PROSTHETIC REHABILITATION OF A PATIENT WITH PAPILLON LEFEVRE SYNDROME
A 16 year old male patient presented in Institute of Dentistry, CMH Lahore Medical College on 17th August, 2015. Presenting complaints were loose teeth, bleeding gums and inability to eat. On general examination patient appeared mentally stable. He had poor general health, weak built and belonged to a compromised socioeconomic background. He had yellowish keratinized plaques over the skin of his palms and soles. (Fig 1). Extra oral examination revealed normal hair and nails and a tapering face form. Intraoral presentation included heavy plaque deposits, halitosis, bleeding gums and pus exudates from pockets with grade 3 mobility. He was diagnosed with Papillon Lefevre Disease. After dental extractions, complete maxillary and mandibular dentures were planned for the patient. On denture insertion patient was satisfied. A follow up was done at 3 monthly interval. At the end of first year, it was observed that there was minimal ridge resorption and denture retention was moderate with adequate chewing ability. Patient did not have any complaint with denture. However, after two years the complete dentures were remade to improve the retention and stability of dentures. At completion of puberty, dental implants are planned to improve the quality of life for that individual. It was concluded that complete denture is a suitable prosthesis for Papillon Lefevre syndrome for restoration of mastication, phonetics and esthetics. It may need constant revisions depending on the stage of the disease and age of the patient.