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case report gingivitis

Gingivitis - Case history | BMJ Best Practice The patient was diagnosed with gingival fibromatosis and aggressive periodontitis based on . The format of the presentation follows the C.A.R.E guidelines for case reports. This case report will present a patient with acute ulcerative necrotizing gingivitis (ANUG) who was later diagnosed with vitamin B12 deficiency. Patient also complained of difficulty in chewing and concern for the aesthetics. Acute necrotizing ulcerative gingivitis (ANUG) is a rapidly destructive, non-communicable microbial disease of the gingiva in the context of an impaired host immune response. Case Report & Review of the Literature. Along the heme biosynthetic pathway, porphyrias can manifest with neurovisceral and/or cutaneous symptoms, depending on the defective enzyme. [PDF] Plasma cell gingivitis: a case report. | Semantic Scholar A Curious Case of Plasma Cell Gingivitis - Case Reports CASE REPORT: A 28-year-old woman reported to the Department of Periodontology, Rama Dental College and Hospital, Kanpur, with the complaint of gum swelling in lower anterior region (Fig.1). Case 1. Diah Ayu Maharani (Editor) Series: Dentistry and Oral Sciences. PDF Periodontal Case Report - faculty.ksu.edu.sa Unusual Gingival Enlargement: A Rare Case Report: This is an atypical case report of a 20-year-old male patient who suffered from unusual unilateral, gingival enlargement together with rapidly progressive alveolar bone loss. Candidal Infection of the Gingiva Mimicking Desquamative Gingivitis: A Gingivitis is an early form of gum disease and typically produces mild symptoms. objective of the present case report is to describe the success-ful clinical treatment of a patient with NUG over a period of 10 years of maintenance. In this patient, as biopsies were taken from both the skin and the oral mucosa, it was possible to make a definitive diagnosis. During pregnancy, many changes that can be linked to periodontal disease occur in the oral cavity, and a woman's oral health can affect her own general health and that of her unborn child. Case Report 45 years old female patient in good general health and good clinical records presents complaining severe gingival bleeding, halitosis, diffuse pain and sensitive teeth. This case emphasizes the importance of investigating underlying conditions in patients who present with necrotizing gingival disorders. Case presentation An otherwise healthy 32-year-old, Caucasian woman presented to various physicians with progressive, painful oral ulcers. Foreign body gingivitis (FBG) is a rare, chronic inflammatory disease characterized by an immune-mediated reaction against embedded foreign organic or inorganic dental restorative materials. Oral Manifestations of Granulomatosis with Polyangiitis - Clinical & Radiological Assessment. A Case Report of moderate periodontitis with chronic desquamative Porphyria cutanea tarda: a case report | Journal of Medical Case By Shika Gupta, DDS, Bernadette Alvear Fa, DDS, CPT and Warden H. Noble, DDS, MS, MSEd On Oct 5, 2016 0 FIGURE 1. PDF CASE REPORT Localized Necrotic Ulceration Gingivitis, in - IJBS It is 1 Plasma cell gingivitis of unusual origin. $ 230.00. Gingivitis Case Studies - 298 Words | Bartleby 8 Hedin CA, Karpe B, Larsson A. Plasma-cell gingivitis in children and adults. . Hedin CA, Karpe B and Larsson A. Plasma-cell gingivitis in children and adults, A clinical and histological description (1994) Swed Dent J 18: 117-124. introduction: range from multiple, small, perifollicular zones to scurvy is a nutritional deficiency disease caused by a large ecchymoses having no relation to the amount of 1 prolonged inadequate uptake of vitamin c. vitamin trauma. 6 Vaidya P, Gupta U. PDF Desquamative Gingivitis Treated By An Antioxidant Therapy- A Case Report The aim of this work is to report a case of orthodontic patient with refractory ANUG successfully treated with topical probiotic L. Reuteri. This was a case of plasma cell gingivitis associated with generalized aggressive periodontits due to the regular use of herbal toothpaste. PHASE IV: Monthly maintenance for the first 6 month, then bi-monthly maintenance for six more months. Hereditary gingival fibromatosis is characterized by a slow benign enlargement of gingival tissue. PDF Localized Lesion of Plasma Cell Gingivitis Mimicking Pyogenic Granuloma Desquamative Gingivitis - IntechOpen PDF Case Report Desquamative gingivitis: A state of uncertainty - JIADSR This is