Öz
Nekrotizan ülseratif stomatitis ya da Plaut -Vincent Stomatitisi nekrotizan ülseratif gingivitisin bir komplikasyonu olup gingivanın ötesine uzanarak oral mukozanın diğer bölgelerinde tutulum gösteren, Fusiform basillus, Borrelia vincenti ve diğer anaerobik mikroorganizmaların en yaygın ilişkili bakteriler olduğu tablodur. Ağız hijyeni iyi olmayan, immün direnci düşmüş genç erişkinlerde, boğaz ağrısı, ağızda kötü koku, dişeti kanamasıyla başlar. Bu olguda erkek hastaya ait Plaut -Vincent Stomatitisi klinik bulguları sunulmaktadır. 22 yaşında erkek hastada mandibula sağ üçüncü molar bölge yumuşak dokuda ve bukkal mukozada eritemli, ülserlerle birlikte düzensiz marjinler ve kirli beyaz, grimsi fibrin izlenmiştir. Hastada halitozis, yutkunmada zorluk, orofarenkste ağrı ve lenfadenopati mecvuttur. Enfekte dokuların tedavisinde 6-7 gün süreyle sistemik antibiyotik ve hidrojen peroksitli gargara uygulandıktan sonra iyileşme gözlenmiştir. Sıklıkla genç erişkinlerde görülmekle birlikte kötü ağız hijyeni, sigara, duygusal stres, alkol tüketimi ve yetersiz beslenme bu hastalığa zemin hazırlayan etiyolojik faktörler olarak belirtilmektedir. Hastalarda yumuşak doku muayenesinde ülsere lezyonların tespit edilmesi, tanı ve tedavide önem taşımaktadır.
Anahtar Kelimeler
Nekrotizan ülseratif gingivitis Plaut-Vincent Stomatiti 3.Molar diş
Kaynakça
- Aaron SL, DeBlois KW. Acute necrotizing ulcerative gingivitis. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023.
- Alshagroud R, Neiders M, Kramer JM, Suresh L. Clinicopathologic significance of in vivo antinuclear autoantibodies in oral mucosal biopsies. Oral. Surg. Oral. Med. Oral. Pathol. Oral. Radiol. 2017;124(5):475-482.
- Brad W. Neville, Douglas D. Damm, Carl M. Allen, Angela C. Color atlas of oral and maxillofacial diseases. Elsevier;2019.
- Dufty J, Gkranias N, Donos N. Necrotising Ulcerative Gingivitis: A literature review. Oral. Health. Prev. Dent. 2017;15(4):321-327.
- Ferrisse TM, Travassos DC, Rocha AF, Massucato EM, Bufalino A. Chronic ulcerative stomatitis: A systematic review of the clinical and microscopic features. Med. Oral. Patol. Oral. Cir. Bucal. 2019;24(6):e698-e703.
- Folayan MO. The epidemiology, etiology, and pathophysiology of acute necrotizing ulcerative gingivitis associated with malnutrition. J. Contemp. Dent. Pract.2004;5:28‐41.
- Herrera D, Alonso B, de Arriba L, Santa Cruz I, Serrano C, Sanz M. Acute periodontal lesions. Periodontol 2000. 2014;65:149‐77.
- Horning GM, Cohen ME. Necrotizing ulcerative gingivitis, periodontitis, and stomatitis: clinical staging and predisposing factors. J. Periodontol. 1995;66(11):990-8.
- Hu J, Kent P, Lennon JM, Logan LK. Acute necrotising ulcerative gingivitis in an immunocompromised young adult. BMJ. Case. Rep. 2015;2015:bcr2015211092.
- Kashyap RR, Kashyap RS. Acute ulcerative gingivitis with pseudomembranous tonsillitis: A case report of vincent’s stomatitis in an ımmunocompetent patient. Timisoara. Med. 2022(1), 4; doi:10.35995/tmj20220104.
- Khademi F, Aryan E. Vincent’s angina in a 17-year old girl with emotional stress: A case report. Arch. Clin. Infect. Dis. 2015;10(3):e60122.
- Khammissa RAG, Lemmer J, Feller L. Noma staging: a review. Trop. Med. Health. 2022;50(1):40.
- Malek R, Gharibi A, Khlil N, Kissa J. Necrotizing ulcerative gingivitis. Contemp. Clin. Dent. 2017;8(3):496-500.
- Martos J, Ahn Pinto KV, Feijó Miguelis TM, Cavalcanti MC, César Neto JB. Clinical treatment of necrotizing ulcerative gingivitis: a case report with 10-year follow-up. Gen. Dent. 2019;67(3):62-65.
