Treatment of aggressive periodontitis in a patient with systemic lupus erythematosus: A case report with 8 years follow-up

Pradeep Koppolu, Kizhakke Veetil Sheethi, Lingam Amara Swapna, Mandapathi Priyanka, Rawa Kamal Abdelrahim, Aravinda Basireddy, Obada MandilAnnals of African Medicine 2023 22(4):549-553 Systemic lupus erythematosus (SLE) with oral desquamative lesions is one of the rare clinical entities. Periodontal disease and SLE display various mechanisms and possess a wide range of pathological characteristics. The tissue destruction mechanism of periodontitis and autoimmune diseases share similar pathways, and mounting reports studied the association between these two entities. The present case is of a 24-year-old female patient who complained of generalized widening of spaces in between the teeth. Along with it, She suffered from loss of hair, weakness, edema in the legs as well as arthralgia. The patient was identified to be suffering from SLE according to the American Rheumatism Association and European Academy of Dermatology and Venereology criteria 1 year before she reported to the dentist. She suffered from hair loss, weakness, arthralgia as well as edema in the legs. Based on the oral, clinical, and radiographic findings, she was diagnosed with aggressive periodontitis case. After nonsurgical periodontal treatment, the flap was reflected, debridement was done, after root conditioning with tetracycline, bovine osseous xenograft was placed in all the sites where ever there is angular bone loss, later sutured with interrupted direct loop suturing technique with 4-0 silk suture. Clin...
Source: Annals of African Medicine - Category: African Health Authors: Source Type: research