Actinomycosis of periodontium, mimicking gingival enlargement – A case report and its management

Author:

Jeyasree Renganath Murugan1,Muthuraj Thamil Selvan1,Usha Gomakumar Kanakasabhapathi2,Raja Jacob1

Affiliation:

1. Department of Periodontics and Implantology, Rajas Dental College and Hospital, Tirunelveli, Tamil Nadu, India

2. Department of Oral Pathology, Rajas Dental College and Hospital, Tirunelveli, Tamil Nadu, India

Abstract

Abstract Gingival abscess is a localized, acute inflammatory lesion which is caused by various factors that include microbial plaque infection, foreign body impaction, and trauma. Management includes a simple incision and draining of the purulent exudate along with systemic antibiotics in most of the cases. This article reports a case of a 16-year-old female patient, with a chief complaint of painful and swollen gums in her lower right front tooth region of the jaw along with fever for the past 5 days. Emergency treatment of abscess drainage was done on day 1. On 5th day of review, the case presented with persistent signs of gingival inflammation in relation to 43 to 41. Considering the provisional diagnosis as dentigerous cyst with persistent gingival abscess, definitive treatment was performed by transalveolar extraction of the impacted canine and debridement of the osseous lesion. The histologic analysis of the lesion exhibited foci of eosinophilic coagulum-like areas with epicentric and radiating filamentous appearance at the periphery, which is suggestive of an inflamed dentigerous cyst with actinomycosis infection of periodontium.

Publisher

Medknow

Subject

Periodontics

Reference12 articles.

1. Actinomyces:A deceptive infection of oral cavity;Thukral;J Korean Assoc Oral Maxillofac Surg,2017

2. Periodontal abscess;Meng;Ann Periodontol,1999

3. The paradental cyst:A clinicopathologic study of 50 cases;Ackermann;Oral Surg Oral Med Oral Pathol,1987

4. Actinomyces-associated calcifications in a mandibular dentigerous cyst that presented with inferior alveolar nerve paresthesia;Schembri-Higgans;Oral Surg Oral Med Oral Pathol Oral Radiol,2021

5. Actinomycosis in radicular cyst:A case report and literature survey;Sun;Oral Med Pathol,2010

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