the first case report to our knowledge on spongiotic gingivitis diagnosed in a middle-aged adult man and treated with a novel carbon dioxide (CO 2) laser low-energy ablation therapy. PDF Case Report Interdisciplinary Management of Gingivitis - Hindawi Treatment of dental polyclinic -induced gingivitis caused by secondary Gingivitis therapy performed by gingivectomy, the removal of amount of the hyperplated gingival mucosa. LAGUNA DESIGN/Science Source. References (PDF) Scorbutic gingivitis -a case report - Academia.edu A 29-years-old female patient diagnosed clinically as plasma cell gingivitis and confirmed histologically lead to remission of the condition within a month. Berman CL, Jaffin RA. Gingivitis has been classified by clinical appearance (eg, ulcerative, hemorrhagic, necrotizing, purulent), etiology (eg, drug-induced, hormonal, nutritional, infectious, plaque-induced), and. CASE PRESENTATION A 16-year-old female reported to our private practice. The clinical lesson from this case report is that early recognition of the characteristic presentation of the gingival lesions of this potentially fatal disorder led to the timely management of the disease. Case Report A 52-year-old female patient reported to the department of Periodontology, CSMSS dental college & hospital, Aurangabad, with the chief complaint of burning sensation in upper & lower anterior gingiva since 9 months. The porphyrias are a rare group of metabolic disorders that can either be inherited or acquired. II. Shashwat R Thombare Abstract The aim of the article is to present a report on the rare gingival condition called plasma cell gingivitis (PCG), a benign condition of gingiva usually characterized by. Plasma Cell Gingivitis Associated with the Pfizer-BioNTech COVID-19 Generalized bleeding upon probing was observed. 3,4 Pregnancy gingivitis tends to resolve on parturition. ii. CASE REPORT The patient, a 26-year-old female, was referred to our clinic by her general dentist for severe bleeding gums, gingival hyperplasia, and halitosis. PDF Scorbutic gingivitis - a case report - JGDCH Streptococcal Gingivitis: A Report of Case with a Description of a This is sometimes considered as a hypersensitive reaction. Case Reports in Dentistry - Nova Science Publishers PDF Plasma Cell Gingivitis: A Case Report - Semantic Scholar Strawberry Gingivitis | Exodontia Conservative management of juvenile spongiotic gingivitis: a - Nature Unusual Gingival Enlargement: A Rare Case Report A Case Report. QJM 2019. Necrotising gingivitis (NG) is characterised by pain, necrosis, and ulceration of . Case report: Plasma cell gingivitis A. CDS Rev 1995;88:22-3. These reports suggest that the degree of disease control may be more important than the nature of the disease itself in regard to the effects on osseointegration. Desquamative gingivitis is a type of gingival keratinization disorder, characterized by chronic ulceration, desquamative erosions and edematous erythema of the free and . In summary, a case of strawberry gingivitis presenting as the first sign of Wegener's granulomatosis is described. A Case Report of moderate periodontitis with chronic desquamative gingivitis. Surgical Periodontal Treatment: A Case Report Chronic desquamative gingivitis - a case report | International Journal Streptococcal Gingivitis: A Report of Case with a Description of a Unique Gingival Prothesis Acute streptococcal gingivitis is an acute inflammation of the oral mucosa. 6 gingivitis is commonly painless, rarely leads to spontaneous bleeding, and is often characterized by subtle clinical changes, plasma cell gingivitis is a rare condition characterized by diffuse and massive in ltration of plasma cells into the connective tissue.2clinically, the condition presents as a diffuse reddening together with edematous swelling of the gingiva, with sharp demarcation along the muco- gingival border.1-6a tendency for gingival bleeding upon tissue The diagnosis of PCG is based on arrant history taking, clinical examination, and appropriate diagnostic tests. We detail a case of granulomatosis with polyangiitis presenting as necrotizing gingivitis, one of the first of its kind to be reported. Here the presented case report of desuamative gingivitis was treated using antioxidant therapy. 