PERIO - Periodontal Practice Today 5 (2008), No. 4 4. June 2009
PERIO - Periodontal Practice Today 2 (2005), No. 1 (11.04.2005)
Necrotizing Periodontal Disease in a Patient with Leukocytoclastic Vasculitis
Nelken, Andrea/Basso, Matteo/Francetti, Luca/Del Fabbro, Massimo/Testori, Tiziano/Weinstein, Roberto L.
The vasculitides are a group of syndromes marked by inflammation and necrosis of blood vessels of various calibres, with luminal modifications and ischemia-induced changes in one or more organs supplied. They are primarily the expression of the tissue ischemia provoked by the damaged vessel. Their etiology is still uncertain, although viral infections are thought to be responsible for some forms.
Periodontal tissues may be involved by the vessel-degenerative process. This article describes a case of leukocytoclastic vasculitis in a 23-year-old Caucasian male patient with severe necrotizing periodontitis: an average 4.7 mm full-mouth attachment loss measured involvement of the furcations and alveolar bone loss. It provides an illustration of how systemic diseases may predispose to necrotizing periodontal disease, in this case caused by tissue ischemia, and how clinicians can provide appropriate dental management of damaged oral tissues.
Keywords: vasculitis, necrotizing periodontitis, periodontal disease