The Journal of the American Dental Association
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J Am Dent Assoc, Vol 138, No 12, 1574-1581.
© 2007 American Dental Association

Essential Dental System, Inc.
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CLINICAL PRACTICE

JADA Continuing Education

Gingival Involvement in Crohn Disease



Junu Ojha, BDS, Donald M. Cohen, DMD, MS, MBA, Nadim M. Islam, BDS, Carol M. Stewart, DDS, MS, Joseph Katz, DMD, MS and Indraneel Bhattacharyya, DDS, MSD

Background. Although the oral manifestations of Crohn disease are well-established, there is little specific documentation of the gingival involvement.

Case Descriptions. The authors describe four patients with significant gingival involvement and identify clinical signs and symptoms of the disease involving the gingivae, along with other oral manifestations. Patients had persistent gingival lesions manifesting as pustular ulcerations, erythema, swelling and cobblestoning. The authors also discuss the differential diagnosis, treatment options and prognostic factors.

Clinical Implications. Patients with gingival and/or other oral lesions with or without other constitutional symptoms should be evaluated for Crohn disease. Dentists can play a critical role in the early diagnosis, and they can help prevent complications and improve the prognosis.

Key Words: Gingiva; Crohn disease; extraintestinal Crohn

Abbreviations: CD: Crohn disease • TB: Tuberculosis




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A. Tanchyk and A. Tanchyk
Multisystem Diseases
J Am Dent Assoc, March 1, 2008; 139(3): 245 - 246.
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