PLAUT-VINCENT STOMATITIS: A CASE REPORT

Abstract

Necrotizing ulcerative stomatitis or Plaut-Vincent's Stomatitis is a complication of necrotizing ulcerative gingivitis that extends beyond the gingiva and is involved in other parts of the oral mucosa, with Fusiform bacillus, Borrelia vincenti and other anaerobic microorganisms being the most common associated bacteria. It starts with sore throat, bad smell in the mouth, bleeding gums in young adults with poor oral hygiene and decreased immune resistance. In this case, clinical findings of Plaut-Vincent Stomatitis belonging to a male patient are presented. In a 22-year-old male patient, erythematous, ulcers with irregular margins and grayish-white fibrin were observed in the soft tissue of the right third molar region of the mandible and in the buccal mucosa. The patient has halitosis, difficulty in swallowing, pain in the oropharynx, and lymphadenopathy. In the treatment of infected tissues, improvement was observed after systemic antibiotics and hydrogen peroxide mouthwash were applied for 6-7 days. Plaut-Vincent Stomatitis is frequently seen in young adults and poor oral hygiene, smoking, emotional stress, alcohol consumption and malnutrition are stated as etiological factors that predispose to this disease. Detection of ulcerated lesions in soft tissue examination is important in diagnosis and treatment.

Keywords

• Necrotizing ulcerative stomatitis
• Plaut-Vincent Stomatitis
• Third molar

PLAUT -VİNCENT STOMATİTİSİ: BİR OLGU SUNUMU

Abstract

Nekrotizan ülseratif stomatitis ya da Plaut -Vincent Stomatitisi nekrotizan ülseratif gingivitisin bir komplikasyonu olup gingivanın ötesine uzanarak oral mukozanın diğer bölgelerinde tutulum gösteren, Fusiform basillus, Borrelia vincenti ve diğer anaerobik mikroorganizmaların en yaygın ilişkili bakteriler olduğu tablodur. Ağız hijyeni iyi olmayan, immün direnci düşmüş genç erişkinlerde, boğaz ağrısı, ağızda kötü koku, dişeti kanamasıyla başlar. Bu olguda erkek hastaya ait Plaut -Vincent Stomatitisi klinik bulguları sunulmaktadır. 22 yaşında erkek hastada mandibula sağ üçüncü molar bölge yumuşak dokuda ve bukkal mukozada eritemli, ülserlerle birlikte düzensiz marjinler ve kirli beyaz, grimsi fibrin izlenmiştir. Hastada halitozis, yutkunmada zorluk, orofarenkste ağrı ve lenfadenopati mecvuttur. Enfekte dokuların tedavisinde 6-7 gün süreyle sistemik antibiyotik ve hidrojen peroksitli gargara uygulandıktan sonra iyileşme gözlenmiştir. Sıklıkla genç erişkinlerde görülmekle birlikte kötü ağız hijyeni, sigara, duygusal stres, alkol tüketimi ve yetersiz beslenme bu hastalığa zemin hazırlayan etiyolojik faktörler olarak belirtilmektedir. Hastalarda yumuşak doku muayenesinde ülsere lezyonların tespit edilmesi, tanı ve tedavide önem taşımaktadır.

Keywords

• Nekrotizan ülseratif gingivitis
• Plaut-Vincent Stomatiti
• 3.Molar diş

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