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Papillon-Lefévre syndrome.
[papillon-lefèvre syndrome]
The
goal
of
periodontal
therapy
has
always
been
regeneration
of
the
lost
tissues
.
However
,
conventional
periodontal
therapy
has
not
always
been
successful
in
achieving
regeneration
,
especially
when
it
is
part
of
a
syndrome
.
This
case
report
involves
a
13
-
year
old
male
patient
with
the
chief
complaint
of
mobile
teeth
for
over
3
months
.
His
dental
history
revealed
early
loss
of
primary
dentition
,
around
3
-
4
years
of
age
and
that
he
noticed
mobility
of
permanent
incisors
and
molars
at
9
-
10
years
.
Keratotic
skin
lesions
on
the
palms
and
soles
were
present
since
the
age
of
3
years
.
Full
mouth
intra-
oral
periapical
radiographs
showed
extensive
bone
loss
upto
apical
thirds
of
the
teeth
and
an
orthopantamograph
showed
"
floating
in
air
"
appearance
.
Further
,
a
lateral
cephalogram
was
taken
to
rule
out
any
calcifications
of
the
duramater
.
The
case
was
provisionally
diagnosed
to
be
Papillon
Lefévre
syndrome
.
A
conventional
polymerase
chain
reaction
assay
was
also
done
to
assess
the
virulence
genes
in
aggressive
periodontitis
.
Though
the
management
of
PLS
involves
the
regular
phases
of
periodontal
therapy
,
namely
,
etiotropic
,
surgical
,
restorative
and
maintenance
phases
,
the
complete
esthetic
and
functional
rehabilitation
also
involves
other
specialities
especially
prosthodontic
and
dermatologic
and
later
an
implantologist
.
After
appropriate
periodontal
and
prosthodontic
management
,
the
patient
has
been
followed
up
for
over
a
year
and
is
maintaining
in
a
stable
condition
.
Diseases
Validation
Diseases presenting
"conventional periodontal therapy"
symptom
papillon-lefèvre syndrome
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