- Marty M, Palmieri J, Noirrit-Esclassan E, Vaysse F, Bailleul-Forestier I. Necrotizing periodontal diseases in children: A Literature Review and Adjustment of Treatment. J. Trop. Pediatr. 2016;62(4):331-7.
- Mizrahi Y. NUG--necrotizing ulcerative gingivitis: a review. Refuat. Hapeh. Vehashinayim. (1993). 2014;31(3):41-7, 62.
- Özbayrak S. Oral Mukoza ve Hastalıkları. İstanbul: Quintessence Yayıncılık;2010
- Özberk SS, Gündoğar H, Şenyurt SZ, Erciyas K. Adjunct use of low-level laser therapy on the treatment of necrotizing ulcerative gingivitis: A case report. J. Lasers. Med. Sci. 2018;9(1):73-75.
- Pitzurra L, Loos BG. Stress en parodontitis [Stress and periodontitis]. Ned. Tijdschr. Tandheelkd. 2020;127(6):358-364.
- Santos de Freitas BS, Sant'Ana SSS, Ferreira MS, Mariano-Júnior WJ, Watanabe S, Yamamoto-Silva FP. Topical tetracycline in the treatment of a 7-year-old child with necrotizing ulcerative gingivitis: a case report. Gen. Dent. 2020;68(2):36-38.
- Sivapathasundharam B, Sundararaman P and Kannan K. Oral ulcers - A review. J. Dent. Oral. Disord. 2018; 4(4) 1098.
- Stoker AJ, Gauer RL. Otolaryngeal and oropharyngeal conditions: Common nontraumatic dental conditions. FP. Essent. 2021; 501:24-29.
- Tonetti MS, Chapple IL, Jepsen S, Sanz M. Primary and secondary prevention of periodontal and peri-implant diseases: Introduction to, and objectives of the 11th European Workshop on Periodontology consensus conference. J. Clin. Periodontol. 2015;42 Suppl 16:S1-4.
- Yousefi L, Leylabadlo HE, Pourlak T, Eslami H, Taghizadeh S, Ganbarov K, Yousefi M, Tanomand A, Yousefi B, Kafil HS. Oral spirochetes: Pathogenic mechanisms in periodontal disease. Microb. Pathog. 2020; 144:104193.
Öz
Necrotizing ulcerative stomatitis or Plaut-Vincent's Stomatitis is a complication of necrotizing ulcerative gingivitis that extends beyond the gingiva and is involved in other parts of the oral mucosa, with Fusiform bacillus, Borrelia vincenti and other anaerobic microorganisms being the most common associated bacteria. It starts with sore throat, bad smell in the mouth, bleeding gums in young adults with poor oral hygiene and decreased immune resistance. In this case, clinical findings of Plaut-Vincent Stomatitis belonging to a male patient are presented. In a 22-year-old male patient, erythematous, ulcers with irregular margins and grayish-white fibrin were observed in the soft tissue of the right third molar region of the mandible and in the buccal mucosa. The patient has halitosis, difficulty in swallowing, pain in the oropharynx, and lymphadenopathy. In the treatment of infected tissues, improvement was observed after systemic antibiotics and hydrogen peroxide mouthwash were applied for 6-7 days. Plaut-Vincent Stomatitis is frequently seen in young adults and poor oral hygiene, smoking, emotional stress, alcohol consumption and malnutrition are stated as etiological factors that predispose to this disease. Detection of ulcerated lesions in soft tissue examination is important in diagnosis and treatment.
Anahtar Kelimeler
Necrotizing ulcerative stomatitis Plaut-Vincent Stomatitis Third molar
Kaynakça
- Aaron SL, DeBlois KW. Acute necrotizing ulcerative gingivitis. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023.
- Alshagroud R, Neiders M, Kramer JM, Suresh L. Clinicopathologic significance of in vivo antinuclear autoantibodies in oral mucosal biopsies. Oral. Surg. Oral. Med. Oral. Pathol. Oral. Radiol. 2017;124(5):475-482.
- Brad W. Neville, Douglas D. Damm, Carl M. Allen, Angela C. Color atlas of oral and maxillofacial diseases. Elsevier;2019.
- Dufty J, Gkranias N, Donos N. Necrotising Ulcerative Gingivitis: A literature review. Oral. Health. Prev. Dent. 2017;15(4):321-327.
- Ferrisse TM, Travassos DC, Rocha AF, Massucato EM, Bufalino A. Chronic ulcerative stomatitis: A systematic review of the clinical and microscopic features. Med. Oral. Patol. Oral. Cir. Bucal. 2019;24(6):e698-e703.
