Combined Treatment of Periodontal Disease and Benign Mucous Membrane Pemphigoid. Case Report With 8 Years Maintenance

Abstract

We suggest that combined treatment and long-term maintenance of BMMP and periodontitis are feasible under certain conditions and propose a clinical protocol for treatment which could serve as a guideline for similar conditions.

Professional oral hygiene treatment and detailed oral hygiene instructions in patients affected by mucous membrane pemphigoid with specific gingival localization: a pilot study in 12 patients

“…Previously, only case reports have been detailed to demonstrate that the periodontal treatment could be effective in reducing the gingival manifestations of MMP, representing a complementary treatment to the use of corticosteroids with the aim of improving lesion conditions (5), highlighting the importance of frequent periodontal support visits (10).…”

A Comparison of the Periodontal Status in Patients With Mucous Membrane Pemphigoid: A 5‐Year Follow‐Up

“…Periodontal management of patients diagnosed with MMP has been documented in the literature. A case report 18 with 8 years of follow‐up presented the successful management of a patient with both periodontal disease and MMP through the use of topical corticosteroids and standard periodontal therapy including scaling and root planing and surgical treatment. Although some patients undergo remission of gingival MMP with treatment, others may be affected for many years.…”

Low‐Level Laser Therapy in the Treatment of Mucous Membrane Pemphigoid: A Promising Procedure

“…Because MMP is considered an autoimmune entity, the first step of treatment for those with only oral lesions is the use of topical corticosteroids 15 . For more severe disease or rapid progression, systemic corticosteroids are the agents of choice for initial treatment and combined with steroid‐sparing agents for long‐term maintenance 16‐18 . Also, cyclophosphamide, azathioprine, and methotrexate are used in combination with systemic corticosteroids 18,19 .…”