Toothbrushing-induced vestibular ulcerations with severe gingival defects

IF 2 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Gerodontology Pub Date : 2023-11-16 DOI:10.1111/ger.12702

Beili Liu, Jie Cao, Weiqing Lu, Hui Yao

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Abstract

Background

Daily toothbrushing is a routine approach for helping to keep the oral cavity healthy. However, using a toothbrush as an ordinary oral hygiene habit can also lead to adverse events.

Case Presentation

A 75-year-old man was referred by a periodontist for vestibular ulcerations with gingival defects. The patient reported no significant medical or social history, which might be associated with his symptoms. On examination, wide labio-buccal gingival defects, white attached gingiva and linear vestibular ulcerations were observed. With the help of the periodontist, a diagnosis of inappropriate toothbrushing-induced traumatic ulcerations was reasoned via an approach of aetiological elimination. The patient was put on a trial course of topical dexamethasone powder with lincomycin. The resolution of vestibular ulcerations was apparent after two weeks. He reported no similar oral ulcerations during the following nine years.

Conclusion

To our knowledge, this is the first case reported in the literature of vestibular ulcerations with severe gingival defects caused by inappropriate toothbrushing. The establishment of a correct diagnosis needs a close collaboration between periodontists and oral medicine specialists. Instruction on correct toothbrushing, especially for older people can be beneficial.

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刷牙引起的前庭溃疡伴严重牙龈缺损

背景每天刷牙是帮助保持口腔健康的常规方法。然而，使用牙刷作为一种普通的口腔卫生习惯也会导致不良事件。病例介绍一名75岁男子因前庭溃疡伴牙龈缺损被牙周病医生转诊。患者报告无可能与其症状相关的重要病史或社会史。检查发现唇颊龈宽缺损、白色附着龈、前庭线状溃疡。在牙周病医生的帮助下，通过病因消除的方法对不适当刷牙引起的创伤性溃疡进行诊断。病人局部应用地塞米松粉加林可霉素进行一个疗程的试验。两周后前庭溃疡明显消退。在接下来的九年中，他没有报告类似的口腔溃疡。结论这是文献中首次报道的因刷牙不当导致前庭溃疡合并严重牙龈缺损的病例。正确诊断的建立需要牙周病专家和口腔医学专家的密切合作。关于正确刷牙的指导，特别是对老年人来说是有益的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Gerodontology 医学-老年医学

CiteScore

4.10

自引率

10.00%

发文量

审稿时长

3-6 weeks

期刊介绍： The ultimate aim of Gerodontology is to improve the quality of life and oral health of older people. The boundaries of most conventional dental specialties must be repeatedly crossed to provide optimal dental care for older people. In addition, management of other health problems impacts on dental care and clinicians need knowledge in these numerous overlapping areas. Bringing together these diverse topics within one journal serves clinicians who are seeking to read and to publish papers across a broad spectrum of specialties. This journal provides the juxtaposition of papers from traditional specialties but which share this patient-centred interest, providing a synergy that serves progress in the subject of gerodontology.