Treatment of Prepubertal Periodontitis in a Patient With Granulocytopenia

Abstract

This paper reports the treatment of prepubertal periodontitis in a 6-year-old boy with granulocytopenia. Initially, the patient was found to have granulocytopenia accounting for neutrocytes in the 0-3% range of the total number of blood cells. Microbiological testing of subgingival plaque sample indentified Prevotella intermedia. Initial treatments included the extraction of the first and second primary teeth with grade 3 mobility, and scaling and root planing of the remaining teeth. The patient was treated with daily mouth washing and weekly irrigation of the periodontal pocket with a povidone-iodine solution. At 6 months after the initiation of the treatment, it was found that the permanent teeth had normal gingiva and the sulcus depth, and radiopraphic features showed no signs of periodontal breakdown.