzi, Lucia Brambilla and Paolo D. Pigatto. (2008) Letter to the Editor: Re: “Sarcoidosis Affecting the Periodontium: A Long-Term Follow-Up”. Journal of Periodontology 79:6, 978-978.

    Online publication date: 1-Jun-2008.