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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Herlofson BB, Barkvoll P. The ability to readily determine the correct etiology of DG may sometimes be difficult due the extremely friable nature of the affected tissues. Orofacial soft tissues — Soft tissues around the mouth Actinomycosis Angioedema Basal cell carcinoma Cutaneous sinus of dental origin Cystic hygroma Gnathophyma Ludwig’s angina Macrostomia Melkersson—Rosenthal gingivitus Microstomia Noma Oral Crohn’s disease Orofacial granulomatosis Perioral dermatitis Pyostomatitis vegetans.
Other Eagle syndrome Hemifacial hypertrophy Facial hemiatrophy Oral manifestations of systemic disease. DG with histologic confirmation and DIF support showing a linear pattern of fibrinogen at the gijgivitis membrane zone. Furthermore, a similar clinical pattern can be observed in reactions developing against mouthwashes Figure 1chewing gums, cosmetic products, drugs, cinnamon and dental materials J Contemp Dent ;2: The first international consensus on mucous membrane ginngivitis OLP-related DG may be particularly resistant to treatment compared to other mucosal sites.
The desquamative gingivitis is seen after puberty, especially in individuals over 30 years of age 3. However, the palatal gingiva was unaffected.
American Academy of Periodontology. Differential diagnosis was made solely on the basis of clinical features. Resolution of lesions after systemic steroids therapy Click here to view.
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Detailed history of the patient, systemic symptoms, presence of similar lesions at other sites of the body, medications used, contact with chemical materials and the family history should be questioned 3.
The exclusive gingival involvement in this multi mucosal disorder desquajative careful history taking and diagnosis by dental professional, thus signifying the role of dentists in such mucocutaneous disorders. Desquamative gingivitis gingivits a descriptive clinical term, not a diagnosis. Desquamative gingivitis involves lesions of the free and attached gingiva.
Br J Oral Maxillofac Surg.
Desquamative lesions of the gingiva. The intraoral appearance of mucous membrane pemphigoid is generally similar to desquamative gingivitis. A classification was proposed based on etiologic considerations, together with histologic and immunologic findings. Other topical treatments may include topical tacrolimus or topical pimecrolimus.
Support Center Support Center. How to cite this URL: D ICD – This case report describes one of such cases where the definitive diagnosis could not be established. Hereby, we present an interesting case of MMP manifesting as desquamative gingivitis, along with a brief review of the literature. Bullous pemphigoid, cicatricial pemphigoid, and pemphigus vulgaris.
Oral Lichen Planus (OLP) | Desquamative Gingivitis | Continuing Education Course |
Dentists could be the first health professionals to recognize this multi-mucosal involvement disorder. Treatment of cicatricial benign mucous membrane pemphigoid with dapsone.
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. Patient’s education and motivation should be done, as plaque induced gingivitis may worsen or aggravate the course of the disease. Topical corticosteroids are commonly used to treat DG.
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Desquamative gingivitis – Wikipedia
Mucous membrane pemphigoid MMPoral lichen planus and pemphigus vulgaris accounts for the major causes of gingival desquamation. Subgingival and supragingival plaques should be removed and proper teeth brushing with a soft brush in addition to flossing should be recommended For example, other rights such as publicity, privacy, or moral rights may limit how the material can be used.
Oral cavity is mostly affected and desquamative gingivitis is the most common manifestation. Occassionally, gingival inflammation may occur in the absence of bacterial plaque, in the form of chronic desquamative gingivitis.
In severe cases, it can be seen generalized at the oral mucosa, and the alveolar mucosa can be affected together with the gingiva J Am Acad Dermatol ;6: