A case report of Parry Romberg Syndrome initially presenting as periodontitis
| Autor: | J Armas, GD Taylor, L Savarrio, Shauna Culshaw, Christine Goodall |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Periodontitis
medicine.medical_specialty Periodontal treatment business.industry Soft tissue Parry–Romberg syndrome medicine.disease Progressive Hemifacial Atrophy Surgery 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Atrophy Periodontal disease Medicine Oral Surgery business 030217 neurology & neurosurgery Morphea |
| ISSN: | 1752-2471 |
| Popis: | Parry Romberg Syndrome (PRS) is a rare disorder of progressive hemifacial atrophy, involving soft tissues, fat and occasionally bone. It can co-exist with presentations of Morphea. We describe an unusual case of persistent periodontal and alveolar destruction associated with PRS. A 56-year-old African female initially presented with persistent periodontal destruction, which showed minimal response to conventional periodontal treatment. After non-surgical treatment, surgical debridement followed by extraction of the two right maxillary incisor teeth was required to halt the periodontal destruction. Atrophy was not limited to the periodontal tissues. Multidisciplinary care and extensive investigations were required to diagnose PRS. Once the PRS has stabilised, adipose tissue transplants will be required to improve the facial appearance. We highlight the need for extensive investigations and a multidisciplinary approach to diagnose rare systemic causes for recalcitrant periodontal disease. |
| Databáze: | OpenAIRE |
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