Histiocytosis X: an oral diagnostic problem

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Abstract
A case of prepubertal periodontitis in a 6 1/2-year-old boy is described. Following failure to respond to conventional treatment including scaling, oral hygiene instruction and tetracycline therapy, a biopsy was performed and root planing carried out. The biopsy revealed histiocytic infiltration and a diagnosis of Histiocytosis X of the Hand-Schuller-Christian type was made. This case emphasises the role of biopsy in establishing a diagnosis in cases of prepubertal periodontitis that do not respond to conventional therapy.

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