Vol. 10, Issue 3, Part D (2024)

Aim: The objective of this case report is to present dental management within the three phases of periodontal treatment that was used in a patient with a medical diagnosis of Crohn's disease. Likewise, this study highlights the correlation of systemic pathologies with oral manifestations and the importance of their timely diagnosis.

Case report: A 24-year-old female patient attends the Department of Periodontology of the Faculty of Dentistry, Torreón Unit. Her reason for consultation was "my gums bleed a lot". As a pathological personal history, the patient reported Crohn's disease. Clinically, gingival hyperplasia was observed in the vestibular aspect of the four quadrants, bleeding on probing, thickening of the oral mucosa with an erythematous appearance, an inflamed hard palate with a painless cobblestone surface, a fissured dorsum of the tongue with the appearance of depapillae and angular cheitis. After periodontal phase I, gingivectomy and gingivoplasty were performed, and incisional biopsy was performed for subsequent histopathological study.

Results: Clinically, the patient had better plaque rates and decreased bleeding on probing. The morphological findings allow the consideration of a granulomatous inflammatory condition, so interpretation and correlation with the clinical evidence are suggested.

Conclusion: Oral manifestations may precede Crohn's disease and serve as a diagnostic resource. It is extremely important to carry out an exhaustive oral clinical examination and corresponding histopathological studies to carry out a correct assessment of the associations between clinical symptoms and histopathology.