Department of Pediatric Dentistry, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Arch Iran Med. 2010 Jul;13(4):355-9.
Progressive periodontal disease in leukocyte adhesion deficiency children may lead to severe systemic infections and even death. A five-year-old Iranian male child with leukocyte adhesion deficiency I was first seen in December 2005 at the Pediatric Dentistry Department of Shahid Beheshti Medical University and diagnosed with periodontitis as a manifestation of systemic disease. The treatment approach was based on assessing plaque index, oral prophylaxis, periodic supra and subgingival scaling, in addition to strict oral hygiene instruction with a chlorhexidine prescription and restoration of decayed teeth. The patient attended two dental visits at a one month interval. At the second session, an improvement was seen in the plaque index. Gingival inflammation and bleeding were decreased. Unfortunately he did not regularly attend treatment sessions and at the following examination, progression of periodontitis and bone destruction occurred. The present case emphasizes the need for cooperation between medical and dental professionals, parents and the pediatric patient in order to achieve treatment goals in controlling oral infection in these patients.
白细胞黏附缺陷儿童的进行性牙周病可能导致严重的全身感染，甚至死亡。一名五岁的伊朗男性白细胞黏附缺陷 I 型患儿于 2005 年 12 月首次在沙希德贝赫什提医科大学儿科牙科就诊，被诊断为牙周炎，这是全身疾病的表现。治疗方法基于评估菌斑指数、口腔预防、定期龈上和龈下刮治，此外还包括使用洗必泰进行严格的口腔卫生指导和修复龋齿。该患者在一个月的间隔内进行了两次牙科就诊。在第二次就诊时，菌斑指数有所改善。牙龈炎症和出血减少。不幸的是，他没有定期接受治疗，在下一次检查时，牙周炎和骨破坏进展。本病例强调了医疗和牙科专业人员、家长和儿科患者之间合作的必要性，以实现控制这些患者口腔感染的治疗目标。
