Gingival necrosis due to the ill-fitting denture.
We present a case of an 80-year-old male who was referred to the Department of Oral Medicine, School of Dental Medicine University of Zagreb, Croatia due to gingival ulcer which was present for eight days. Clinical examination has revealed exposed bone on the toothless alveolar ridge in the lower molar region on the right side of 0.8 cm in diameter. Otherwise, the patient was taking doxazosin due to urinary problems and ipatropium bromide due to respiratory problems. The patient wore a 6-year-old partial lower denture. He was initially treated with periodontal bandage (Resopack, HagenWerken, Germany) for the first three days and was instructed not to wear the denture; however, no benefit could be seen. Therefore, we added a local corticosteroid (betamethasone) and am oral antiseptic (chlorhexidine digluconate) applied three times a day. After 3 weeks the lesion healed. A list of possible causative factors regarding gingival ulcers is included.
Department of Oral Medicine, School of Dental Medicine, University of Zagreb.
Vucicevic
V
Boras
J Periodontol. 2005 Oct;76(10):1793-7
16253103
Dent Update. 2009 Jan-Feb;36(1):26-7
19294832
Burns. 1999 Aug;25(5):465-6
10439160
BMJ Case Rep. 2013 Jan 25;2013:null
23355591
Burns. 2004 Sep;30(6):614-5
15302435
Int J Periodontics Restorative Dent. 2013 Sep-Oct;33(5):635-9
23998159
J Indian Soc Periodontol. 2012 Apr;16(2):282-5
23055601
Dent Traumatol. 2007 Apr;23(2):123-7
17367461
Int Endod J. 2000 Jan;33(1):67-71
11307476
Dtsch Zahnarztl Z. 1978 Jan;33(1):93-5
271595
Gen Dent. 2011 Nov-Dec;59(6):504-6
22313923
J Burn Care Res. 2009 Jul-Aug;30(4):740-3
19506514
Quintessence Int. 2008 Jun;39(6):491-4
19057745
Br Dent J. 2010 Jul 10;209(1):4
20616817