Akademik Veri Yönetim Sistemi
Dokuz Eylül Üniversitesi Diş Hekimliği Fakültesi 2. Uluslararası Kongresi, İzmir, Türkiye, 22 - 23 Kasım 2024, (Yayınlanmadı)
Introduction
Ulcerative lesions in the oral cavity are marked by epithelial disruption, causing pain, erythema, and exudate. These lesions can result from trauma, infections, immunological disorders, or systemic diseases. This case report describes the diagnosis, treatment, and follow-up of a patient with an ulcerative gingival lesion.
Case Report
A 69-year-old female presented with bleeding and an erosive gingival lesion around tooth number 23. Her medical history included rheumatoid arthritis, hypercholesterolemia and hypertension. The patient was taking Methotrexate (2.5mg 2x1), Crestor (10mg 1x1), Micardis (40mg 1x1), and Hyperium (1mg 1x1). Initial treatment involved phase I periodontal therapy and oral hygiene instruction. The patient was referred to the Department of Oral, Dental, and Maxillofacial Radiology for further assessment, and local corticosteroid gel (Kenacort-A) was prescribed.
Following two weeks, significant improvement was noted clinically, and corticosteroid treatment was discontinued. At the four-week follow-up, the lesion had fully healed. However, due to gingival recession, mucogingival surgery with open root surface coverage was planned for tooth number 23.
Conclusion
Ulcerative gingival lesions in patients with systemic conditions require careful management and strict follow-up. Present case report highlights the success of a personalized, multidisciplinary treatment approach, leading to complete healing. Ongoing monitoring is essential to manage potential complications such as gingival recession.
Keywords
Ulcerative gingival lesion, rheumatoid arthritis, corticosteroid treatment, periodontal therapy, mucogingival surgery.