Dental treatment of a rare case of pyoderma gangrenosum with aggressive periodontal disease

• Main Authors: Barbieri, C. (Author), Canciani, E. (Author), Carmagnola, D. (Author), Dellavia, C. (Author), Lodi, G. (Author), Pispero, A. (Author), Varoni, E.M (Author)
• Format: Article
• Language: English
• Published: American Dental Association 2018
• Subjects: adult; Adult; case report; Dental Care; dental procedure; human; Humans; male; Male; mouth mucosa; Mouth Mucosa; Oral surgery; periodontal disease; Periodontal Diseases; prosthetics; pyoderma gangrenosum; Pyoderma Gangrenosum; tooth extraction; Tooth Extraction; young adult; Young Adult
• Online Access: View Fulltext in Publisher

 Background and Overview: Pyoderma gangrenosum (PG) is a rare neutrophil-mediated autoinflammatory dermatosis that can involve the oral mucosa. Dental surgery is a potential triggering factor for the onset of PG lesions. The authors describe and discuss the dental management of a rare case of aggressive periodontitis in a patient with PG, from multiple tooth extractions to prosthetic rehabilitation, including administration of systemic steroid prophylaxis before surgery to prevent the potential onset of PG-related lesions. Case Description: A 22-year-old man who had a diagnosis of PG and who had aggressive periodontal disease underwent dental extractions, gingivoplastic surgery, and prosthetic rehabilitation. The patient received 8 milligrams of betamethasone intramuscularly 20 minutes before the oral surgery. The tissues healed perfectly, and no adverse effects were reported. Conclusions and Practical Implications: For minor oral surgery, prophylactic corticosteroids might help reduce the risk of developing PG-related lesions. The clinician should plan the prosthetic devices to be as atraumatic as possible. © 2018 American Dental Association