The Importance of the Dental Factor in the Pathogenesis of Melkersson-Rosenthal Syndrome
Department of Conservative Dentistry with Endodontics, Jagiellonian University of
Medical College, Poland
*Corresponding Author: Przemyslaw Kustra, Department of Conservative Dentistry with Endodontics, Jagiellonian University of Medical College, Poland.
Received: January 25, 2023; Published: February 12, 2023
Melkersson-Rosenthal syndrome is a clinical entity characterized by swelling of facial soft tissues, while the histological picture shows granulomatous infiltration. The patient, aged 23, presented to the dental office referred by a dermatologist with a diagnosis Oedema labii inferioris ad dextram for consultation and potential treatment. Unsuccessful dermatologic treatment for 1 month, discontinued due to increased gastrointestinal side effects, and the progression of recurrent edema into a persistent form caused the patient to be referred for re-examination for foci of infection in the oral cavity. Based on the clinical and histological picture, the diagnosis of incomplete presentation of Melkersson-Rosenthal syndrome was made. The following treatment plan was established: endodontic retreatment of teeth 15 and 46, replacement of amalgam fillings with composite fillings, treatment of carious lesions, and restoration of missing teeth in the upper arch. Since the successful revision of a root canal treatment of tooth 46, no swelling of the lower lip has been observed. With more than a year of follow-up of the patient, it can be concluded that the etiologic factor of Melkersson-Rosenthal syndrome was a dentoalveolar infection focus.
Keywords: Dental; Pathogenesis; Melkersson-Rosenthal Syndrome
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