Thomas Charlotte, Dimmock Mylène, Gilletta de Saint-Joseph Cyrielle, Barres Béatrice, Paul Carle, Cousty Sarah, Laurencin-Dalicieux Sara
Periodontology Department, CHU de Toulouse, Toulouse, France.
Toulouse Faculty of Dental Medicine, Paul Sabatier University, Toulouse, France.
Case Rep Gastroenterol. 2021 Mar 4;15(1):276-281. doi: 10.1159/000513156. eCollection 2021 Jan-Apr.
Identification of extra-digestive manifestations of inflammatory bowel disease (IBD) is essential. The oral cavity is a preferential site in which gingival enlargement may be one of these manifestations. We present, in this article, two original cases and a concept map that highlights the need for a close collaboration between the dental surgeon or oral specialist, the dermatologist, and the gastroenterologist. In the first case, the strictly local management of a systemic IBD oral complication, can relieve and answer the patient's complaint without modifying or disrupting the systemic treatment already implemented by the gastroenterologists. In the second case, the dental surgeon's diagnosis of gingival enlargement turns out to be the inaugural manifestation of Crohn's disease and allows early treatment of the intestinal pathology. These two cases illustrate the close link between the oral cavity and IBD. Knowledge and multidisciplinary management of these manifestations such as proposed in the concept map are essential for clinicians for the early diagnosis and the improvement of the oral and general quality of life of patients suffering from IBD.
识别炎症性肠病（IBD）的消化道外表现至关重要。口腔是一个易出现这些表现的部位，牙龈肿大可能就是其中之一。在本文中，我们展示了两个原始病例以及一个概念图，该概念图强调了牙科医生或口腔专科医生、皮肤科医生和胃肠病学家之间密切合作的必要性。在第一个病例中，对全身性IBD口腔并发症进行严格的局部处理，可以缓解并解决患者的主诉，而无需改变或中断胃肠病学家已实施的全身治疗。在第二个病例中，牙科医生对牙龈肿大的诊断结果成为克罗恩病的首发表现，并使得肠道病变能够得到早期治疗。这两个病例说明了口腔与IBD之间的紧密联系。如概念图中所提议的，对这些表现的了解和多学科管理对于临床医生早期诊断以及改善IBD患者的口腔和总体生活质量至关重要。