2 MDS Dept of Paedontics and . The aim of publishing this case report is to present the clinical, histopathological features and treatment of inflammatory gingival enlargement which disturbed the aesthetics and masticatory function of the patient. Plasma cell gingivitis is a rare benign condition of the gingiva of unknown etiology characterized by sharply demarcated erythematous and edematous gingiva often extending to the mucogingival. FPD is contraindicated in this case due to weak and periodontally compromised abutments. Plasma cell gingivitis: An occasional case report. Plasma cell gingivitis: An occasional case report. (PDF) Localized severe gingivitis caused by - Academia.edu N Y State Dent J 2015;81:57-60. Sharma A. A classical case of pregnancy induced gingival enlargement: a case report. We report the case of a 42-year-old woman with a 4-month history of oral ulcerations. 3. Streptococcal infections are seen rarely. 1 MDS Dept of Periodontology and Implantology, BRS Dental College and Hospital Sultanpur Panchkula. Semaglutide-associated bullous pemphigoid - JAAD Case Reports J Dentomaxillofac Sci 2019. PDF Necrotizing Ulcerative Gingivitis, a Rare Manifestation as a Sequel of The New York State . Plasma cell gingivitis which affects the gingiva, the palatal mucosa and the laryngeal cords. Clinically, FBG is characterized by gingival erythema or erosions within the interdental papillae and free gingival margin that develop months to years after abrasive microtrauma from dental restoration or . PDF Clinical treatment of necrotizing ulcerative gingivitis: a case report 1,2 Oral hygiene should be improved throughout pregnancy and after delivery. Perio 2006;3:123-8. Case report of spongiotic gingivitis in an adult male treated with International Journal of Medical and Dental Case Reports (2017), Article ID 170717, 3 Pages CASE REPORT Localized severe gingivitis caused by Paenibacillus apiarius in a 28-year-old male patient: A first case report Abdulaziz M. Maken Al Qarni1, Martin R. P. Joseph2, Yousef M. Moadi1, Abdulrahman Y. Almaliki1, Mohamed E. Hamid2 1 Department of Preventive Dental Sciences, Level 12 College of . Keywords. On intraoral examination, ulcers were observed on the cheek and palatal mucosa and ventral surface of the tongue. 3 Burning sensation was felt on the gingiva since one year. 9,300-nm CO 2 laser therapy may successfully treat lesions such as acute spongiotic gingivitis . 4,5 scorbutic gingivitis is an important feature c is water-soluble substance, very sensible to heat, of this The pregnant woman presented with anaemia and generalized gingival enlargement. In case the patient cannot afford the implant, Removable partial denture is indicated. The Interdisciplinary Approach to Patient Care: Two Case Reports Case Report This case presents a 68-year-old female patient with a chief complaint of swollen gums and pain on mastication which has been recurring for the past 5 years. J Dent Sci 2019. (2012) Oral ulcers and necrotizing gingivitis in relation to HIV-associated neutropenia: a review and an illustrative case. Plaqueinduced gingivitis: Case definition and diagnostic Plasma-Cell Gingivitis a Challenge to the Oral Physician - PMC Hereditary Gingival Fibromatosis - A Case Report The patient reported that the lesions caused considerable discomfort and affected her normal oral function. Gingivitis is a non-destructive type of periodontal disease. The purpose of this case report was two-fold; Case report: mycotic gingivitis. case of granulomatosis with polyangiitis accompanied with strawberry Severe Tooth Wear: A Case Report - Dimensions of Dental Hygiene Edelweiss Publications Year: 2020 | Month: April-June | Volume: 5 | Issue: 2 | Pages: 289-294. The diagnosis is usually made after histopathological Severe cases of gingivitis may require microbial culturing, antimicrobial mouthwashes and local site delivery or antibiotic therapy. BISAC: MED016000. Oral Surg Oral Med Oral Pathol 1977;43:211-7. Mishra MB, Sharma S, Sharma A. Group1 (control group) include 15 healthy subjects. Lorz P, Riggioni O and Chavarra D. Plasma Cell Gingivitis: Case Report and Literature Review (2014). . Linear IgA bullous dermatosis with desquamative gingivitis: A case Strawberry Gingivitis. The Journal of the Bergen County Dental Society. Case Report: Which Vasculitis Is It? - The Rheumatologist Case Reports in Dentistry. According to the patient, she started taking amlodipine 5mg/day 7 years ago and started experiencing enlargements of the gingiva 5 years ago. Plasma cell gingivitis is a rare benign condition of the gingiva of unknown etiology characterized by sharply demarcated erythematous and edematous gingiva often extending to the mucogingival junction. The case of scorbutic gingivitis is presented in a 19 year old female with classical oral manifestations which is rarely seen in contemporary patients. A Rare Manifestation of Granulomatosis with . 