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Post-rhizotomy periodontal atrophy

C L Dunlap1

  • 1Department of Oral Pathology, University of Missouri-Kansas City, School of Dentistry, USA.

Journal of Periodontology
|April 1, 1995
PubMed
Summary
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Two patients developed unique periodontal atrophy after trigeminal sensory rhizotomy. The exact cause remains unknown, but unintentional self-mutilation is a potential factor.

Area of Science:

  • Neurology
  • Oral Medicine
  • Surgical Complications

Background:

  • Trigeminal sensory rhizotomy is a neurosurgical procedure to alleviate facial pain.
  • Periodontal atrophy, a loss of the tissues supporting the teeth, is not a commonly reported complication.

Observation:

  • This report describes two cases of unusual periodontal atrophy occurring post-trigeminal sensory rhizotomy.
  • The atrophy presented uniquely in both patients, affecting the periodontal structures.

Findings:

  • The etiology of this specific periodontal atrophy following the procedure is currently undetermined.
  • A possible contributing factor discussed is unintentional self-mutilation by the patient.

Implications:

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  • This highlights a potential, albeit rare, adverse effect of trigeminal sensory rhizotomy.
  • Further investigation is warranted to understand the mechanism and prevent this complication.