Severe Chronic Gingivitis in Association With Hypothyroidism and Grade 2 Adenoid Hypertrophy: A Case Report

Hypothyroidism is the second-commonest endocrine disorder in the world. Similarly, gingivitis is also a highly prevalent oral condition in every population globally. Adenoid hypertrophy and associated mouth breathing may aggravate preexisting gingival inflammation. Here, we are presenting the case o...

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Published inCurēus (Palo Alto, CA) Vol. 15; no. 11; p. e49506
Main Authors Khade, Jyoti, Khade, Ajay M, Pantawane, Shefali, Phadnaik, Mangesh, Siddique, Adiba, Bandre, Gulshan R
Format Journal Article
LanguageEnglish
Published United States Cureus Inc 27.11.2023
Cureus
Subjects
Case reports
Dental plaque
Dentistry
Endocrinology/Diabetes/Metabolism
Endoscopy
Glucose
Gum disease
Halitosis
Hematology
Hypothyroidism
Mouth
Oral hygiene
Otolaryngology
Periodontics
Teeth
Thyroid gland
Toothpaste
Vitamin C
plaque
gingivitis
mouth breathing
hypothyroidism
adenoid hypertrophy
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Summary:Hypothyroidism is the second-commonest endocrine disorder in the world. Similarly, gingivitis is also a highly prevalent oral condition in every population globally. Adenoid hypertrophy and associated mouth breathing may aggravate preexisting gingival inflammation. Here, we are presenting the case of a 22-year-old female gingivitis patient with bleeding from gums on the slightest provocation and with a two-year history of preexisting hypothyroidism. Thorough systemic examinations and investigations ruled out the presence of hematological and/or coagulation disorders. However, she was found to have grade 2 adenoid hypertrophy along with a habit of mouth breathing. Periodontal and systemic management of the patient has resolved her gingival bleeding to a greater extent. Still, there remain a lot of ambiguity and a lack of clarity about the exact etiology and mechanism of pathogenesis behind her oral and general health status. Cases like these pose a diagnostic challenge for the treating dentist or periodontist and thus require a coordinated and collaborative effort of multiple health specialties.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.49506