In this paper the etiology, the clinical and histologic features, the immunopathologic studies, the diagnosis and treatment of chronic desquamative gingivitis are. Chronic desquamation of the gingiva is referred to as desquamative gingivitis ( DG) (2). Chronic desquamative gingivitis was described for the. Desquamative gingivitis (DG) is an erythematous (red), desquamatous (shedding ) and erythematosus · Chronic ulcerative stomatitis; Chronic bacterial, fungal, and viral infections; Reactions to medications, mouthwashes, and chewing gum.
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Desquamative lesions of the gingiva. A study of sixty-five patients. Squamous cell papilloma Keratoacanthoma Malignant: Thorough oral prophylaxis was done and the patient was counseled to maintain good oral hygiene. The disease continues chronically with periods of remission and exacerbation.
Desquamative gingivitis – Wikipedia
Introduction The term chronic desquamative gingivitis CDG is a clinical description of the gingiva which may manifest as a result of various underlying conditions. They also emphasized that the Nikolsky phenomenon is generally positive in DG patients.
This study aimed to review the current literature on desquamative gingivitis and to formulate a clinical guide for the differential diagnosis of desquamative gingivitis designated as a teaching aid tool for dental undergraduates.
Nasopalatine duct Median mandibular Median palatal Traumatic bone Osteoma Osteomyelitis Osteonecrosis Bisphosphonate-associated Neuralgia-inducing cavitational osteonecrosis Osteoradionecrosis Osteoporotic bone marrow defect Paget’s disease of bone Periapical abscess Phoenix abscess Periapical periodontitis Stafne defect Torus mandibularis.
The differential diagnosis of desquamative gingivitis DG includes a wide spectrum, such as chemical and electrical burns, allergic reactions, hormonal disorders and mucocutaneous diseases. Immunodiagnosis of pemphigus and mucous membrane pemphigoid. Herlofson BB, Barkvoll P.
Analysis of desquamative gingivitis using direct immunofluorescence in conjunction with histology. At month 6 post-treatment, a significant improvement in gingival lesions giingivitis observed B. The material cannot be used for commercial purposes. Other Eagle syndrome Hemifacial hypertrophy Facial hemiatrophy Oral manifestations of systemic disease. The effects of mouth rinses and dentifrice-containing magnesium monoperoxyphthalate mmpp on oral microflora, plaque reduction, and mucosa.
Detailed history of the patient, systemic symptoms, presence of similar lesions at other sites of the body, medications used, contact with chemical materials and gingvitis family history should be questioned 3. In this mucocutaneous disorder, the unique gingival involvement necessitates careful history taking and bingivitis by dentist, hence denoting the role of dentists in such mucocutaneous disorders. Linear deposition of IgG and C3 at the dermo-epidermal junction was evident in direct immmunofluorescence [ Figure 5 desquamaitve.
However, its use is not preferred, due to the necessity of controlling serum tacrolimus levels at certain intervals and because of the side effects in some patients 11 Pseudomembrane covered, irregularly shaped erosions constitute the second most common manifestation in MMP. Several mucocutaneous diseases in which clinical desquamative gingivitis is observed have been reported in the literature Table 1.
Received Nov 1; Accepted Nov 2. Two cases of linear IgA disease with clinical manifestations limited to the gingiva.
Subgingival and supragingival plaques should be removed and proper teeth brushing with a soft brush in addition to flossing should be recommended 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.
Dermatoses, hormonal disturbances, chronic irritation and idiopathic causes have been incriminated as etiologic factors. After performing Steps A, B, and C, dental undergraduates should be able to establish their differential diagnosis of the studied case. A guide for dermatologists. Periodontium gingivaperiodontal ligamentcementumalveolus — Gums and tooth-supporting structures.
Presence of intact bullae and absence of erosions clinically and subepithelial cleft histopathologically ruled out pemphigus vulgaris. Gingival desquamation is a clinical chonic in which the gingiva appears reddish, glazed and friable with destruction of the epithelium. It has been reported that it can rarely be observed in children 238 Case Report 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.
Intraoral restorations or prosthesis should be removed 8. It is a common clinical manifestation in several diseases.
Classification The classification of DG was based on the etiological, histological, and immunological findings.
Chronic desquamative gingivitis and oral health-related quality of life
Oral lesions of mucous membrane pemphigoid. Histopathology showed variable thickness parakeratinized stratified squamous epithelium, subepithelial cleft and basal cell degeneration in few areas.
Use of oral exfoliative cytology to diagnose desquamative gingivitis: Jones and Dolby 34 Introduction Learning how to make a good oral diagnosis is one of the main competencies that dental undergraduates should attain. Diagnostic importance of immunofluorescence in oral bullous diseases and lupus erythematosus. Oral mucosa — Lining of mouth. Review of available therapies.
Circulating antibodies can be detected by indirect immunofluorescence and immunoblot assays. Linear IgA disease manifesting as recalcitrant desquamative gingivitis.
DG can mimic plaque-related gingival inflammation and cause a delay in diagnosis in all cases in which the gingiva is the only site of involvement. The gingival lesions are usually treated by improved oral hygiene measures and topical corticosteroid therapy. Desquamative gingivitis is the main oral feature of MMP[ 22 ] and may be the sole presenting feature. Recognition and management of the cutaneous manifestations of celiac disease: Oral cavity is mostly affected and desquamative gingivitis is the most common manifestation.
The clinical spectrum of desquamative gingivitis.