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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,

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