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Asociación Mexicana de Periodontología, Colegio de Periodoncistas A.C

2013, Número 1

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Rev Mex Periodontol 2013; 4 (1)


Gingivitis ulcerativa necrotizante Revisión y reporte de dos casos

Porras LD, Zerón A

Idioma: Español
Referencias bibliográficas: 60
Paginas: 7-14
Archivo PDF: 293.88 Kb.


RESUMEN

La gingivitis ulcerativa necrotizante (GUN) es una entidad clínica caracterizada por una infección aguda con manifestaciones de dolor en las encías, necrosis en papilas interdentales, sangrado espontáneo y ataque al estado general. La GUN es una enfermedad que puede presentar alta recurrencia. El término «agudo» en GUNA es un vocablo que sirve tradicionalmente para describir una entidad clínica, pero no es una clasificación. Como no hay una forma crónica de GUN, se considera que el término «agudo» no debe usarse para referirse a dicha enfermedad. Simplemente, la GUN es un cuadro clínico agudo. El aumento en las líneas de evidencia demuestra que este filo bacteriano se asocia fuertemente con enfermedades periodontales. En estudios recientes, se ha comparado la presencia y niveles de Synergistetes cluster B, fusobacterias, prevotelas y diversas espiroquetas. En este artículo se reportan dos casos clínicos. El objetivo de este artículo es hacer una revisión de la etiología, características clínicas y la presentación de dos casos clínicos.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Hirschfeld L, Beube F. and Siegel EH. The History of Vincent’s Infection. J. Periodontol. 1940; 2: 89.

  2. Kardachian Jr and Clarke NG. An etiology of Acute Necrotising Ulcerative Gingivitis: A Hypothetical Explanation. J. Periodontol. 1974; 45(11): 830-832.

  3. Lang N, Meng HX, Soskolne WA, Newman M, Greenstein G, Novak MJ, Cochran D, Tenenbaum H and Corbet E. Consensus Report: Necrotizing Periodontal Diseases. Annals Periodontol. 1999; 4(1): 65-78.

  4. Corbet EF. Diagnosis of acute periodontal lesions. Periodontol 2000. 2004; 34: 204-216.

  5. Shannon I. et al. Stress as a predisposing factor in necrotizing ulcerative gingivitis. J Perio. 1969; 40: 2402.

  6. Novak MJ. Necrotizing ulcerative periodontitis. Ann Periodontol. 1999; 4(1): 74-78.

  7. Horning, G. and Cohen, M.: Necrotizing ulcerative gingivitis, periodontitis, and stomatitis: Clinical staging and predisposing factors. J Perio. 1995; 66: 990-998.

  8. Clower BR, Andy OJ, Montalvo AM, Peeler D. The hippocampus and stress induced 17-OHCS elevations. Pavlov J Biol Sci. 1979;14(2): 86-92.

  9. Loesche, W.J. et al. The bacteriology of acute necrotizing ulcerative gingivitis. J Periol. 1982; 53: 223-230.

  10. Johnson, BD and Engle D. Acute necrotizing gingivitis: A review of diagnosis, etiology, and treatment. J Periodontol. 1986; 57: 141.

  11. Klokkevold PR. Necrotizing ulcerative periodontitis. In: Newman MG, Takei H, Klokkevold PR, Carranza FA, editors. Carranza’s Clinical Periodontology. 11th ed. St. Louis: Saunders: 2012; pp.165-168.

  12. Okudaa T, Kokubua E, Kawanaa T, Saitob S, Okudaa K, Ishihara K. Synergy in biofilm formation between Fusobacterium nucleatum and Prevotella species. Anaerobe. 2012; 18(1): 110–116.

  13. Rees TD. Pathology and management of periodontal problems in patients with HIV infection. In: Newman MG, Takei H Klokkevold PR, Carranza FA, editors. Carranza’s Clinical Periodontology. 11th ed. St. Louis: Saunders: 2012; p.181.

  14. Listgarten MA. Electron microscopic observations on the bacterial flora of acute necrotizing ulcerative gingivitis. J Periodontol. 1965; 36: 328-339.

  15. Listgarten M. and Lewis D. The distribution of spirochetes in the lesion of ANUG. J Perio. 1967; 38: 379.

  16. Chan EC, McLaughlin R. Taxonomy and virulence of oral spirochetes. Oral Microbiol Immunol. 2000; 15(1): 1-9.

  17. Falkler Jr WA, Martin SA, Vincent JW, Tall BD, Nauman RK, Suzuki JB. A clinical, demographic and microbiologic study of ANUG patients in an urban dental school. Journal of Clinical Periodontology. 1987; 14(6): 307–314.

