A case report of Parry Romberg Syndrome initially presenting as periodontitis. (20th October 2017)

• Record Type: Journal Article
• Authors: Taylor, G.; Culshaw, S.; Armas, J.; Savarrio, L.; Goodall, C.
• Is Part Of: Oral surgery. Volume 11:Number 2(2018:May)
• Page Start: 131
• Page End: 135
• Publication Date: 2017-10-20
• Subjects: asymmetry -- hemifacial atrophy -- Parry Romberg Syndrome -- periodontitis; Mouth -- Surgery -- Periodicals; 617.522059
• DOI: 10.1111/ors.12315
• Languages: English
• ISSNs: 1752-2471

Abstract

Abstract: Parry Romberg Syndrome (PRS) is a rare disorder of progressive hemifacial atrophy, involving soft tissues, fat and occasionally bone. It can co‐exist with presentations of Morphea. We describe an unusual case of persistent periodontal and alveolar destruction associated with PRS. A 56‐year‐old African female initially presented with persistent periodontal destruction, which showed minimal response to conventional periodontal treatment. After non‐surgical treatment, surgical debridement followed by extraction of the two right maxillary incisor teeth was required to halt the periodontal destruction. Atrophy was not limited to the periodontal tissues. Multidisciplinary care and extensive investigations were required to diagnose PRS. Once the PRS has stabilised, adipose tissue transplants will be required to improve the facial appearance. We highlight the need for extensive investigations and a multidisciplinary approach to diagnose rare systemic causes for recalcitrant periodontal disease.