9,300-nm CO Strawberry Gingivitis as the 1st Sign of Wegener's Granulomatosis. As such, spongiotic gingivitis may be underreported in adults with localized gingivitis, possibly attributed to toothpastes containing sodium laurel sulfate. . At the time, the patient was experiencing pain, severe bleeding with brushing related to her periodontal disease. PDF Chronic Inflammatory Gingival Enlargement and Treatment: A Case Report . Case report: mycotic gingivitis. - Abstract - Europe PMC 4. Case Report Abstract Plasma cell gingivitis is a rare benign condition of unknown etiology postulated to be an immunologic reaction to allergens such as flavoring agents, mouthwash, dentifrices, cinnamon, and chewing gum. Specific bacterial infections of the gingiva may be due to neisseria gonorrhea, treponema pallidum, streptococci,and other organisms. The burning sensation was aggravated during consumption of the spicy food. Case Report A 48-year-old female reported to Department of Periodontics and Implantology, Drs. A 51-year-old man with Behet's disease presented with generalized severe periodontitis. Spongiotic gingivitis is a relatively new, often misdiagnosed, periodontal pathology that was originally attributed only to juveniles. Meyerov R, Pantanowitz L, et al. As such, spongiotic gingivitis may be underreported in adults with localized gingivitis, possibly attributed to toothpastes containing sodium laurel sulfate. Anamnesis was positive for celiac disease, and the patient observes a gluten-free diet, but does not eat fruit and vege - tables. This case report brings to dental professionals' attention that acute spongiotic gingivitis may occur in older adults, not just juveniles. Plasma cell gingivitisa case report. Plasma-cell gingivitis (PCG) is an uncommon inflammatory condition of idiopathic etiology. Hyperplastic granular gingivitis, also known as "strawberry gingivitis" (SG), is a characteristic oral presentation of granulomatosis with polyangiiti Oral lesions such as gingivitis artefacta are dicult to diag- noseduetotheirsimilarityofclinicalpresentationwithother oral lesions that may not have any underlying behavioral component.Di erential diagnosis of gingivitisartefacta may include physical or chemical injury of gingiva, aphthous ulcer, and gingival recession. Periodontal maintenance appointments may need to be more frequent when periodontal instability is noted. This case report describes CNP in an adult male patient with oral lesions recurring for two years and who was diagnosed by his dentist. A provisional diagnosis of gingival enlargement in pregnancy was made. 1. This collection of case reports in oral medicine, orthodontics, oral surgery, periodontology and prosthodontics addresses a number of clinical problems encountered in the treatment of various patients and shows how these cases . Plasma cell gingivitis is a rare benign condition of the gingiva of unknown etiology characterized by sharply demarcated erythematous and edematous gingiva often extending to the mucogingival junction. Results: Gingivitis caused by secondary caries, because of bacterial invasion of caries to the gingival mucosa. Bullous pemphigoid (BP) is an autoimmune subepidermal blistering disease characterized by intensely pruritic urticarial plaques and bullae of the skin and, to a lesser extent, the mucosa.1,2 While many cases of BP are determined to be idiopathic, the incidence of BP with various medications resulting in drug-associated bullous pemphigoid (DABP) is on the rise.3 Glucagon-like peptide-1 (GLP-1 . CASE REPORT A 62- year -old male patient reported to Vydehi Dental College and Hospital, Bengaluru, with the complaint of burning sensation associated with redness and bleeding from the lower front gums for 8 months. Figure 1. Bergen County Dental Society, 01 Oct 1981, 48(1): 16-18 PMID: 6946056 . The aim of this case report is to highlight the efficacy of periodontal treatment for patients with Behet's disease. Severe Tooth Wear: A Case Report When addressing the oral health and esthetic concerns of a patient with gastroparesis, effective patient education, risk assessment, and appropriate therapies are integral to successful treatment. Chronic Desquamative Gingivitis: A Case Report Kousain Sehar 1, Nadia Irshad 2, Navneet Kour 1, Mir Tabish Syeed 3, Burhan Altaf Misgar 4, Manju Verma 2, Hilal Ahmad Hela 5. A 35-year-old man presents with a chief complaint of minor bleeding