  18. Purnima SK. Sex and the subgingival microbiome: Do female sex steroids affect periodontal bacteria? Periodontology 2000. 2013; 61(1): 103-124.

  19. Zerón A. Biofilm Microbiano, Nuevas perspectiva en el control de placa bacteriana. Rev. Odontología Actual. 2006; 43.

  20. Baumgartner A, Thurnheer T, Luthi-Schaller H, Gmur R. and Belibasakis GN. The phylum Synergistetes in gingivitis and necrotizing ulcerative gingivitis. Journal of Medical Microbiology. 2012; 61: Pt-11,1600-1609.

  21. Glick M, Muzyka BC, Lurie D, Salkin LM. Oral manifestations associated with HIV-related disease as markers for immune suppression and AIDS. Oral Surgery, Oral Medicine, Oral Pathology. 1994; 77(4): 344–349.

  22. EC-Clearinghouse on oral problems related to HIV infection and WHO collaborating centre on oral manifestations of the human immunodeficiency virus. Classification and diagnostic criteria for oral lesions in HIV infection. J Oral Pathol Med. 1993; 22: 289–291.

  23. Reichart PA. Oral manifestations in HIV infection: fungal and bacterial infections, Kaposi’s sarcoma. Med Microbiol Immunol. 2003;192(3): 165-169.

  24. Belibasakis GN, Oztürk VO, Emingil G, Bostanci N. Synergistetes cluster A in saliva is associated with periodontitis. J Periodontal Res. 2013; doi:10.1111/jre.12061.

  25. Jumas-Bilak, E, Carlier JP, Jean-Pierre H, Citron D, Bernard K, Damay A, Gay B, Teyssier C, Campos J and Marchandin H. Jonquetella anthropi gen. nov., sp. nov., the first member of the candidate phylum “Synergistetes” isolated from man. Int. J. Syst. Evol. Microbiol. 2007; 57(Pt 12): 2743–2748.

  26. Cappuyns I, Gugerli P, Mombelli A. Viruses in periodontal disease-a review. Oral Diseases. 2005; 11: 219-229.

  27. Atout RN, Todescan S. Managing Patients with Necrotizing Ulcerative Gingivitis. J Can Dent Assoc. 2013; 79(d46).

  28. Todescan S, Nizar R. Managing Patients with Necrotizing Ulcerative Periodontitis. J Can Dent Assoc. 2013; 79(d44).

  29. Novak MJ. Necrotizing ulcerative periodontitis. Ann Periodontol. 1999; 4(1): 74-77.

  30. Batista EL Jr, Novaes AB Jr, Calvano LM, do Prado EA, Goudouris ES, Batista FC. Necrotizing ulcerative periodontitis associated with severe congenital immunodeficiency in a prepubescent subject: clinical findings and response to intravenous immunoglobulin treatment. J Clin Periodontol. 1999; 26(8): 499–504.

  31. Hirschfeld L, Beube F. and Siegel EH. The History of Vincent’s Infection. J. Periodontol. 1940; 2: 89.

  32. Kardachian Jr and Clarke NG. An etiology of Acute Necrotising Ulcerative Gingivitis: A Hypothetical Explanation. J. Periodontol. 1974; 45(11): 830-832.

  33. Lang N, Meng HX, Soskolne WA, Newman M, Greenstein G, Novak MJ, Cochran D, Tenenbaum H and Corbet E. Consensus Report: Necrotizing Periodontal Diseases. Annals Periodontol. 1999; 4(1): 65-78.

  34. Corbet EF. Diagnosis of acute periodontal lesions. Periodontol 2000. 2004; 34: 204-216.

  35. Shannon I. et al. Stress as a predisposing factor in necrotizing ulcerative gingivitis. J Perio. 1969; 40: 2402.

  36. Novak MJ. Necrotizing ulcerative periodontitis. Ann Periodontol. 1999; 4(1): 74-78.

  37. Horning, G. and Cohen, M.: Necrotizing ulcerative gingivitis, periodontitis, and stomatitis: Clinical staging and predisposing factors. J Perio. 1995; 66: 990-998.

  38. Clower BR, Andy OJ, Montalvo AM, Peeler D. The hippocampus and stress induced 17-OHCS elevations. Pavlov J Biol Sci. 1979;14(2): 86-92.

