A Case of Necrotizing Periodontitis in a Care-Requiring Elderly Person Treated and Managed by Interprofessional Collaboration

IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE
Masahiko Okubo, Ryutaro Kuraji, Hideyuki Kamimura, Y. Numabe, Ko Ito, Tsuyoshi Sato, S. Kokabu
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Abstract

Background: Necrotizing periodontitis (NP) is a reactive and destructive inflammatory process that occurs in response to bacterial infection. Predisposing factors such as compromised host immune responses contribute significantly to NP pathogenesis. NP occasionally progresses to a more advanced and life-threatening state. Case presentation: A 73-year-old man in need of nursing care visited our dental clinic with severe gingival pain and intraoral bleeding. He had a disability and was immunocompromised because his medical history included cerebral infarction and type 2 diabetes mellitus. He was diagnosed with NP based on his typical symptoms, such as prominent bleeding and suppurative discharge from the gingiva, in addition to crater-shaped ulcerations of the interdental papillae. To improve daily oral hygiene, periodontists, dentists, and dental hygienists educated care workers and other staff at the nursing home on appropriate oral cleansing, including brushing three times a day using the Bass technique. Basic periodontal therapy, including whole-mouth scaling and debridement of the root surfaces using hand and ultrasonic instruments, was also performed. After this basic treatment of NP, we extracted the hopeless teeth. Currently, dentists visit the patient fortnightly to manage his oral hygiene. To date, good oral health has been maintained.
需要护理的老年人坏死性牙周炎一例,由跨专业合作治疗和管理
背景:坏死性牙周炎(NP)是一种反应性和破坏性的炎症过程,发生在对细菌感染的反应。易感因素如宿主免疫反应受损在NP发病机制中起重要作用。NP偶尔会发展到更严重和危及生命的状态。病例介绍:一名73岁男子因严重牙龈疼痛及口内出血就诊。他有残疾,免疫功能低下,因为他的病史包括脑梗死和2型糖尿病。根据他的典型症状,如牙龈明显出血和化脓性分泌物,以及牙间乳头的火山口状溃疡,诊断为NP。为了改善日常口腔卫生,牙周病医生、牙医和牙科保健师对养老院的护理人员和其他工作人员进行了适当的口腔清洁教育,包括使用巴斯法每天刷牙三次。基本牙周治疗,包括全口洗牙和用手和超声器械对牙根表面清创。在NP的基础治疗后,我们拔除了没有希望的牙齿。现时,牙科医生每两星期到访一次,以管理病人的口腔卫生。到目前为止,良好的口腔健康一直保持着。
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来源期刊
Open Dentistry Journal
Open Dentistry Journal DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
2.00
自引率
0.00%
发文量
86
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