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Case Reports
. 2023 Mar 10:2023:5080384.
doi: 10.1155/2023/5080384. eCollection 2023.

Personalized Treatment of Periodontitis in a Patient with McArdle's Disease: The Benefits from Probiotics

Salvatore Cannizzaro  1 , Carolina Maiorani  2 , Andrea Scribante  2   3 , Andrea Butera  2
Affiliations
Case Reports

Personalized Treatment of Periodontitis in a Patient with McArdle's Disease: The Benefits from Probiotics

Salvatore Cannizzaro et al. Case Rep Dent. .

Abstract

Introduction: McArdle's disease is a severe glycogen storage disease characterized by intolerance to exercise; patients have a syndrome of muscle intolerance to stress, associated with myalgia, cramps, fatigue, and muscle weakness. Periodontal disease is a multifactorial pathology of the supporting tissues of the teeth: one of the main factors is the formation of bacterial biofilm; its control favors the prevention and the maintenance of good health of the oral cavity; and some systemic pathologies can worsen the periodontal disease and hinder its therapy. This case report concerns a woman with McArdle's disease diagnosed with periodontal disease. Material and Methods. A 54-year-old female patient with McArdle's disease has been diagnosed with Stage 3 generalized periodontitis, Grade B. At the baseline, the patient had 82 pockets with probing pocket depth (PPD) equal to or greater than 4 mm. The patient was instructed in the correct methods of oral hygiene and was advised toothpaste and mouthwash based on probiotics; subsequently, a debridement was performed to remove etiological factors using Dental-Biofilm Detection Topographic Technique (D-BioTECH).

Results: After 60 days, the number of pockets was reduced from 82 to 14 overall with PPD ≥ 4 mm and from 50 to 2 pockets with PPD ≥ 5 mm. Full mouth bleeding score (FMBS) increased from 48% to 15% and full mouth plaque score (FMPS) from 73% to 15%.

Conclusions: In this case, the use of a correct brushing method combined with the D-BioTECH has reduced the disease state, with the use of probiotics at home to restore and maintain a healthy oral microbiome.

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Conflict of interest statement

The author(s) declare that they have no conflicts of interest.

Figures

Figure 1
Figure 1
Baseline of the I and IV sextant: diagnostic deepening (photo, RX, and charting).
Figure 2
Figure 2
Baseline of the III and VI sextant: diagnostic deepening (photo, RX, and charting).
Figure 3
Figure 3
Baseline of the II sextant: diagnostic deepening (photo, RX, and charting).
Figure 4
Figure 4
Baseline of the V sextant: diagnostic deepening (photo, RX, and charting).
Figure 5
Figure 5
Front sector with plaque detector. First deplaquing.
Figure 6
Figure 6
Left rear sector with plaque detector. First deplaquing.
Figure 7
Figure 7
Right rear sector with plaque detector. First deplaquing.
Figure 8
Figure 8
Revaluation to 60 days. Upper arch.
Figure 9
Figure 9
Revaluation to 60 days. Lower arch.
Figure 10
Figure 10
Comparison charting at 60 gg. Upper arch.
Figure 11
Figure 11
Comparison charting at 60 gg. Lower arch.
Figure 12
Figure 12
Results at 60 days. Front sector.
Figure 13
Figure 13
Results at 60 days. Right sector.
Figure 14
Figure 14
Results at 60 days. Left sector.
See this image and copyright information in PMC

References

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