Naslov
Biofilmom inducirani gingivitis i gingivna hiperplazija posredovani lokalnim predisponirajućim čimbenikom, ortodontskim aparatom – prikaz slučaja
(Biofilm-induced gingivitis and gingival hyperplasia mediated by a local predisposing factor, an orthodontic appliance – a case report)

Autori
Turjanski, Sarah ; Ćabov Ercegović, Lucija ; Iurio, Morena Tina ; Musić, Larisa

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
Sažetci s međunarodnog kongresa „Hrvatski dani dječje stomatologije 2019“ / Goršeta, Kristina ; Majstorović, Martina - Zagreb, 2020, 103-103

Skup
Međunarodni kongres Hrvatski dani dječje stomatologije 2019

Mjesto i datum
Zagreb, Hrvatska, 06.12.2019. - 07.12.2019

Vrsta sudjelovanja
Poster

Vrsta recenzije
Recenziran

Ključne riječi
gingivitis ; gingivalna hiperplazija ; ortodontska oprema
(gingivitis ; gingival hyperplasia ; orthodontic appliance)

Sažetak
Introduction: This case report presents a female teenager with an extreme clinical pre-sentation of gingivitis and gingival hyperplasia induced by the abundant biofilm, pres-ent due to the patient’s inability to perform adequate oral hygiene around the fixed orth-odontic appliance.Case report: The patient, female, 13 years of age at the time of the first examination (2017), systemically healthy, was referred from the attending orthodontist because of the generalised bleeding upon slightest provocation (brushing, eating) and gingival hy-perplasia. Patient reported that the symptoms commenced with the beginning of the orthodontic therapy, 2 years before the referral to the Department of Periodontology. Clinical examination revealed inflamed gingiva (FMBS100%), inadequate oral hygiene (FMPS100%), pseudopockets up to 7mm of depth, with no loss of attachment, nor bone loss as observed radiographically. She was diagnosed with generalised biofilm-induced gin-givitis on an intact periodontium mediated by a local predisposing factor (2017 Classifi-cation of periodontal diseases). In-mouth OH instructions and nonsurgical periodontal therapy were carried out. Patient was enrolled in a 3-month recall programme.Irrespective of the nonsurgical therapy and improved oral hygiene, generalised bleeding and gingival hyperplasia persisted, albeit to a lesser extent, until the orthodontic appli-ance was removed (2019). Within 4 months of removal, the overall condition drastically improved. Conclusions: Clinical presentation in this case may have been further medi-ated by sex steroid hormones (patient at the beginning of puberty), a systemic, modify-ing risk factor. Exceptional oral hygiene is crucial for periodontal health in patients with orthodontic appliance.

Izvorni jezik
Engleski

Znanstvena područja
Dentalna medicina

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