PMID- 25379295 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20141107 LR - 20200930 IS - 2090-6447 (Print) IS - 2090-6455 (Electronic) VI - 2014 DP - 2014 TI - Severe periodontal disease associated with long-term treatment with intravenous immunoglobulin. PG - 860804 LID - 10.1155/2014/860804 [doi] LID - 860804 AB - Intravenous immunoglobulin (IVIG) is used in the treatment of neuropathy. This case report presents, for the first time, a patient with severe periodontal destruction after chronic therapy with IVIG. The patient reported having extracted his maxillary anterior teeth himself due to high mobility. Clinical examination and radiographic images show a generalized and severe periodontitis. No significant alterations in genetic or microbiological features were observed. The present case suggests that periodontal disease aggravation could be considered a new adverse effect of IVIG therapy. Postulated mechanisms are immune complexes formation, complement activation, and a direct effect in osteoclasts. In conclusion, it is important that patients that will receive IVIG treatment underwent dental evaluation. FAU - Correa, Joice Dias AU - Correa JD AD - Department of Oral Surgery and Pathology, School of Dentistry, Federal University of Minas Gerais, 31270-901 Belo Horizonte, MG, Brazil. FAU - Rocha, Amanda Leal AU - Rocha AL AD - Special Service for Diagnosis and Treatment in Dentistry (SEDTO), Hospital and Clinics, Federal University of Minas Gerais, 30130-100 Belo Horizonte, MG, Brazil. FAU - Costa, Lidiane Cristina Machado AU - Costa LC AD - Department of Oral Surgery and Pathology, School of Dentistry, Federal University of Minas Gerais, 31270-901 Belo Horizonte, MG, Brazil. FAU - Travassos, Denise AU - Travassos D AD - Special Service for Diagnosis and Treatment in Dentistry (SEDTO), Hospital and Clinics, Federal University of Minas Gerais, 30130-100 Belo Horizonte, MG, Brazil ; Department of Community and Preventive Dentistry, School of Dentistry, Federal University of Minas Gerais, 31270-901 Belo Horizonte, MG, Brazil. FAU - Castro, Wagner Henriques AU - Castro WH AD - Department of Oral Surgery and Pathology, School of Dentistry, Federal University of Minas Gerais, 31270-901 Belo Horizonte, MG, Brazil ; Special Service for Diagnosis and Treatment in Dentistry (SEDTO), Hospital and Clinics, Federal University of Minas Gerais, 30130-100 Belo Horizonte, MG, Brazil. FAU - Garlet, Gustavo Pompermaier AU - Garlet GP AD - Department of Biological Sciences, Bauru School of Dentistry, University of Sao Paulo, 17012-901 Bauru, SP, Brazil. FAU - Gomez, Rodrigo Santiago AU - Gomez RS AD - Neurology Service, Hospital and Clinics, Federal University of Minas Gerais, 30130-100 Belo Horizonte, MG, Brazil. FAU - Teixeira, Antonio Lucio AU - Teixeira AL AD - Neurology Service, Hospital and Clinics, Federal University of Minas Gerais, 30130-100 Belo Horizonte, MG, Brazil. FAU - Silva, Tarcilia Aparecida AU - Silva TA AD - Department of Oral Surgery and Pathology, School of Dentistry, Federal University of Minas Gerais, 31270-901 Belo Horizonte, MG, Brazil ; Special Service for Diagnosis and Treatment in Dentistry (SEDTO), Hospital and Clinics, Federal University of Minas Gerais, 30130-100 Belo Horizonte, MG, Brazil. LA - eng PT - Journal Article DEP - 20141015 PL - Egypt TA - Case Rep Dent JT - Case reports in dentistry JID - 101573242 PMC - PMC4213401 EDAT- 2014/11/08 06:00 MHDA- 2014/11/08 06:01 PMCR- 2014/10/15 CRDT- 2014/11/08 06:00 PHST- 2014/07/08 00:00 [received] PHST- 2014/09/18 00:00 [accepted] PHST- 2014/11/08 06:00 [entrez] PHST- 2014/11/08 06:00 [pubmed] PHST- 2014/11/08 06:01 [medline] PHST- 2014/10/15 00:00 [pmc-release] AID - 10.1155/2014/860804 [doi] PST - ppublish SO - Case Rep Dent. 2014;2014:860804. doi: 10.1155/2014/860804. Epub 2014 Oct 15.