A case of early-onset periodontitis with vitamin D deficiency: A case report and literature review.
Medicine (Baltimore)
; 102(39): e35321, 2023 Sep 29.
Article
em En
| MEDLINE
| ID: mdl-37773856
ABSTRACT
RATIONALE Periodontitis is an inflammatory disease with multifactorial etiology. Vitamin D, a fat-soluble vitamin, has protective effects on inflammatory response in various systemic conditions. The clinical features of vitamin D deficiency include growth failure, hypotonia, pathologic fractures, rachitic rosary, tetany and so on. Here we present a case of 12-year-old girl affected by early-onset periodontitis accompanied with vitamin D deficiency. PATIENT CONCERNS A 12-year-old girl with gingival redness, bleeding associated with tooth brushing, and mandibular anterior teeth movement, with difficulty in mastication for the past 2 months. There is no relevant family history or special systemic disease history. The serological microelement test showed vitamin D levels were significantly lower than normal range. Immunological test showed abnormal CD4+/CD8+(CD3+CD4+/CD3+CD8+) ratio as well. DIAGNOSES Based on the clinical and serological findings, this patient was ultimately diagnosed with early-onset periodontitis accompanied with vitamin D deficiency. INTERVENTIONS:
The main treatments for this patient were 3-fold periodontal therapy, vitamin D supplement and oral hygiene instructions.OUTCOMES:
Following 1-year therapy, periodontal conditions recovered and became stable. And serological vitamin D levels returned to normal range. LESSONS The case of interest serves as an important reminder to clinicians, that the early-onset periodontitis may be associated with micronutrients abnormalities, and early-diagnosis and treatment could avoid the body heathy disorders.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Periodontite Agressiva
/
Deficiência de Vitamina D
Tipo de estudo:
Screening_studies
Limite:
Child
/
Female
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Humans
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article