Abstract
Abstract
Introduction
Ossification of the posterior longitudinal ligament in the spinal ligament compresses the spinal cord, causing various spinal nerve diseases. The ligament tissue is an important connective tissue in the joints, teeth, and spine, which, when torn and damaged, reduces the range of movement.
Case presentation
We report the treatment of periapical periodontitis and tooth preservation in a 41-year-old Japanese woman previously diagnosed with ossification of the posterior longitudinal ligament. She presented with widespread pain from the paranasal sinuses to the head caused by the onset of periapical periodontitis of the upper front tooth.
Discussion
The patient received an oral zinc supplement, which resolved periapical periodontitis over a 2-year follow-up period.
Conclusion
The findings from this case imply that, when patients with ossification of the posterior longitudinal ligament develop periapical periodontitis, they should be tested for zinc deficiency.
Publisher
Springer Science and Business Media LLC
Reference7 articles.
1. Tsuru M, Soejima T, Shiba N, et al. Proline/arginine-rich end leucine-rich repeat protein converts stem cells to ligament tissue and Zn(II) influences its nuclear expression. Stem Cells Dev. 2013;22(14):2057–70.
2. Tsuru M, Ono A, Umeyama H, et al. Ubiquitin-dependent proteolysis of CXCL7 leads to posterior longitudinal ligament ossification. PLoS ONE. 2018;13(5):e0196204.
3. U.S. Department of Health and Human Services: Oral health in America: a report of the surgeon general. Rockville: Department of Health and Human Services, National Institute of Dental and Craniofacial Research, National Institutes of Health; 2000.
4. Kodama H, Itakura H, Ohmori H, et al. Practice guideline for zinc deficiency 2018. Tokyo: The Japanese Society of Clinical Nutrition; 2018.
5. Yamaguchi M. Role of nutritional zinc in the prevention of osteoporosis. Mol Cell Biochem. 2010;338(1–2):241–54.