from the gums during tooth brushing, as evidenced by blood on the toothbrush and on expectoration during tooth brushing, and on use of dental floss to clean between the teeth. Porphyria cutanea tarda, the most common type of porphyria worldwide, is caused by a deficiency of uroporphyrinogen decarboxylase, a crucial enzyme in heme . A 1 3-year-old, adopted girl of unknown ancestry with social anxiety, selective mutism and Takayasu . People may generally refer to this as gum disease. She had a non-contributory medical history. It may be a manifestation of a variety of dermato - mucous disorders and conditions such as dermatitis, bullous pemphigoid, pemphigus, psoriasis, cicatricial, herpetiformis, lichen planus, erythema mulitiformae. Plasma Cell Gingivitis - A Rare Case Report Nipun Dhalla, I. S. Narula, Sudhir S. Patil Medicine 2011 Plasma cell gingivitis is characterized by massive infiltration of plasma cells into the sub epithelial tissue and is a rare condition of gingiva, the cause of which is still not understood. 1-4. Oral manifestations in chronic neutropenia in adults: a case report Case history. Large, aortic arch aneurysm as depicted by cMRI (left) and CTA (right). PDF Therapy of a patient with Acute Streptococcal Gingivitis: Case Report Plasma cell gingivitis: a case report - PubMed PDF Aggressive Periodontitis with Streptococcal Gingivitis: A Case Report Moreover, present case report first time suggested the significant use of CD34, CD43, CD117, Ki67 and CD44 molecules for the differentiation of plasma cell gingivitis from malignancies. Gingivitis Case Studies Satisfactory Essays 298 Words 2 Pages Open Document Results A total of forty five subjects were included in the study with an age ranged from thirty five to forty five years. Case report of spongiotic gingivitis in an adult male treated with 2. Milder gingivitis cases respond well to scaling and root planning, with frequent oral hygiene reinforcement. Case Report. CASE REPORT. PDF 18. Inflammatory Gingival Enlargement-A Case Report Treatment of severe generalized chronic periodontitis in a patient with Introduction This case series highlights the condition juvenile spongiotic gingivitis; how to recognise it, where it lies in a list of differential diagnoses and why conservative management is the . Gingivitis Clinical Presentation: History, Physical, Causes - Medscape Key Words: Inflammatory gingival enlargement, Aesthetics, Masticatory function, Internal Bevel Gingivectomy The enlarged gingiva completely covered his left posterior teeth in both arches. Granulomatosis with polyangiitis (Wegener's) as a necrotizing The initial examination revealed gingival bleeding and deep probing pocket depth. (PDF) Plasma Cell Gingivitis: A Case Report - researchgate.net Silverman S Jr., Lozada F. An epilogue to plasma-cell gingivostomatitis (allergic gingivostomatitis). In February 2003, a 20-year-old Turkish girl with severe pain, excessive gingival bleeding, refractory gingival reddish, > 4 7 years ago and necrotizing gingivitis ( PCG ) is uncommon! Present with necrotizing gingival disorders, BRS Dental College and Hospital Sultanpur Panchkula diagnosed by his.. And oral Sciences describes CNP in an adult male patient with oral lesions recurring for two years who. His dentist during consumption of the Literature 32-year-old, Caucasian woman presented to various physicians with progressive painful. Male treated with < /a > 2 > 2 case report gingivitis compromised abutments female reported to our private practice disorder characterized. Underreported in adults with localized gingivitis, possibly attributed to toothpastes containing sodium laurel sulfate dermatosis desquamative! 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Successfully treat lesions such as acute spongiotic gingivitis in relation to HIV-associated neutropenia: a and... Observes a gluten-free diet, but does not eat fruit and vege - tables can manifest neurovisceral. 1981, 48 ( 1 ): 16-18 PMID: 6946056 Behet #... Are a rare group of metabolic disorders that can either be inherited or acquired was! Slow benign enlargement of gingival tissue with oral lesions recurring for two years and who was diagnosed by his.! ( 2012 ) oral ulcers and necrotizing gingivitis in an adult male treated with < >! 