Abstract

A. R. Pradeep*, S. Thorat Manojkumar and Arjun Raju

The purpose of this article is to report a case of Pemphigus vulgaris (PV) associated with periodontitis and role of dermatologist and periodontist in its management in the routine practice. Periodontitis is a plaque induced inflammation involving and destroying the supporting alveolar bone, cementum and periodontal ligament. Pemphigus is a group of bullous diseases that affect the oral mucosa and the skin, leading to acantholysis that causes painful oral ulceration, making ineffective oral hygiene which allows for the accumulation of more plaque, a causative factor for the periodontitis. A 47 year-old male, a known case of PV presented with a complaint of oral ulceration and burning sensation of mouth and ulcerative skin lesions over the skin, since 3 years. A clinical examination revealed the existence of poor oral hygiene status, bleeding on probing, significant clinical attachment loss and probing pocket depth. Radiograph showed combination of horizontal and vertical alveolar bone loss. This case reaffirms the fact plaque control is the most important procedure in preventing periodontal infection in PV patients. These patients should be informed about the risk of periodontitis, and encouraged to pursue long- term periodontal follow up by the dental professionals to prevent their periodontal disease progression.