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Plasma cell gingivitis among herbal toothpaste users: a report of three cases
1College of Dentistry, King Saud University, Riyadh, Kingdom of Saudi Arabia. anil@graduate.hku.hk
The Journal of Contemporary Dental Practice
|May 9, 2007
Summary
Plasma cell gingivitis (PCG) is a rare condition linked to herbal toothpaste. Discontinuing the product led to remission in three patients, highlighting the need for clinical awareness.
Area of Science:
- Oral Medicine
- Dermatology
- Periodontology
Background:
- Plasma cell gingivitis (PCG) is a rare, benign gingival condition.
- Characterized by intense inflammation and edema, often extending to the mucogingival junction.
- Considered a hypersensitivity reaction to an unknown allergen.
Observation:
- Three patients presented with acute gingival inflammation after switching to herbal toothpaste.
- Symptoms included marked erythema, edema, and spontaneous bleeding.
- Histopathology and blood tests were inconclusive.
Findings:
- Cessation of herbal toothpaste use resulted in rapid clinical remission within one to two weeks.
- Periodontal treatment alongside allergen avoidance was effective.
- PCG diagnosis is crucial as it can mimic more severe conditions.
Implications:
- Clinicians must consider PCG in patients using herbal products.
- Awareness of potential adverse effects from herbal toothpaste is vital.
- Early diagnosis and management of PCG are essential to prevent misdiagnosis.
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