- Folayan MO. The epidemiology, etiology, and pathophysiology of acute necrotizing ulcerative gingivitis associated with malnutrition. J. Contemp. Dent. Pract.2004;5:28‐41.
- Herrera D, Alonso B, de Arriba L, Santa Cruz I, Serrano C, Sanz M. Acute periodontal lesions. Periodontol 2000. 2014;65:149‐77.
- Horning GM, Cohen ME. Necrotizing ulcerative gingivitis, periodontitis, and stomatitis: clinical staging and predisposing factors. J. Periodontol. 1995;66(11):990-8.
- Hu J, Kent P, Lennon JM, Logan LK. Acute necrotising ulcerative gingivitis in an immunocompromised young adult. BMJ. Case. Rep. 2015;2015:bcr2015211092.
- Kashyap RR, Kashyap RS. Acute ulcerative gingivitis with pseudomembranous tonsillitis: A case report of vincent’s stomatitis in an ımmunocompetent patient. Timisoara. Med. 2022(1), 4; doi:10.35995/tmj20220104.
- Khademi F, Aryan E. Vincent’s angina in a 17-year old girl with emotional stress: A case report. Arch. Clin. Infect. Dis. 2015;10(3):e60122.
- Khammissa RAG, Lemmer J, Feller L. Noma staging: a review. Trop. Med. Health. 2022;50(1):40.
- Malek R, Gharibi A, Khlil N, Kissa J. Necrotizing ulcerative gingivitis. Contemp. Clin. Dent. 2017;8(3):496-500.
- Martos J, Ahn Pinto KV, Feijó Miguelis TM, Cavalcanti MC, César Neto JB. Clinical treatment of necrotizing ulcerative gingivitis: a case report with 10-year follow-up. Gen. Dent. 2019;67(3):62-65.
- Marty M, Palmieri J, Noirrit-Esclassan E, Vaysse F, Bailleul-Forestier I. Necrotizing periodontal diseases in children: A Literature Review and Adjustment of Treatment. J. Trop. Pediatr. 2016;62(4):331-7.
- Mizrahi Y. NUG--necrotizing ulcerative gingivitis: a review. Refuat. Hapeh. Vehashinayim. (1993). 2014;31(3):41-7, 62.
- Özbayrak S. Oral Mukoza ve Hastalıkları. İstanbul: Quintessence Yayıncılık;2010
- Özberk SS, Gündoğar H, Şenyurt SZ, Erciyas K. Adjunct use of low-level laser therapy on the treatment of necrotizing ulcerative gingivitis: A case report. J. Lasers. Med. Sci. 2018;9(1):73-75.
- Pitzurra L, Loos BG. Stress en parodontitis [Stress and periodontitis]. Ned. Tijdschr. Tandheelkd. 2020;127(6):358-364.
- Santos de Freitas BS, Sant'Ana SSS, Ferreira MS, Mariano-Júnior WJ, Watanabe S, Yamamoto-Silva FP. Topical tetracycline in the treatment of a 7-year-old child with necrotizing ulcerative gingivitis: a case report. Gen. Dent. 2020;68(2):36-38.
- Sivapathasundharam B, Sundararaman P and Kannan K. Oral ulcers - A review. J. Dent. Oral. Disord. 2018; 4(4) 1098.
- Stoker AJ, Gauer RL. Otolaryngeal and oropharyngeal conditions: Common nontraumatic dental conditions. FP. Essent. 2021; 501:24-29.
- Tonetti MS, Chapple IL, Jepsen S, Sanz M. Primary and secondary prevention of periodontal and peri-implant diseases: Introduction to, and objectives of the 11th European Workshop on Periodontology consensus conference. J. Clin. Periodontol. 2015;42 Suppl 16:S1-4.
- Yousefi L, Leylabadlo HE, Pourlak T, Eslami H, Taghizadeh S, Ganbarov K, Yousefi M, Tanomand A, Yousefi B, Kafil HS. Oral spirochetes: Pathogenic mechanisms in periodontal disease. Microb. Pathog. 2020; 144:104193.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Ağız, Diş ve Çene Radyolojisi |
| Bölüm | Olgu Sunumları |
| Yazarlar | |
| Erken Görünüm Tarihi | 25 Aralık 2023 |
| Yayımlanma Tarihi | 26 Aralık 2023 |
| Gönderilme Tarihi | 23 Ekim 2023 |
| Kabul Tarihi | 11 Aralık 2023 |
| Yayımlandığı Sayı | Yıl 2023 Cilt: 7 Sayı: 3 |
