MANAGEMENT OF NECROTIZING PERIODONTITIS IN THE SETTING OF STRESS: A CASE STUDY

Abstract

BACKGROUND: This case study is reported a 36 years old male military personnel came to Kuching Armed Forces Dental Clinic in feverish state complaining upon difficulty in eating due to pain and multiple ulcers on his gum for the past one week. After a thorough physical and history examination, a diagnosis of Necrotizing Periodontal Disease (NPD) is made. METHODS: To confirm the cause of NPD, the patient has been referred to a medical counterpart for full blood count (FBC) and viral test. The choice of initial treatment is to do a basic full mouth scaling together with local anesthesia. Patient was given oral hygiene instructions along with a prescription of systemic antibiotics and chlorhexidine mouthwash. Stress management course and leaflets has been part of the treatment. Review is done in 10 days. RESULTS: The Patient came back with no sign and symptom of NPD.