A case report of Parry Romberg Syndrome initially presenting as periodontitis

Taylor, G., Culshaw, S. , Armas, J., Savarrio, L. and Goodall, C. (2018) A case report of Parry Romberg Syndrome initially presenting as periodontitis. Oral Surgery, 11(2), pp. 131-135. (doi: 10.1111/ors.12315)

Abstract

Parry Romberg Syndrome (PRS) is a rare disorder of progressive hemifacial atrophy, involving soft tissues, fat and occasionally bone. It can co-exist with presentations of Morphea. We describe an unusual case of persistent periodontal and alveolar destruction associated with PRS. A 56-year-old African female initially presented with persistent periodontal destruction, which showed minimal response to conventional periodontal treatment. After non-surgical treatment, surgical debridement followed by extraction of the two right maxillary incisor teeth was required to halt the periodontal destruction. Atrophy was not limited to the periodontal tissues. Multidisciplinary care and extensive investigations were required to diagnose PRS. Once the PRS has stabilised, adipose tissue transplants will be required to improve the facial appearance. We highlight the need for extensive investigations and a multidisciplinary approach to diagnose rare systemic causes for recalcitrant periodontal disease.

• Item Type: Articles
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Savarrio, Mr Lee and Armas, Dr Jose and Culshaw, Professor Shauna and Goodall, Professor Christine
• Authors: Taylor, G., Culshaw, S., Armas, J., Savarrio, L., and Goodall, C.
• College/School: College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing; College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Dental School
• Journal Name: Oral Surgery
• Publisher: Wiley
• ISSN: 1752-2471
• ISSN (Online): 1752-248X
• Published Online: 20 October 2017
• Copyright Holders: Copyright © 2017 The British Association of Oral Surgeons and John Wiley & Sons Ltd
• First Published: First published in Oral Surgery 11(2):131-135
• Publisher Policy: Reproduced in accordance with the copyright policy of the publisher