Combined therapy in a patient with Papillon-Lefèvre syndrome : A 13-year follow-up
Identifieur interne : 002023 ( Main/Merge ); précédent : 002022; suivant : 002024Combined therapy in a patient with Papillon-Lefèvre syndrome : A 13-year follow-up
Auteurs : Hilal Islu Toygar [Turquie] ; Cem Kircelli [Turquie] ; Ezgi Firat ; Esra Guzeldemir [Turquie]Source :
- Journal of periodontology [ 0022-3492 ] ; 2007.
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Abstract
Background: Papillon-Lefèvre syndrome (PLS) is an autosomal recessive disease characterized by hyperkeratosis of the palms and soles combined with premature loss of the primary and permanent dentition. Several treatment regimens have been recommended in the literature; however, a definitive treatment protocol has not been established. This case report evaluates the success of combined therapy in managing a patient with PLS. Methods: A 6-year-old girl diagnosed with PLS presented with aggressive periodontal destruction of her primary and permanent dentitions. After extraction of periodontally affected teeth, the edentate region was rehabilitated with different temporary dentures until her skeletal growth was complete. At the same time, her orthodontic treatment was performed. The early loss of her incisors resulted in inadequate alveolar bone height and width for esthetic-advanced prosthetic rehabilitation. Alveolar bone augmentation was performed, and 6 months later, two intraosseous dental implants were placed into the central incisor zone. Results: After 13 years of treatment and follow-up, the patient had periodontally healthy permanent dentition. She had practiced meticulous oral hygiene, and the orthodontic treatment was successful and without incident. Alveolar ridge augmentation and placement of an intraosseous implant with guided bone regeneration were performed successfully. Conclusions: This case report demonstrates that individually developed treatment protocols can provide long-term dental/periodontal success in patients with PLS. A multidisciplinary approach with advanced periodontal surgery, orthodontic and prosthetic treatment, and implant therapy may be an appropriate treatment modality for dental rehabilitation in patients with PLS.
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University</wicri:noRegion></affiliation></author><author><name sortKey="Firat, Ezgi" sort="Firat, Ezgi" uniqKey="Firat E" first="Ezgi" last="Firat">Ezgi Firat</name></author><author><name sortKey="Guzeldemir, Esra" sort="Guzeldemir, Esra" uniqKey="Guzeldemir E" first="Esra" last="Guzeldemir">Esra Guzeldemir</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Periodontology, Faculty of Dentistry, Baskent University</s1><s2>Ankara</s2><s3>TUR</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Turquie</country><wicri:noRegion>Ankara</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">07-0448721</idno><date when="2007">2007</date><idno type="stanalyst">PASCAL 07-0448721 INIST</idno><idno type="RBID">Pascal:07-0448721</idno><idno type="wicri:Area/PascalFrancis/Corpus">000412</idno><idno type="wicri:Area/PascalFrancis/Curation">000291</idno><idno 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Kircelli</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Prosthodontics, Faculty of Dentistry, Baskent University</s1><s3>TUR</s3><sZ>2 aut.</sZ></inist:fA14><country>Turquie</country><wicri:noRegion>Department of Prosthodontics, Faculty of Dentistry, Baskent University</wicri:noRegion></affiliation></author><author><name sortKey="Firat, Ezgi" sort="Firat, Ezgi" uniqKey="Firat E" first="Ezgi" last="Firat">Ezgi Firat</name></author><author><name sortKey="Guzeldemir, Esra" sort="Guzeldemir, Esra" uniqKey="Guzeldemir E" first="Esra" last="Guzeldemir">Esra Guzeldemir</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Periodontology, Faculty of Dentistry, Baskent University</s1><s2>Ankara</s2><s3>TUR</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Turquie</country><wicri:noRegion>Ankara</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Journal of periodontology</title><title level="j" type="abbreviated">J. periodontol.</title><idno type="ISSN">0022-3492</idno><imprint><date when="2007">2007</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Journal of periodontology</title><title level="j" type="abbreviated">J. periodontol.</title><idno type="ISSN">0022-3492</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Combined treatment</term><term>Dentistry</term><term>Follow up study</term><term>Human</term><term>Implant</term><term>Keratoderma palmoplantaris Papillon Lefevre</term><term>Orthodontic procedures</term><term>Regeneration</term><term>Tooth</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Kératodermie palmoplantaire Papillon Lefèvre</term><term>Orthodontie</term><term>Traitement associé</term><term>Homme</term><term>Etude longitudinale</term><term>Dent</term><term>Implant</term><term>Régénération</term><term>Dentisterie</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: Papillon-Lefèvre syndrome (PLS) is an autosomal recessive disease characterized by hyperkeratosis of the palms and soles combined with premature loss of the primary and permanent dentition. Several treatment regimens have been recommended in the literature; however, a definitive treatment protocol has not been established. This case report evaluates the success of combined therapy in managing a patient with PLS. Methods: A 6-year-old girl diagnosed with PLS presented with aggressive periodontal destruction of her primary and permanent dentitions. After extraction of periodontally affected teeth, the edentate region was rehabilitated with different temporary dentures until her skeletal growth was complete. At the same time, her orthodontic treatment was performed. The early loss of her incisors resulted in inadequate alveolar bone height and width for esthetic-advanced prosthetic rehabilitation. Alveolar bone augmentation was performed, and 6 months later, two intraosseous dental implants were placed into the central incisor zone. Results: After 13 years of treatment and follow-up, the patient had periodontally healthy permanent dentition. She had practiced meticulous oral hygiene, and the orthodontic treatment was successful and without incident. Alveolar ridge augmentation and placement of an intraosseous implant with guided bone regeneration were performed successfully. Conclusions: This case report demonstrates that individually developed treatment protocols can provide long-term dental/periodontal success in patients with PLS. A multidisciplinary approach with advanced periodontal surgery, orthodontic and prosthetic treatment, and implant therapy may be an appropriate treatment modality for dental rehabilitation in patients with PLS.</div></front></TEI><affiliations><list><country><li>Turquie</li></country></list><tree><noCountry><name sortKey="Firat, Ezgi" sort="Firat, Ezgi" uniqKey="Firat E" first="Ezgi" last="Firat">Ezgi Firat</name></noCountry><country name="Turquie"><noRegion><name sortKey="Toygar, Hilal Islu" sort="Toygar, Hilal Islu" uniqKey="Toygar H" first="Hilal Islu" last="Toygar">Hilal Islu Toygar</name></noRegion><name sortKey="Guzeldemir, Esra" sort="Guzeldemir, Esra" uniqKey="Guzeldemir E" first="Esra" last="Guzeldemir">Esra Guzeldemir</name><name sortKey="Kircelli, Cem" sort="Kircelli, Cem" uniqKey="Kircelli C" first="Cem" last="Kircelli">Cem Kircelli</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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