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Published in: Journal of Medical Case Reports 1/2022

01-12-2022 | Root Canal Debridement | Case report

Association between periodontitis and ossification of the posterior longitudinal ligament: a case report

Authors: Michiyo Tsuru, Takayoshi Oosio, Teruyo Higashi, Kensei Nagata, Kanichiro Wada, Yasuyuki Ishibashi

Published in: Journal of Medical Case Reports | Issue 1/2022

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Abstract

Introduction

Ossification of the posterior longitudinal ligament in the spinal ligament compresses the spinal cord, causing various spinal nerve diseases. The ligament tissue is an important connective tissue in the joints, teeth, and spine, which, when torn and damaged, reduces the range of movement.

Case presentation

We report the treatment of periapical periodontitis and tooth preservation in a 41-year-old Japanese woman previously diagnosed with ossification of the posterior longitudinal ligament. She presented with widespread pain from the paranasal sinuses to the head caused by the onset of periapical periodontitis of the upper front tooth.

Discussion

The patient received an oral zinc supplement, which resolved periapical periodontitis over a 2-year follow-up period.

Conclusion

The findings from this case imply that, when patients with ossification of the posterior longitudinal ligament develop periapical periodontitis, they should be tested for zinc deficiency.
Literature
1.
go back to reference Tsuru M, Soejima T, Shiba N, et al. Proline/arginine-rich end leucine-rich repeat protein converts stem cells to ligament tissue and Zn(II) influences its nuclear expression. Stem Cells Dev. 2013;22(14):2057–70.CrossRef Tsuru M, Soejima T, Shiba N, et al. Proline/arginine-rich end leucine-rich repeat protein converts stem cells to ligament tissue and Zn(II) influences its nuclear expression. Stem Cells Dev. 2013;22(14):2057–70.CrossRef
2.
go back to reference Tsuru M, Ono A, Umeyama H, et al. Ubiquitin-dependent proteolysis of CXCL7 leads to posterior longitudinal ligament ossification. PLoS ONE. 2018;13(5):e0196204.CrossRef Tsuru M, Ono A, Umeyama H, et al. Ubiquitin-dependent proteolysis of CXCL7 leads to posterior longitudinal ligament ossification. PLoS ONE. 2018;13(5):e0196204.CrossRef
3.
go back to reference U.S. Department of Health and Human Services: Oral health in America: a report of the surgeon general. Rockville: Department of Health and Human Services, National Institute of Dental and Craniofacial Research, National Institutes of Health; 2000. U.S. Department of Health and Human Services: Oral health in America: a report of the surgeon general. Rockville: Department of Health and Human Services, National Institute of Dental and Craniofacial Research, National Institutes of Health; 2000.
4.
go back to reference Kodama H, Itakura H, Ohmori H, et al. Practice guideline for zinc deficiency 2018. Tokyo: The Japanese Society of Clinical Nutrition; 2018. Kodama H, Itakura H, Ohmori H, et al. Practice guideline for zinc deficiency 2018. Tokyo: The Japanese Society of Clinical Nutrition; 2018.
5.
go back to reference Yamaguchi M. Role of nutritional zinc in the prevention of osteoporosis. Mol Cell Biochem. 2010;338(1–2):241–54.CrossRef Yamaguchi M. Role of nutritional zinc in the prevention of osteoporosis. Mol Cell Biochem. 2010;338(1–2):241–54.CrossRef
6.
go back to reference Sundaram G, Ramakrishnan T, Parthasarathy H, et al. Evaluation of micronutrient (zinc, magnesium, and copper) levels in serum and glycemic status after nonsurgical periodontal therapy in type 2 diabetic patients with chronic periodontitis. Contemp Clin Dent. 2017;8(1):26–32.CrossRef Sundaram G, Ramakrishnan T, Parthasarathy H, et al. Evaluation of micronutrient (zinc, magnesium, and copper) levels in serum and glycemic status after nonsurgical periodontal therapy in type 2 diabetic patients with chronic periodontitis. Contemp Clin Dent. 2017;8(1):26–32.CrossRef
7.
go back to reference Eda K, Mizuochi T, Iwama I, et al. Zinc monotherapy for young children with presymptomatic Wilson disease: a multicenter study in Japan. J Gastroenterol Hepatol. 2018;33(1):264–9.CrossRef Eda K, Mizuochi T, Iwama I, et al. Zinc monotherapy for young children with presymptomatic Wilson disease: a multicenter study in Japan. J Gastroenterol Hepatol. 2018;33(1):264–9.CrossRef
Metadata
Title
Association between periodontitis and ossification of the posterior longitudinal ligament: a case report
Authors
Michiyo Tsuru
Takayoshi Oosio
Teruyo Higashi
Kensei Nagata
Kanichiro Wada
Yasuyuki Ishibashi
Publication date
01-12-2022
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2022
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/s13256-021-03142-4

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