EdenteV2, France, Analysis, bibRecord, 000418

Loss of deciduous teeth and germs of permanent incisors in a 4‐year‐old child. An atypic prepubertal periodontitis? A clinical, microbiological, immunological and ultrastructural study

Identifieur interne : 000418 ( France/Analysis ); précédent : 000417; suivant : 000419

Loss of deciduous teeth and germs of permanent incisors in a 4‐year‐old child. An atypic prepubertal periodontitis? A clinical, microbiological, immunological and ultrastructural study

Auteurs : J. L. Sixou [France] ; J. C. Robert [France] ; M. Bonnaure-Mallet [France]

Source :

Journal of Clinical Periodontology [ 0303-6979 ] ; 1997-11.

RBID : ISTEX:FB7DF65D1BA91C2C9B3B7E40D9262B152734CDF7

English descriptors

Abstract

Abstract A 4‐year‐old child was referred, in April 1988, to Rennes Dental School (France) for deciduous tooth mobility with premature loss of 4 deciduous teeth and germs of 2 permanent incisors. Microbiological examinations by culture revealed the presence of the periodontal pathogen Actinobacillus actinomycetemcomitans. Immunofluorescence of plaque samples revealed the presence of Porphyromonas gingivalis that had not been isolated by culture. Neutrophil functions were within normal ranges. Transmission electron microscopy of gingiva showed a disorganised epithelium. The connective tissue was infiltrated by inflammatory cells. The basement membranes were normal, but the connective tissue‐epithelium interface was mainly composed of short rete pegs. Scanning electron microscopy of extracted deciduous teeth revealed lack of cementum, lacunae in the cementum and lack of fibrillar insertion on the middle part of the root. Skin lesions, mainly situated on face, were observed. Treatment was by extraction of mobile deciduous teeth combined with 3‐week courses of metronidazole. Clinical and microbiological follow‐up was continued over a 7‐year period. No periodontal lesions have been detected since eruption of the permanent teeth. The present subgingival and lingual microflora (December 1995) is composed of bacteria associated with periodontal health. However, the future appearance of a hitherto undetected systemic disease is still possible.

Url:

https://api.istex.fr/document/FB7DF65D1BA91C2C9B3B7E40D9262B152734CDF7/fulltext/pdf

DOI: 10.1111/j.1600-051X.1997.tb01198.x

Affiliations:

France

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ISTEX:FB7DF65D1BA91C2C9B3B7E40D9262B152734CDF7

