title: Professional oral hygiene as a therapeutic option for pediatric patients with plasma cell gingivitis: preliminary results of a prospective case series.
abstract: BACKGROUND
  Plasma cell gingivitis (PCG) is a rare, benign inflammatory condition of unclear etiology with no definitive standard of care ever reported to our knowledge. The aim of this case series is to ascertain the clinical efficacy of professional oral hygiene and periodontal therapy in younger individuals with a histologically confirmed diagnosis of PCG.
  
  
  METHODS
  All patients received non-surgical periodontal therapy, including oral hygiene instructions, and thorough supragingival scaling and polishing with the removal of all deposits and staining combined with the use of antimicrobials in a 9-week cohort study. Clinical outcome variables were recorded at baseline and 4 weeks after the intervention and included, as periodontal parameters, full-mouth plaque scores (FMPS), full-mouth bleeding scores (FMBS), the clinical extension of gingival involvement, and patient-related outcomes (visual analog score of pain).
  
  
  RESULTS
  A total of 11 patients (six males and five females; mean age: 11 ± 0.86 years) were recruited. Four weeks after finishing the oral hygiene and periodontal therapy protocol, a statistically significant reduction was observed for FMPS (P = 0.000), FMBS (P = 0.000), reported pain (P = 0.003) and clinical gingival involvement (P = 0.003).
  
  
  CONCLUSIONS
  Standard, professional oral hygiene procedures and non-surgical periodontal therapy including antimicrobials were associated with a marked improvement of clinical and patient-related outcomes in pediatric cases of PCG.
authors.affiliation: Department of Biomedical Science and Human Oncology, Oral Medicine Section, Lingotto Dental School, University of Turin, Italy. paolo.arduino@gmail.com
authors.forename: Paolo G
authors.initials: PG
authors.lastname: Arduino
authors.forename: Francesco
authors.initials: F
authors.lastname: D'Aiuto
authors.forename: Claudio
authors.initials: C
authors.lastname: Cavallito
authors.forename: Paola
authors.initials: P
authors.lastname: Carcieri
authors.forename: Mario
authors.initials: M
authors.lastname: Carbone
authors.forename: Davide
authors.initials: D
authors.lastname: Conrotto
authors.forename: Patrizia
authors.initials: P
authors.lastname: Defabianis
authors.forename: Roberto
authors.initials: R
authors.lastname: Broccoletti
mesh_terms: D000293:Adolescent; D000891:Anti-Infective Agents, Local / Q000627:therapeutic use; D002648:Child; D002710:Chlorhexidine / Q000627:therapeutic use; D003777:Dental Prophylaxis; D005260:Female; D005891:Gingivitis / Q000473:pathology / Q000628:therapy*; D006801:Humans; D008297:Male; D010147:Pain Measurement; D010950:Plasma Cells / Q000473:pathology; D011446:Prospective Studies; D016896:Treatment Outcome
chemical_list: D000891:Anti-Infective Agents, Local; D002710:Chlorhexidine