Ligneous gingivitis: a case report: Lignöz gingivitis: olgu sunumu

Hasan Gündoğar; Kemal Üstün; Ufuk Sezer; Kamile Erciyas

doi:10.5455/GMJ-30-2013-130

Authors

Hasan Gündoğar Gaziantep Üniversitesi, Diş Hekimliği Fakültesi, Periodontoloji Anabilim Dalı, Gaziantep
Kemal Üstün Gaziantep Üniversitesi, Diş Hekimliği Fakültesi, Periodontoloji Anabilim Dalı, Gaziantep
Ufuk Sezer Gaziantep Üniversitesi, Diş Hekimliği Fakültesi, Periodontoloji Anabilim Dalı, Gaziantep
Kamile Erciyas Gaziantep Üniversitesi, Diş Hekimliği Fakültesi, Periodontoloji Anabilim Dalı, Gaziantep

DOI:

https://doi.org/10.5455/GMJ-30-2013-130

Keywords:

Gingivitis, ligneous, ligneous conjunctivitis, periodontal disease

Abstract

Ligneous gingivitis, also known as destructive membranous periodontal disease is a rare periodontal condition. While first case was published by Frimodt-Moller at 1973, ligneous conjunctivitis was first described in 1847 by Bouisson. It is characterized by nodular gingival enlargement with ulcerations. Usually conjunctival and gingival lesions were observed together and have same histopathological changes. A 32 month-old female patient with ligneous conjunctivitis, was referred to Gaziantep University, Faculty of Dentistry, Department of Periodontology clinic with the diagnosis of spread gingival enlargement at the mandible and maxilla. These gingival enlargements were painless, hyperemic, nodular, and woody-like and covered by pseudo membrane. Radiographic evaluation showed normal alveolar bone and no attachment loss. Hematological analyses showed an increase in white blood cells, and increase in lymphocytes but decrease in neutrophils. As far as we know this is the youngest case reporting ligneous gingivitis after Frimodt-Mollers’ case. Although most of the case reports focused on histopathological change and level of plasminogen in these patients, up to now exact information about pathogenesis of ligneous gingivitis and conjunctivitis is not available in the literature. Question of the researchers about how to manage and effectively treat this disease remains unclear.

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