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Conservative management of juvenile spongiotic gingivitis: a series of ten cases

British Dental Journal volume 229, pages 287–291 (2020)Cite this article

Abstract

Introduction This case series highlights the condition juvenile spongiotic gingivitis; how to recognise it, where it lies in a list of differential diagnoses and why conservative management is the authors' recommended treatment.

Case series The authors present ten cases that were successfully managed conservatively on the Joint Oral Medicine Paediatric Dentistry Clinic at Guy's and St Thomas' NHS Foundation Trust over a six-year period. Follow-ups reached up to 5 years and 11 months to date, with no adverse outcomes observed in any of the cases.

Conclusion The pathogenesis of this benign condition and its ideal management is not well understood. Recurrence can occur after surgical treatment and the condition is likely to spontaneously resolve or regress with age. Therefore, particularly in asymptomatic cases, conservative management is recommended.

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Acknowledgements

We declare that we did not receive any funding. Ethical approval was not required. Consent was obtained from patients for inclusion of their clinical photographs.

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Authors and Affiliations

  1. Dental Core Trainee in Paediatric Dentistry, Guy’s and St Thomas’ NHS Foundation Trust, London, UK

    Michaela DeSeta

  2. Consultant in Paediatric Dentistry, Guy’s and St Thomas’ NHS Foundation Trust, London, UK

    David Baldwin & Dania Siddik

  3. Consultant in Oral Medicine, Guy’s and St Thomas’ NHS Foundation Trust, London, UK; Honorary Clinical Senior Lecturer, Faculty of Dentistry, Oral & Craniofacial Sciences, Guy’s Campus, King’s College London, UK

    Esther Hullah

  4. Oral Pathologist, Faculty of Dentistry, Universiti Teknologi Mara, Malaysia

    Nurharnani Harun

  5. Paediatric Dentist, Associate Consultant, Dental Service KK Women’s and Children’s Hospital, 100 Bukit Timah Road, 229899, Singapore

    Ruixiang Yee

  6. Speciality Dentist in Oral Medicine, Guy’s and St Thomas’ NHS Foundation Trust, London, UK

    Abgeena Khan

  7. Honorary Consultant in Oral Medicine, Guy’s and St Thomas’ NHS Foundation Trust, London, UK; Professor of Diagnostic Technologies, Faculty of Dentistry, Oral & Craniofacial Sciences, Guy’s Campus, King’s College London, UK

    Richard Cook

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  1. Michaela DeSeta
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Correspondence to Michaela DeSeta.

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DeSeta, M., Baldwin, D., Siddik, D. et al. Conservative management of juvenile spongiotic gingivitis: a series of ten cases. Br Dent J 229, 287–291 (2020). https://doi.org/10.1038/s41415-020-2023-7

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