Long‐term results after treatment of periodontitis in patients with Papillon–Lefèvre syndrome: success and failure. (8th July 2013)

• Record Type: Journal Article
• Authors: Nickles, Katrin; Schacher, Beate; Ratka‐Krüger, Petra; Krebs, Mischa; Eickholz, Peter
• Is Part Of: Journal of clinical periodontology. Volume 40:Number 8(2013:Aug.)
• Page Start: 789
• Page End: 798
• Publication Date: 2013-07-08
• Subjects: Periodontics -- Periodicals; 617.6
• DOI: 10.1111/jcpe.12120
• Languages: English
• ISSNs: 0303-6979

Abstract

<abstract abstract-type="main" id="jcpe12120-abs-0001"> <title>Abstract</title> <sec id="jcpe12120-sec-0001" sec-type="section"> <title>Aim</title> <p>Retrospective evaluation of periodontal status in patients with Papillon–Lefèvre syndrome (PLS) observed for ≥10 years; identification of factors that may influence treatment outcome; and reporting of the outcome of dental implants in four PLS patients.</p> </sec> <sec id="jcpe12120-sec-0002" sec-type="section"> <title>Methods</title> <p>All PLS patients currently registered at the Department of Periodontology, Goethe‐University Frankfurt with a follow‐up ≥10 years (13–33 years; mean 22 years) were recruited. Eight patients (aged 17–46 years) from five families (three pairs of siblings) were included.</p> </sec> <sec id="jcpe12120-sec-0003" sec-type="section"> <title>Results</title> <p>After comprehensive periodontal therapy in eight PLS patients, teeth were retained in only two. In six patients, all teeth were extracted, almost entirely due to periodontal reasons. In four patients, teeth were prosthodontically restored with implants. Currently, three patients already show peri‐implantitis.</p> </sec> <sec id="jcpe12120-sec-0004" sec-type="section"> <title>Conclusions</title> <p>In some PLS patients, periodontitis may be arrested by: combined mechanical and antibiotic periodontal treatment; extraction of severely diseased teeth; oral hygiene instructions; intensive maintenance therapy; and microbiological monitoring and treatment of the infection with <italic>Aggregatibacter actinomycetemcomitans</italic>. Implants in PLS patients who did not follow any maintenance programme have a high risk of peri‐implantitis and implant loss. Treatment of PLS patients has always to be considered as high‐risk cases.</p> </sec> </abstract>