Limits...
Localized Juvenile Spongiotic Gingival Inflammation: A Report on 3 Cases.

Petruţiu ŞA, Roman A, Soancă A, Sârbu C, Stratul ŞI - Clujul Med (2014)

Bottom Line: However, because of the persistence of some bright reddish gingival masses in one of the patients these lesions were treated by surgical excision.The overall clinical outcome was good and stable after one year.The presented cases might raise awareness of this condition among orthodontic specialists because orthodontic treatment could not be applied until the gingival gum disease was resolved.

View Article: PubMed Central - PubMed

Affiliation: Periodontology Department, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.

ABSTRACT

Background and aims: A new pathological entity with distinct clinicopathological features has been recently described and termed as juvenile spongiotic gingivitis. Histopathological associated features are unique and characterized by prominent intercellular edema (spongiosis) and neutrophil infiltrate. The aims of this paper were to: introduce juvenile spongiotic gingivitis to the dental and pediatric communities, to report three cases based on clinical and histopathological findings, and to discuss the most common clinical differential diagnoses. The cases were documented at baseline and follow-ups. The clinical appearance of the lesions described in this paper correspond to the pattern described by the literature: 1) localized lesions as bright red slightly raised overgrowths, most often with a subtle papillary or finely granular surface; or 2) multifocal masses or raised papular lesions with a pebbly texture. The first intention treatment approach was personal and professional plaque control. Because of the lack of a good clinical response to conventional therapy, excisional biopsies were performed, which helped establish the diagnosis. The plaque control was reinforced and additional antiseptic local treatment was administered. A real improvement in the local gingival conditions was recorded for all the patients. However, because of the persistence of some bright reddish gingival masses in one of the patients these lesions were treated by surgical excision. The overall clinical outcome was good and stable after one year.

Conclusions: The presented cases might raise awareness of this condition among orthodontic specialists because orthodontic treatment could not be applied until the gingival gum disease was resolved.

No MeSH data available.


Related in: MedlinePlus

Patient 3: histological aspect of the gingival biopsy (HE×10)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4508599&req=5

f4-cm8703p198: Patient 3: histological aspect of the gingival biopsy (HE×10)

Mentions: In all patients, the microscopic examination showed long epithelial rete pegs, marked edema in the epithelial layer and lamina propria (spongiosis), loss of keratinization, and intense intraepithelial hemorrhage. Only for two of the specimens was neutrophil infiltrate present. For patient no 3 the same histopathological picture was observed apart from the presence of the inflammatory cells (Figure 4).


Localized Juvenile Spongiotic Gingival Inflammation: A Report on 3 Cases.

Petruţiu ŞA, Roman A, Soancă A, Sârbu C, Stratul ŞI - Clujul Med (2014)

Patient 3: histological aspect of the gingival biopsy (HE×10)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4508599&req=5

f4-cm8703p198: Patient 3: histological aspect of the gingival biopsy (HE×10)
Mentions: In all patients, the microscopic examination showed long epithelial rete pegs, marked edema in the epithelial layer and lamina propria (spongiosis), loss of keratinization, and intense intraepithelial hemorrhage. Only for two of the specimens was neutrophil infiltrate present. For patient no 3 the same histopathological picture was observed apart from the presence of the inflammatory cells (Figure 4).

Bottom Line: However, because of the persistence of some bright reddish gingival masses in one of the patients these lesions were treated by surgical excision.The overall clinical outcome was good and stable after one year.The presented cases might raise awareness of this condition among orthodontic specialists because orthodontic treatment could not be applied until the gingival gum disease was resolved.

View Article: PubMed Central - PubMed

Affiliation: Periodontology Department, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.

ABSTRACT

Background and aims: A new pathological entity with distinct clinicopathological features has been recently described and termed as juvenile spongiotic gingivitis. Histopathological associated features are unique and characterized by prominent intercellular edema (spongiosis) and neutrophil infiltrate. The aims of this paper were to: introduce juvenile spongiotic gingivitis to the dental and pediatric communities, to report three cases based on clinical and histopathological findings, and to discuss the most common clinical differential diagnoses. The cases were documented at baseline and follow-ups. The clinical appearance of the lesions described in this paper correspond to the pattern described by the literature: 1) localized lesions as bright red slightly raised overgrowths, most often with a subtle papillary or finely granular surface; or 2) multifocal masses or raised papular lesions with a pebbly texture. The first intention treatment approach was personal and professional plaque control. Because of the lack of a good clinical response to conventional therapy, excisional biopsies were performed, which helped establish the diagnosis. The plaque control was reinforced and additional antiseptic local treatment was administered. A real improvement in the local gingival conditions was recorded for all the patients. However, because of the persistence of some bright reddish gingival masses in one of the patients these lesions were treated by surgical excision. The overall clinical outcome was good and stable after one year.

Conclusions: The presented cases might raise awareness of this condition among orthodontic specialists because orthodontic treatment could not be applied until the gingival gum disease was resolved.

No MeSH data available.


Related in: MedlinePlus