ABSTRACT. Desquamative gingivitis is a descriptive term of nonspecific clinical expression in the gingiva (redness, burning, erosion, pain) of several. Desquamative gingivitis (DG) is a clinical term used to describe gingival tissues that demonstrate potentially painful gingival erythema, hemorrhage, sloughing. Lichen planus is an idiopathic t-cell mediated inflammatory condition. Although its etiology is unknown OLP is sometimes associated with other medical.
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The definitive diagnosis can only be established based on the histopathological data and immunofluorescence studies. Adenosquamous carcinoma Basaloid squamous carcinoma Mucosal melanoma Spindle cell carcinoma Squamous cell carcinoma Verrucous carcinoma Oral florid papillomatosis Oral melanosis Smoker’s melanosis Pemphigoid Benign mucous membrane Pemphigus Plasmoacanthoma Stomatitis Aphthous Denture-related Herpetic Smokeless tobacco keratosis Submucous fibrosis Ulceration Riga—Fede disease Verruca vulgaris Verruciform xanthoma White sponge nevus.
Estrogen support for the treatment of DG has been recommended based on the presence of estrogen-sensitive receptors in the human gingiva and estrogen destruction Chronic desquamative gingivitis was first described by Tomes and Tomes in If there are previously determined etiologic factors allergen materials, etc. Eagle syndrome Hemifacial hypertrophy Facial hemiatrophy Oral manifestations of systemic disease. The striking presence of desquamative gingivitis in a year-old female patient with an intact hemorrhagic bullae without coexisting skin lesionsin association with characteristic histopathological and immunofluorescent features confirmed the diagnosis of MMP.
Estrogen deficiencies following oophorectomy and in postmenopausal stages. Footnotes Source of funding: None, Conflict of Interest: However, the oral lesions usually heal without scarring. A clinical manifestation of several diseases and disorders featuring gingival erythema, sloughing of the gingival epithelial tissues and potentially painful erosive gingival lesions.
Ahlfors EE, Lyberg T. Desquamative gingivitis DG is characterized by the erythematous gingiva, desquamation and erosion of the gingival epithelium, and blister formation. The patient in the present case underwent thorough oral prophylaxis and was treated with topical steroids and vitamin supplements for 1 month. Burkitts Oral Desqusmative Diagnosis and Treatment.
Subgingival and supragingival plaques should be removed and proper teeth brushing with a soft brush in addition to flossing should be recommended Chronic desquamative gingivitis – Its nature and treatment.
Taking detailed patient history, performing a careful intraoral examination and determining the presence or absence of similar lesions at other sites of the body are the most important steps in clinical practice. Lo Russo et al. Gingival desquamation may be the result of various disease processes in gingiva.
A review and discussion. Therefore, treatment is often accomplished in a stair-step format beginning with a high potency topical corticosteroid such as fluocinonide or a very high potency steroid such as clobetasol.
Nisengard RJ, Neiders M. This was a case report of a year-old female patient who reported to the out-patient Department of Oral Medicine and Radiology, Saveetha Dental College and Hospitals, Chennai with a complaint of burning sensation and tenderness in the gums, which worsened on intake of spicy food since 9 months.
Desquamative gingivitis: A review
Only a single etiologic factor was considered in the first desquamate gingivitis DG cases. Related articles Desquamative gingivitis diagnostic aids pemphigus. Conclusion Dentists could be the first health professionals to recognize this multi-mucosal involvement disorder. American Academy of Periodontology; The gingival lesions are usually treated by improved oral hygiene measures and topical corticosteroid therapy. J Pharm Bioallied Sci.
Linear IgA disease manifesting as recalcitrant desquamative gingivitis. About chronic pemphigus of the mucous membranes. Resolution of lesions after systemic steroids therapy Click here to view. The most frequent first site involved in MMP is the oral cavity. Histopathologic appearance of the lesion Click here to view. The features reported in the present case were consistent with the previous literature reviews. The commonest intraoral desquaamative affected is the gingiva[ 2021 ], and the lesions tend to heal with insignificant scarring.
Intraoral restorations or prosthesis should be removed 8. OLP-related DG may be particularly resistant to treatment desqumaative to other mucosal sites.
Desquamative gingivitis – Wikipedia
It is important to remember DG with clinical and histologic features of lichen planus or a lichenoid mucositis may be caused by a lichenoid drug reaction or a contact lichenoid reaction to dental materials or dental hygiene products.
Chronic soreness is commonly seen and intake of spicy foods may further worsen the condition. Circulating antibodies can be detected by indirect immunofluorescence and immunoblot assays.