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. 2024 Aug 21;11(8):1019.
doi: 10.3390/children11081019.

The Management of Necrotizing Gingivitis in Paediatric Patients: A Scoping Review and Two Case Reports

Massimiliano Ciribè  1 , Erika Cirillo  1 , Paolo Giacomo Arduino  2 , Alessandra Putrino  1 , Martina Caputo  1 , Simona Zaami  3 , Gaia Bompiani  1 , Angela Galeotti  1   4
Affiliations

The Management of Necrotizing Gingivitis in Paediatric Patients: A Scoping Review and Two Case Reports

Massimiliano Ciribè et al. Children (Basel). .

Abstract

Necrotizing gingivitis (NG) is an acute inflammatory process with an estimated prevalence of less than 1%. The treatment of choice is usually antibiotics in addition to periodontal treatment. This scoping review aims to detail extent and type of proof related to NG in paediatric patient; moreover, a decision tree protocol was developed to define NG management in paediatric patients based on the presence or absence of systemic compromission. In addition, we also propose the use of ozone treatment as an adjuvant therapy. Seven papers (3 case reports, 2 guidelines, and 2 reviews) were selected for evaluation by reading the full texts. This review outlines the lack of research on the treatment of NG in paediatric patients; we, however, demonstrate the efficacy of the decision tree protocol by describing two case reports in which patients were treated with antibiotics according to the presence or absence of systemic involvement through the implementation of an individualized therapeutic approach, with periodontal ozone therapy. Moreover, the supportive use of this molecule in the management of NG can be a valuable tool in the healing of gingival tissues.

Keywords: antibiotic; necrotizing gingivitis; ozone; ozone therapy; paediatric.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
PRISMA flowchart on the selection and evaluation of scientific articles.
Figure 2
Figure 2
Case 1. An extraoral photograph revealing the presence of swelling in the lips and the perioral area.
Figure 3
Figure 3
An intraoral photograph demonstrating the presence of purulent exudate in the areas between teeth #11 and #23, and #42 and #32; spontaneous bleeding; and gum hypertrophy.
Figure 4
Figure 4
An intraoral photograph taken five days post-initiation of antibiotic therapy. The soft tissue is exhibiting signs of healing.
Figure 5
Figure 5
An intraoral photograph taken after one week. The soft tissue appears to be healthy.
Figure 6
Figure 6
Intraoral photo obtained at one-year follow-up appointment.
Figure 7
Figure 7
Case 2. An intraoral photograph demonstrating the presence of spontaneous bleeding, gum hypertrophy, and the appearance of “punched-out” interdental papillae.
Figure 8
Figure 8
Detail of the “punched-out” interdental papillae.
Figure 9
Figure 9
A lateral photograph of the oral cavity with visible purulent exudate, bleeding, and gum hypertrophy.
Figure 10
Figure 10
A lateral intraoral photograph taken after one week. The soft tissue appears to be in good condition.
Figure 11
Figure 11
An intraoral photograph taken after one week.
Figure 12
Figure 12
A lateral intraoral photograph taken after one week. The soft tissue appears to be in good condition.
Figure 13
Figure 13
A lateral intraoral photograph taken after one week. The soft tissue continues to look healthy.
Figure 14
Figure 14
An intraoral photograph of the mouth taken after six months. The soft tissue is visibly healthy.
Figure 15
Figure 15
A lateral intraoral photograph taken after six months. The soft tissue appears to be in good condition.
Figure 16
Figure 16
A lateral intraoral photograph of the mouth taken after six months. The appearance of the soft tissue is healthy.
Figure 17
Figure 17
Flowchart of the proposed treatment protocol.
See this image and copyright information in PMC

References

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