Evidence map›Paper›PMID 41137069›Full record

ArticleBMC oral health2025

Ligneous gingivitis: diagnostic and management challenges in a rare case.

Metin Berk Kasapoglu, Ahmet Turker, Betul Gedik, Necat Vakur Olgac

Erratum issuedAbstract readCase Reports
In one paragraph

Article in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Metin Berk KasapogluDepartment of Oral and Maxillofacial Surgery Faculty of Dentistry, Istanbul University, Prof. Dr. Cavit Orhan Tutengil Sok. No:4 Vezneciler Fatih , Istanbul, Turkey.
Ahmet TurkerDepartment of Oral and Maxillofacial Surgery Faculty of Dentistry, Istanbul University, Prof. Dr. Cavit Orhan Tutengil Sok. No:4 Vezneciler Fatih , Istanbul, Turkey.
Betul GedikDepartment of Oral and Maxillofacial Surgery Faculty of Dentistry, Istanbul University, Prof. Dr. Cavit Orhan Tutengil Sok. No:4 Vezneciler Fatih , Istanbul, Turkey. betulgedik@istanbul.edu.tr.
Necat Vakur OlgacDepartment of Oral Pathology Faculty of Dentistry, Istanbul University, Besim Omerpasa Cd. No:19 Suleymaniye Fatih, Istanbul, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLigneous gingivitis (LG) is a rare manifestation of plasminogen deficiency characterized by woody fibrin-rich pseudomembranes, recurrent ulceration, and progressive periodontal destruction CASE PRESENTATION: We report a 16-year-old female with hypothyroidism who presented with persistent gingival lesions and tooth mobility since early childhood after a mumps infection. Clinical and radiographic evaluation revealed generalized alveolar bone destruction. Histopathology confirmed LG with fibrinoid deposits. Hematological analysis showed markedly reduced plasminogen levels, measured using an ELISA-based assay, confirming the systemic deficiency. The patient was referred for ophthalmologic and genetic evaluation, targeting PLG gene mutations (K19E hotspot). She received chlorhexidine therapy with improved ulceration and reduced bleeding. At three-month follow-up, the lesions remained stable, and no ocular involvement was observed.

conclusionsThis case illustrates diagnostic challenges, differential considerations with aggressive periodontitis, and emphasizes the need for early recognition, multidisciplinary management, and systemic treatment to prevent severe complications such as blindness, infertility, or progressive periodontal morbidity.

Indexed as

GingivitisPlasminogenSkin Diseases, GeneticAdolescentChlorhexidineConjunctivitisDiagnosis, DifferentialFemaleHumansChlorhexidinePlasminogenFibrinolysisLigneous gingivitisMultidisciplinary managementPeriodontal diseasePlasminogen deficiency

Identifiers

PMID41137069
PMCPMC12553144

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Registered trials

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