Cátedra de Periodoncia. Departamento de Medicina Oral.

Abstract

Psoriasis is a chronic inflammatory mucocutaneous disease that affects 2% of the population. Cutaneous lesions appear as erythematous plaques localized or generalized papules covered with white scales hyperkeratotic, oral manifestations and irregular erythematous lesions with elevated white borders, ulcerations and desquamative gingivitis. It may be asymptomatic or cause pain, burning and sensation of roughness. Its etiology is unknown, although the interaction between the immune system and environmental factors may activate T cells skin, epidermal keratinocytes, with increased cytokine and tumor necrosis factor (TNF). The objective is to provide clinical evidence on the periodontal manifestations of patients with psoriasis, and reports a clinical case of a 62 year old male patient, who filed the anamnesis medical diagnosis of psoriasis, controlled systemically and presence of oral manifestations, was treated with mechanical therapy, periodontal and use of local antiseptics. At the end of 2 months of reassessment was a normal clinical characteristic of periodontal tissues. It was concluded that the oral lesions can present spontaneous remission or respond to systemic therapy, topical corticosteroids, mouthwash buccal or palliative therapy. Diagnosis and successful treatment that includes a proper control of dental plaque in patients with psoriasis allow control periodontal disease and reduce the appearance of severe injuries.