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The periodontal management of a patient with a profound immunodeficiency disorder
Author(s) -
Roberts W. R.,
Walker D. M.
Publication year - 1976
Publication title -
journal of clinical periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.456
H-Index - 151
eISSN - 1600-051X
pISSN - 0303-6979
DOI - 10.1111/j.1600-051x.1976.tb01866.x
Subject(s) - medicine , dentistry , dental alveolus , periodontal disease , immunodeficiency , disease , human immunodeficiency virus (hiv) , immunology , pathology , immune system
A case of severe, uncontrolled periodontal disease in a patient with a profound immunodeficiency disorder is reported. The periodontal disease was noted before the age of 1.0 years and is generalized, with marked associated alveolar bone loss, even threatening a mandibular fracture. Severely involved teeth were allowed to exfoliate, and extractions were avoided. At the age of 17 years, the patient now has only nine remaining teeth. The management adopted and alternative approaches are critically reviewed. The implications of the dental findings for current concepts of the pathogenesis of periodontal disease and dental caries are discussed.