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Indian Journal of Dental Education

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Indian Journal of Dental Education

Volume 12, Issue 4, October-December 2019, Pages 147-150

Case Report

Orofacial Gangrene (Noma/Cancrum) — Tale of Orofacial Devastation

Asish Rajasekharan1, Sherin Ann Thomas2, Twinkle S Prasad3, Vinimol Chandini4, Anita Balan5

1Associate Professor and Head, 2Assistant Professor, Department of Oral Medicine & Radiology, Government Dental College, Alappuzha, Vandanam, Kerala 688005, India. 3Associate Professor, Dept. of Oral Medicine & Radiology, Government Dental College, Gandhinagar, Kottayam, Kerala 686008, India. 4Assistant Professor, Department of Pharmacology, Government Medical College, Kollam, Kerala 691574, India. 5Principal, Government Dental College, Chalakkuzhi, Thiruvananthapuram, Kerala 695011, India.

Open Access: View PDF

DOI: DOI: https://dx.doi.org/10.21088/ijde.0974.6099.12419.5

Abstract

Cancrum oris is an orofacial gangrene, which causes destruction of the infected tissues which destroys the soft and hard tissues of the oral and para-oral structures. The disease mainly occurs in children having malnutrition, poor oral hygiene and debilitating illness. Noma requires infection by a consortium of microorganisms, with Fusobacterium necrophorum and Prevotella intermedia as the suspected key players. Without appropriate treatment, the mortality rate from noma is 70–90%.

Keywords: Noma; Cancrum oris; Necotizing ulcerative stomatitis.

Corresponding Author : Asish Rajasekharan