Multifocal Localized Juvenile Spongiotic Gingival Hyperplasia Treated With Combined Laser and Topical Corticosteroid Therapy

Woo, Victoria L.; Riegel, Adam C.; Allen, Julie; Hoban, A.; Saxe, A.; Herschaft, Edward E.; Deandrade, E.

doi:10.1016/j.oooo.2017.06.072

Cited by 3 publications

(4 citation statements)

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“…29 In 10 of the 16 previous studies found in the literature review, surgery was the main treatment modality. 1,2,5,8,9,11,[13][14][15][16] There were recurrence and esthetical issues in these previous case reports. 1,2,9,14 A previous study reported a sequential treatment with chlorhexidine mouth rise, topical corticosteroid, and systemic antifungal agent, without clinical improvement.…”

Section: Discussionmentioning

confidence: 88%

“…Despite the good clinical response, the authors reported moderate discomfort coming from the patient. 3,12,14,15 The spontaneous remission of the lesion has been mentioned in only two previous studies. 1,16 In the former study, the follow-up was not adequately documented.…”

Section: Discussionmentioning

confidence: 99%

“…[18][19][20] In our literature review, 221 previous reported cases of LJSGH were found with no clear gender preponderance (Table 1). [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] This number may be an overestimation or an underestimation, as the disease is recently described and the diagnostic criteria has not been well established in some reports. Some authors have suggested that the lesion should be named as localized spongiotic gingival hyperplasia, as the disease may occur in both pediatric and adult population.…”

Section: Discussionmentioning

confidence: 99%

“…Table 1 summarizes the previous reports of LJSGH. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] The main clinical feature of the disease consists of an erythematous line accompanying the marginal gingiva, and in some cases, gingival hyperplasia is present. Characteristically the disease is not associated with plaque-induced inflammation.…”

Section: Introductionmentioning

confidence: 99%

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A Conservative Approach for Localized Spongiotic Gingivitis Hyperplasia Using Photodynamic Therapy: A Case Report and Review of the Literature

Vieira

Leite

Figueiredo

et al. 2019

Photobiomodulation, Photomedicine, and Laser Surgery

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Objective: To describe a clinical case of successful conservative management of Localized Juvenile Spongiotic Gingivitis Hyperplasia (LJSGH) using photodynamic therapy (PDT) and reviews the current literature on this pathology. Background data: LJSGH is a recently described rare disease with controversial treatment results. As of today, 13 publications report surgical treatment approaches. The use of CO 2 laser and cryotherapy was reported only in one study. The use of PDT was not previously reported. Patients and methods: A 9-year-old male patient was referred to our institution with the chief complaint of asymptomatic ''inflamed gingiva'' starting 1 year before. Clinical examination revealed an erythematous line accompanying the gingival contour, with a certain degree of hyperplasia. The diagnosis of LJSGH was performed based on clinical features and later confirmed histopathologically. A novel approach using PDT was then proposed. The photosensitizer was methylene blue, and a semiconductor laser diode was used. Results: One week after starting PDT, gingival hyperplasia was partially reduced. Immediately after the end of treatment, a significant reduction of gingival hyperplasia was observed. PDT proved to be safe, quick and painless, with no esthetic harm. Conclusions: This case illustrates the benefit of a more conservative approach as opposed to surgical procedure, with good clinical response and decreased morbidity over a 2-year follow-up period.

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