An unusual clinical presentation of plasma cell gingivitis related to “Acacia” containing herbal toothpaste

An unusual clinical presentation of plasma cell gingivitis related to “Acacia” containing herbal toothpaste

A 17-year-old female patient presented with unusual enlargement of the gingiva with generalized alveolar bone loss. In spite of periodontal therapy, including plaque control, scaling, root planning and surgical treatment, recurrence with the same degree of the gingival enlargement and further loss o...

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Main Authors: Makkar, Anjali, Tewari, Shikha, Kishor, Kamal, Kataria, Santprakash
Format: Online
Language:English
Published: Medknow Publications & Media Pvt Ltd 2013
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3800421/
id pubmed-3800421
recordtype oai_dc
spelling pubmed-38004212013-10-30 An unusual clinical presentation of plasma cell gingivitis related to “Acacia” containing herbal toothpaste Makkar, Anjali Tewari, Shikha Kishor, Kamal Kataria, Santprakash Case Report A 17-year-old female patient presented with unusual enlargement of the gingiva with generalized alveolar bone loss. In spite of periodontal therapy, including plaque control, scaling, root planning and surgical treatment, recurrence with the same degree of the gingival enlargement and further loss of attachment level occurred. Biopsy revealed dense infiltration of normal plasma cells separated by collagenous stroma. Discontinuation of herbal toothpaste resulted in remarkable remission of the gingival enlargement within 2 weeks. Enzyme-linked immunosorbent assay of toothpaste components disclosed “Acacia” as an etiologic antigenic agent and confirmed the diagnosis of plasma cell gingivitis (PCG). Usually, PCG is not associated with the loss of attachment. This case report appears to be the first publication to document an atypical presentation of PCG with generalized aggressive periodontitis related to the use of herbal toothpaste containing “Acacia” extract from the tree “Acacia Arabica.” Medknow Publications & Media Pvt Ltd 2013 /pmc/articles/PMC3800421/ /pubmed/24174738 http://dx.doi.org/10.4103/0972-124X.118330 Text en Copyright: © Journal of Indian Society of Periodontology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Makkar, Anjali
Tewari, Shikha
Kishor, Kamal
Kataria, Santprakash
spellingShingle Makkar, Anjali
Tewari, Shikha
Kishor, Kamal
Kataria, Santprakash
An unusual clinical presentation of plasma cell gingivitis related to “Acacia” containing herbal toothpaste
author_facet Makkar, Anjali
Tewari, Shikha
Kishor, Kamal
Kataria, Santprakash
author_sort Makkar, Anjali
title An unusual clinical presentation of plasma cell gingivitis related to “Acacia” containing herbal toothpaste
title_short An unusual clinical presentation of plasma cell gingivitis related to “Acacia” containing herbal toothpaste
title_full An unusual clinical presentation of plasma cell gingivitis related to “Acacia” containing herbal toothpaste
title_fullStr An unusual clinical presentation of plasma cell gingivitis related to “Acacia” containing herbal toothpaste
title_full_unstemmed An unusual clinical presentation of plasma cell gingivitis related to “Acacia” containing herbal toothpaste
title_sort unusual clinical presentation of plasma cell gingivitis related to “acacia” containing herbal toothpaste
description A 17-year-old female patient presented with unusual enlargement of the gingiva with generalized alveolar bone loss. In spite of periodontal therapy, including plaque control, scaling, root planning and surgical treatment, recurrence with the same degree of the gingival enlargement and further loss of attachment level occurred. Biopsy revealed dense infiltration of normal plasma cells separated by collagenous stroma. Discontinuation of herbal toothpaste resulted in remarkable remission of the gingival enlargement within 2 weeks. Enzyme-linked immunosorbent assay of toothpaste components disclosed “Acacia” as an etiologic antigenic agent and confirmed the diagnosis of plasma cell gingivitis (PCG). Usually, PCG is not associated with the loss of attachment. This case report appears to be the first publication to document an atypical presentation of PCG with generalized aggressive periodontitis related to the use of herbal toothpaste containing “Acacia” extract from the tree “Acacia Arabica.”
publisher Medknow Publications & Media Pvt Ltd
publishDate 2013
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3800421/
_version_ 1612019344038952960

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