Early-onset periodontitis associated with Weary-Kindler syndrome: a case report.

Abstract:

:Weary-Kindler syndrome is a rare and poorly understood genetic disorder that has manifestations of both epidermolysis bullosa and poikiloderma congenitale. There are approximately 70 cases documented in the past 40 years but no cases appear in the dental literature, although dental findings have been discussed superficially in dermatological and pediatric publications. This case reports on the periodontal findings and treatment for a 16-year-old female diagnosed with the syndrome. Early exfoliation of deciduous teeth, severe periodontal bone loss around many permanent teeth, and fragile bleeding gingiva were key features. Microbiological testing revealed an absence of Actinobacillus actinomycetemcomitans and low levels of other commonly accepted periodontal pathogens. Tests for inflammation, including AST and elastase, were positive prior to therapy and greatly decreased after mechanical root instrumentation. A beneficial effect of non-surgical periodontal therapy was observed in the short-term follow-up.

journal_name

J Periodontol

authors

Wiebe CB,Silver JG,Larjava HS

doi

10.1902/jop.1996.67.10.1004

subject

Has Abstract

pub_date

1996-10-01 00:00:00

pages

1004-10

issue

10

eissn

0022-3492

issn

1943-3670

journal_volume

67

pub_type

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