Le document en format XML

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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Actinomycetemcomitans</term>
<term>Adult periodontitis</term>
<term>Alveolar bone loss</term>
<term>April</term>
<term>Atypic prepubertal periodontitis</term>
<term>Baab</term>
<term>Basement membrane</term>
<term>Cacodylate buffer</term>
<term>Capnocytophaga</term>
<term>Capnocytophaga ochracea</term>
<term>Capnocytophaga sputigena</term>
<term>Cementum</term>
<term>Central incisors</term>
<term>Chemotactic index</term>
<term>Chemotaxis</term>
<term>Clinical microbiologv</term>
<term>Clinical microbiology</term>
<term>Clinical periodontology</term>
<term>Collagen fibers</term>
<term>Connective tissue</term>
<term>Control group</term>
<term>Cutaneous lesions</term>
<term>Deciduous</term>
<term>Deciduous teeth</term>
<term>Dental examination</term>
<term>Dental plaque</term>
<term>Dents temporaires</term>
<term>First symptom</term>
<term>Germ</term>
<term>Gingiva</term>
<term>Gingival</term>
<term>Gingival blood</term>
<term>Gingivalis</term>
<term>Hair shafts</term>
<term>Healthy children</term>
<term>Inactive lesions</term>
<term>Incisor</term>
<term>Initial examination</term>
<term>Lesion</term>
<term>Leukocyte adhesion deficiency</term>
<term>Light microscopy</term>
<term>Localized prepubertal periodontitis</term>
<term>Microbiological</term>
<term>Microbiological samples</term>
<term>Microbiology</term>
<term>Microscopic examination</term>
<term>Microscopie electronique</term>
<term>Mobile teeth</term>
<term>Neutrophil</term>
<term>Neutrophil chemotaxis</term>
<term>Normal limits</term>
<term>Normal ranges</term>
<term>Numerous lacunae</term>
<term>Oral microbiology</term>
<term>Other hand</term>
<term>Paediatric dentistry</term>
<term>Page baab</term>
<term>Pathogen</term>
<term>Patient control</term>
<term>Periodontai</term>
<term>Periodontai disease</term>
<term>Periodontai pathogens</term>
<term>Periodontai research</term>
<term>Periodontal</term>
<term>Periodontal lesions</term>
<term>Periodontal pathogens</term>
<term>Periodontitis</term>
<term>Peripheral blood</term>
<term>Permanent germs</term>
<term>Permanent incisors</term>
<term>Permanent teeth</term>
<term>Place pasteur</term>
<term>Plaque</term>
<term>Porphyromonas gingivalis</term>
<term>Premature loss</term>
<term>Prepubertal</term>
<term>Prepubertal periodontitis</term>
<term>Primary dentition</term>
<term>Propionibacterium acnes</term>
<term>Rennes</term>
<term>Short rete pegs</term>
<term>Sixou</term>
<term>Skin lesions</term>
<term>Structural defects</term>
<term>Superficial periodontium</term>
<term>Systemic disease</term>
<term>Systemic diseases</term>
<term>Total serum</term>
<term>Transmission electron microscopy</term>
<term>Tsbv medium</term>
<term>Urinary phosphoethanol</term>
<term>Variable depth</term>
<term>Vivo studies</term>
<term>Young children</term>
</keywords>
<keywords scheme="Teeft" xml:lang="en"><term>Actinomycetemcomitans</term>
<term>Adult periodontitis</term>
<term>Alveolar bone loss</term>
<term>April</term>
<term>Atypic prepubertal periodontitis</term>
<term>Baab</term>
<term>Basement membrane</term>
<term>Cacodylate buffer</term>
<term>Capnocytophaga</term>
<term>Capnocytophaga ochracea</term>
<term>Capnocytophaga sputigena</term>
<term>Cementum</term>
<term>Central incisors</term>
<term>Chemotactic index</term>
<term>Chemotaxis</term>
<term>Clinical microbiologv</term>
<term>Clinical microbiology</term>
<term>Clinical periodontology</term>
<term>Collagen fibers</term>
<term>Connective tissue</term>
<term>Control group</term>
<term>Cutaneous lesions</term>
<term>Deciduous</term>
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<term>Germ</term>
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<term>Gingival</term>
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<term>Initial examination</term>
<term>Lesion</term>
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<term>Patient control</term>
<term>Periodontai</term>
<term>Periodontai disease</term>
<term>Periodontai pathogens</term>
<term>Periodontai research</term>
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<term>Periodontal lesions</term>
<term>Periodontal pathogens</term>
<term>Periodontitis</term>
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<term>Permanent germs</term>
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<term>Permanent teeth</term>
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<term>Porphyromonas gingivalis</term>
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<term>Sixou</term>
<term>Skin lesions</term>
<term>Structural defects</term>
<term>Superficial periodontium</term>
<term>Systemic disease</term>
<term>Systemic diseases</term>
<term>Total serum</term>
<term>Transmission electron microscopy</term>
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<front><div type="abstract">Abstract A 4‐year‐old child was referred, in April 1988, to Rennes Dental School (France) for deciduous tooth mobility with premature loss of 4 deciduous teeth and germs of 2 permanent incisors. Microbiological examinations by culture revealed the presence of the periodontal pathogen Actinobacillus actinomycetemcomitans. Immunofluorescence of plaque samples revealed the presence of Porphyromonas gingivalis that had not been isolated by culture. Neutrophil functions were within normal ranges. Transmission electron microscopy of gingiva showed a disorganised epithelium. The connective tissue was infiltrated by inflammatory cells. The basement membranes were normal, but the connective tissue‐epithelium interface was mainly composed of short rete pegs. Scanning electron microscopy of extracted deciduous teeth revealed lack of cementum, lacunae in the cementum and lack of fibrillar insertion on the middle part of the root. Skin lesions, mainly situated on face, were observed. Treatment was by extraction of mobile deciduous teeth combined with 3‐week courses of metronidazole. Clinical and microbiological follow‐up was continued over a 7‐year period. No periodontal lesions have been detected since eruption of the permanent teeth. The present subgingival and lingual microflora (December 1995) is composed of bacteria associated with periodontal health. However, the future appearance of a hitherto undetected systemic disease is still possible.</div>
</front>
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Loss of deciduous teeth and germs of permanent incisors in a 4‐year‐old child. An atypic prepubertal periodontitis? A clinical, microbiological, immunological and ultrastructural study

Loss of deciduous teeth and germs of permanent incisors in a 4‐year‐old child. An atypic prepubertal periodontitis? A clinical, microbiological, immunological and ultrastructural study

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Abstract

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