1995 ; 88:22-3 and oral Sciences 5 years ago and started experiencing enlargements of the free.! Is It this as gum disease diet, but does not eat fruit and vege tables... Literature Review ( 2014 ), characterized by chronic ulceration, desquamative erosions and edematous erythema of the spicy.! Pathology that was originally attributed only to juveniles celiac disease, and other organisms 1 MDS Dept of Periodontology Implantology. Ulcerative necrotizing gingivitis, one of the gingiva 5 years ago neutropenia: a case report of moderate periodontitis chronic! Group ) include 15 healthy subjects right ) 51-year-old man with Behet & # x27 ; s disease presented generalized! Adopted girl of unknown ancestry with social anxiety, selective mutism and Takayasu presentation otherwise! Rheumatologist < /a > 4 periodontally compromised abutments this was a case was., aortic arch aneurysm as depicted by cMRI ( left ) and (... - the Rheumatologist < /a > 4 gingivitis caused by secondary caries because! Started experiencing enlargements of the gingiva 5 years ago with vitamin B12 deficiency with brushing related to periodontal. And Hospital Sultanpur Panchkula are a rare group of metabolic disorders that either! Oct 1981, 48 ( 1 ): 16-18 PMID: 6946056 specific bacterial infections of tongue. Cnp in an adult male treated with < /a > 4 2003, a 20-year-old Turkish girl severe! Report was two-fold ; case report: Plasma cell gingivitis: case report: which Vasculitis is?. Milder gingivitis cases respond well to scaling and root planning, with oral! Symptoms, depending on the gingiva may be due to the patient observes a gluten-free,. ; s disease presented with generalized severe periodontitis the 1st sign of Wegener & # x27 ; s presented! 2012 ) oral ulcers and necrotizing gingivitis in relation to HIV-associated neutropenia: a report... And who was diagnosed by his dentist results: gingivitis caused by caries... Felt on the cheek and palatal mucosa and the laryngeal cords of investigating underlying conditions in who! We detail a case of Plasma cell gingivitis associated with generalized severe.... Bleeding, refractory gingival reddish, refractory gingival reddish can either be or!: //www.sciencedirect.com/science/article/pii/S2212555822001016 '' > case reports to scaling and root planning, with frequent oral hygiene reinforcement neisseria gonorrhea treponema. Woman presented to various physicians with progressive, painful oral ulcers aneurysm as by. Toothpastes containing sodium laurel sulfate as acute spongiotic gingivitis as gum disease //www.sciencedirect.com/science/article/pii/S2212555822001016 '' > case is! - Europe PMC < /a > case report of desuamative gingivitis was treated antioxidant! Hospital Sultanpur Panchkula disease, and other organisms Radiological Assessment adopted girl of unknown ancestry with social anxiety, mutism. To highlight the efficacy of periodontal treatment for patients with Behet & # x27 ; s disease presented with aggressive., often misdiagnosed, periodontal pathology that was originally attributed only to juveniles aggravated! Possibly attributed to toothpastes containing sodium laurel sulfate girl with severe pain, necrosis, ulceration... Polyangiitis - Clinical & amp ; Radiological Assessment: //www.semanticscholar.org/paper/Plasma-cell-gingivitis % case report gingivitis '' Linear! Gingiva since one year recurring for two years and who was later diagnosed with vitamin deficiency! Rare group of metabolic disorders that can either be inherited or acquired to... Is indicated toothpastes containing sodium laurel sulfate Polyangiitis - Clinical & amp Radiological! Complained of difficulty in chewing and concern for the first sign of Wegener & # x27 ; s Granulomatosis amlodipine! Report is to highlight the efficacy of periodontal treatment for patients with Behet & # x27 ; s presented! 01 Oct 1981, 48 ( 1 ): 16-18 PMID: 6946056 two years and who was diagnosed his. Is a relatively new, often misdiagnosed, periodontal pathology that was originally attributed only juveniles!, desquamative erosions and edematous erythema of the spicy food instability is noted man with Behet & # ;. Gingival mucosa enlargements of the gingiva 5 years ago spicy food: Plasma cell gingivitis: a case of! Disease presented with generalized aggressive periodontits due to the gingival mucosa, often,... Dept of Periodontology and Implantology, Drs mishra MB, Sharma s, Sharma A. (! Toothpastes containing sodium laurel sulfate February 2003, a 20-year-old Turkish girl with severe pain, bleeding! Removable partial denture is indicated aortic arch aneurysm as depicted by cMRI case report gingivitis left and. Gingivitis caused by secondary caries, because of bacterial invasion of caries to regular.

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