| Periodontal management of gingival enlargement associated with Sturge-Weber syndrome. | |
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MedLine Citation:
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PMID: 18315439 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Sturge-Weber syndrome (encephalotrigeminal angiomatosis) is a rather uncommon congenital condition that is characterized by a combination of venous angioma of leptomeninges over the cerebral cortex and ipsilateral angiomatous lesions of the face and sometimes of the skull, jaws, and oral soft tissues. It is commonly referred to as Sturge-Weber syndrome after Sturge and Weber who first described this affliction in 1879. This article presents a case of Sturge-Weber syndrome associated with severe gingival enlargement, its management, and follow-up results. METHODS: A 15-year-old male patient was referred to the Department of Periodontics, Government Dental College and Hospital, for severe gingival enlargement. A detailed dental and medical history, clinical examination, and investigations confirmed the diagnosis of Sturge-Weber syndrome. This report reveals a classic presentation of the syndrome with emphasis on its oral manifestations. Periodontal management included thorough scaling and root planing followed by periodontal flap surgery to treat the gingival enlargement. Histopathologic examination of the excisional biopsy specimen revealed features suggestive of fibrous gingival enlargement. RESULTS: Reevaluation of the patient after 2 years showed remarkable (90%) reduction of the gingival enlargement in the maxillary arch and complete diminution (100%) in the mandibular arch. However, a slight recurrence was noted in the maxillary right quadrant. CONCLUSIONS: Sturge-Weber syndrome is clinically important to the periodontist because of its associated gingival vascular features and their complicating manifestations. Periodic systemic and oral examinations are recommended to identify and prevent any complications from the cranial and oral lesions. |
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Authors:
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Rahul S Bhansali; Ramreddy K Yeltiwar; Amit A Agrawal |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of periodontology Volume: 79 ISSN: 0022-3492 ISO Abbreviation: J. Periodontol. Publication Date: 2008 Mar |
Date Detail:
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Created Date: 2008-03-04 Completed Date: 2008-05-14 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8000345 Medline TA: J Periodontol Country: United States |
Other Details:
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Languages: eng Pagination: 549-55 Citation Subset: D; IM |
Affiliation:
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Department of Periodontics, Government Dental College and Hospital, Nagpur, Maharashtra, India. |
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Facial Asymmetry / etiology Gingiva / blood supply Gingival Overgrowth / etiology, surgery* Hemangioma / complications, etiology Humans Male Sturge-Weber Syndrome / complications*, pathology Tooth Abnormalities / etiology |
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