  39. Loesche, W.J. et al. The bacteriology of acute necrotizing ulcerative gingivitis. J Periol. 1982; 53: 223-230.

  40. Johnson, BD and Engle D. Acute necrotizing gingivitis: A review of diagnosis, etiology, and treatment. J Periodontol. 1986; 57: 141.

  41. Klokkevold PR. Necrotizing ulcerative periodontitis. In: Newman MG, Takei H, Klokkevold PR, Carranza FA, editors. Carranza’s Clinical Periodontology. 11th ed. St. Louis: Saunders: 2012; pp.165-168.

  42. Okudaa T, Kokubua E, Kawanaa T, Saitob S, Okudaa K, Ishihara K. Synergy in biofilm formation between Fusobacterium nucleatum and Prevotella species. Anaerobe. 2012; 18(1): 110–116.

  43. Rees TD. Pathology and management of periodontal problems in patients with HIV infection. In: Newman MG, Takei H Klokkevold PR, Carranza FA, editors. Carranza’s Clinical Periodontology. 11th ed. St. Louis: Saunders: 2012; p.181.

  44. Listgarten MA. Electron microscopic observations on the bacterial flora of acute necrotizing ulcerative gingivitis. J Periodontol. 1965; 36: 328-339.

  45. Listgarten M. and Lewis D. The distribution of spirochetes in the lesion of ANUG. J Perio. 1967; 38: 379.

  46. Chan EC, McLaughlin R. Taxonomy and virulence of oral spirochetes. Oral Microbiol Immunol. 2000; 15(1): 1-9.

  47. Falkler Jr WA, Martin SA, Vincent JW, Tall BD, Nauman RK, Suzuki JB. A clinical, demographic and microbiologic study of ANUG patients in an urban dental school. Journal of Clinical Periodontology. 1987; 14(6): 307–314.

  48. Purnima SK. Sex and the subgingival microbiome: Do female sex steroids affect periodontal bacteria? Periodontology 2000. 2013; 61(1): 103-124.

  49. Zerón A. Biofilm Microbiano, Nuevas perspectiva en el control de placa bacteriana. Rev. Odontología Actual. 2006; 43.

  50. Baumgartner A, Thurnheer T, Luthi-Schaller H, Gmur R. and Belibasakis GN. The phylum Synergistetes in gingivitis and necrotizing ulcerative gingivitis. Journal of Medical Microbiology. 2012; 61: Pt-11,1600-1609.

  51. Glick M, Muzyka BC, Lurie D, Salkin LM. Oral manifestations associated with HIV-related disease as markers for immune suppression and AIDS. Oral Surgery, Oral Medicine, Oral Pathology. 1994; 77(4): 344–349.

  52. EC-Clearinghouse on oral problems related to HIV infection and WHO collaborating centre on oral manifestations of the human immunodeficiency virus. Classification and diagnostic criteria for oral lesions in HIV infection. J Oral Pathol Med. 1993; 22: 289–291.

  53. Reichart PA. Oral manifestations in HIV infection: fungal and bacterial infections, Kaposi’s sarcoma. Med Microbiol Immunol. 2003;192(3): 165-169.

  54. Belibasakis GN, Oztürk VO, Emingil G, Bostanci N. Synergistetes cluster A in saliva is associated with periodontitis. J Periodontal Res. 2013; doi:10.1111/jre.12061.

  55. Jumas-Bilak, E, Carlier JP, Jean-Pierre H, Citron D, Bernard K, Damay A, Gay B, Teyssier C, Campos J and Marchandin H. Jonquetella anthropi gen. nov., sp. nov., the first member of the candidate phylum “Synergistetes” isolated from man. Int. J. Syst. Evol. Microbiol. 2007; 57(Pt 12): 2743–2748.

  56. Cappuyns I, Gugerli P, Mombelli A. Viruses in periodontal disease-a review. Oral Diseases. 2005; 11: 219-229.

  57. Atout RN, Todescan S. Managing Patients with Necrotizing Ulcerative Gingivitis. J Can Dent Assoc. 2013; 79(d46).

  58. Todescan S, Nizar R. Managing Patients with Necrotizing Ulcerative Periodontitis. J Can Dent Assoc. 2013; 79(d44).

  59. Novak MJ. Necrotizing ulcerative periodontitis. Ann Periodontol. 1999; 4(1): 74-77.

  60. Batista EL Jr, Novaes AB Jr, Calvano LM, do Prado EA, Goudouris ES, Batista FC. Necrotizing ulcerative periodontitis associated with severe congenital immunodeficiency in a prepubescent subject: clinical findings and response to intravenous immunoglobulin treatment. J Clin Periodontol. 1999; 26(8): 499–504.




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