浆细胞牙龈炎的挑战与解决方案:临床病例分析

Abdurasheed E. M Edakkod Mathamkuth, Raseena Beevi N, Rafeek Ra, Roshni Ramesh, Sharon Philip
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摘要

浆细胞性牙龈炎(PCG)是一种不常见的良性牙龈疾病,其特征是牙龈出现界限清晰的红斑和水肿,通常会延伸到粘龈交界处。这种超敏反应表现为弥漫性乳头状牙龈炎症,在受到轻微创伤时容易出血。组织学上,PCG 表现为胶原基质中正常浆细胞的密集浸润,通常发生在游离龈和附着龈。主要的治疗方法包括识别和避免过敏源,同时进行非手术牙周治疗。我们报告了一名 26 岁的女性患者,临床诊断为浆细胞性牙龈炎,并经组织学证实。通过手术治疗和药物干预,患者的症状得到完全缓解。本病例强调了全面评估和针对性治疗方法在治疗浆细胞性牙龈炎中的重要性。
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Challenges and solutions in plasma cell gingivitis: A clinical case analysis
Plasma cell gingivitis (PCG) is an uncommon benign gingival condition characterized by sharply defined erythematous and oedematous gingival lesions, often extending to the mucogingival junction. This hypersensitivity reaction presents as diffuse, papillary gingival inflammation, prone to bleeding upon minimal trauma. Histologically, PCG manifests as a dense infiltration of normal plasma cells within collagenous stroma, typically localized to the free and attached gingiva. The primary management approach involves identification and avoidance of the allergen source, alongside nonsurgical periodontal therapy. We report a 26-years-old female patient diagnosed clinically as plasma cell gingivitis and confirmed histologically. Surgical treatment along with pharmacological interventions resulted in complete resolution of symptoms. This case underscores the importance of comprehensive evaluation and tailored treatment approaches in managing plasma cell gingivitis.
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