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Severe Gingivitis Associated with Ascorbic Acid-Deficiency in a Pediatric Patient

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Plaque-induced gingivitis, a common condition in children, responds well to proper oral hygiene practices. Persistent severe gingivitis, on the other hand, should prompt investigation of etiological factors. Nutritional elements are implicated in periodontal health. This case report describes a pediatric patient with severe persistent gingivitis caused by vitamin C deficiency. The events that led to a diagnosis of scurvy and a resolution of the systemic and localized manifestations of the disease, after vitamin C administration, are presented. It is recommended that vitamin C deficiency be considered in cases of refractory gingivitis, especially in pediatric patients with special health care needs who have aversion to foods rich in ascorbic acid.
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Keywords: PERIODONTAL DISEASE; SCURVY; VITAMIN C

Document Type: Case Report

Affiliations: 1: Dr. Brand is a resident, Division of Pediatric Dentistry, Department of Preventive and Restorative Sciences, The University of Pennsylvania School of Dental Medicine, University of Pennsylvania, Philadelphia, Pa., USA 2: Dr. Lieberman is a clinical associate, Division of Pediatric Dentistry, Department of Preventive and Restorative Sciences, The University of Pennsylvania School of Dental Medicine, University of Pennsylvania, Philadelphia, Pa., USA 3: Dr. Hajishengallis is a professor, graduate program director and chief, Division of Pediatric Dentistry, Department of Preventive and Restorative Sciences, The University of Pennsylvania School of Dental Medicine, University of Pennsylvania, Philadelphia, Pa., USA;, Email: [email protected]

Publication date: May 1, 2019

More about this publication?
  • Acquired after the merger between the American Society of Dentistry for Children and the American Academy of Pediatric Dentistry in 2002, the Journal of Dentistry for Children (JDC) is an internationally renowned journal whose publishing dates back to 1934. Published three times a year, JDC promotes the practice, education and research specifically related to the specialty of pediatric dentistry. It covers a wide range of topics related to the clinical care of children, from clinical techniques of daily importance to the practitioner, to studies on child behavior and growth and development. JDC also provides information on the physical, psychological and emotional conditions of children as they relate to and affect their dental health.
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