A Case of Necrotizing Periodontitis in a Care-Requiring Elderly Person Treated and Managed by Interprofessional Collaboration
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...
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| Format: | Article |
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MDPI AG
2022-05-01
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| Series: | Dentistry Journal |
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| Online Access: | https://www.mdpi.com/2304-6767/10/5/79 |
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| author | Masahiko Okubo Ryutaro Kuraji Hideyuki Kamimura Yukihiro Numabe Ko Ito Tsuyoshi Sato Shoichiro Kokabu |
| author_facet | Masahiko Okubo Ryutaro Kuraji Hideyuki Kamimura Yukihiro Numabe Ko Ito Tsuyoshi Sato Shoichiro Kokabu |
| author_sort | Masahiko Okubo |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-10T03:03:36Z |
| format | Article |
| id | doaj.art-283b35a30ccd418da2dcca9dc1297a93 |
| institution | Directory Open Access Journal |
| issn | 2304-6767 |
| language | English |
| last_indexed | 2024-03-10T03:03:36Z |
| publishDate | 2022-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Dentistry Journal |
| spelling | doaj.art-283b35a30ccd418da2dcca9dc1297a932023-11-23T10:37:56ZengMDPI AGDentistry Journal2304-67672022-05-011057910.3390/dj10050079A Case of Necrotizing Periodontitis in a Care-Requiring Elderly Person Treated and Managed by Interprofessional CollaborationMasahiko Okubo0Ryutaro Kuraji1Hideyuki Kamimura2Yukihiro Numabe3Ko Ito4Tsuyoshi Sato5Shoichiro Kokabu6Department of Oral and Maxillofacial Surgery, Faculty of Medicine, Saitama Medical University, Iruma 350-0495, JapanDepartment of Periodontology, School of Life Dentistry at Tokyo, The Nippon Dental University, Tokyo 102-8159, JapanKamimura Dental Orthodontic Clinic, Koshigaya 343-0823, JapanDepartment of Periodontology, School of Life Dentistry at Tokyo, The Nippon Dental University, Tokyo 102-8159, JapanDepartment of Oral and Maxillofacial Surgery, Faculty of Medicine, Saitama Medical University, Iruma 350-0495, JapanDepartment of Oral and Maxillofacial Surgery, Faculty of Medicine, Saitama Medical University, Iruma 350-0495, JapanDivision of Molecular Signaling and Biochemistry, Kyushu Dental University, Kitakyushu 803-8580, JapanBackground: 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.https://www.mdpi.com/2304-6767/10/5/79necrotizing periodontitisnecrotizing periodontal diseasesnursing caredirect oral anticoagulantinterprofessional collaboration |
| spellingShingle | Masahiko Okubo Ryutaro Kuraji Hideyuki Kamimura Yukihiro Numabe Ko Ito Tsuyoshi Sato Shoichiro Kokabu A Case of Necrotizing Periodontitis in a Care-Requiring Elderly Person Treated and Managed by Interprofessional Collaboration Dentistry Journal necrotizing periodontitis necrotizing periodontal diseases nursing care direct oral anticoagulant interprofessional collaboration |
| title | A Case of Necrotizing Periodontitis in a Care-Requiring Elderly Person Treated and Managed by Interprofessional Collaboration |
| title_full | A Case of Necrotizing Periodontitis in a Care-Requiring Elderly Person Treated and Managed by Interprofessional Collaboration |
| title_fullStr | A Case of Necrotizing Periodontitis in a Care-Requiring Elderly Person Treated and Managed by Interprofessional Collaboration |
| title_full_unstemmed | A Case of Necrotizing Periodontitis in a Care-Requiring Elderly Person Treated and Managed by Interprofessional Collaboration |
| title_short | A Case of Necrotizing Periodontitis in a Care-Requiring Elderly Person Treated and Managed by Interprofessional Collaboration |
| title_sort | case of necrotizing periodontitis in a care requiring elderly person treated and managed by interprofessional collaboration |
| topic | necrotizing periodontitis necrotizing periodontal diseases nursing care direct oral anticoagulant interprofessional collaboration |
| url | https://www.mdpi.com/2304-6767/10/5/79 |
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