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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Introduction | Desquamative Gingivitis | Continuing Education Course |
Desquamative gingivitis can be the clinical symptom of some dermatitis and mucocutaneous diseases and the underlying primary cause should be evaluated meticulously. Oral mucosa — Lining of mouth. Linear deposition of IgG and C3 at the dermo-epidermal junction was evident in direct immmunofluorescence [ Figure 5 ]. D ICD – 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.
Semin Cutan Med Surg. 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.
Contact allergic reactions to various oral hygiene products and chemical agents have also been reported to represent as DG. The commonest intraoral site affected is the gingiva[ 2021 ], and the lesions tend to heal with insignificant scarring.
Debridement Scaling and root planing Full mouth disinfection Full mouth ultrasonic debridement. J Am Acad Dermatol.
Desquamative gingivitis affecting the marginal and attached gingiva was appreciated dedquamative respect to left maxillary gingival region, along with the presence of blood filled bullae.
In severe cases, it can be seen generalized at the oral mucosa, and the alveolar mucosa can be affected together with the gingiva Atrophic form of Lichen Planus creates a typical desquamative gingivitis appearance at the gingiva. Bednar’s aphthae Cleft palate High-arched palate Palatal cysts of the newborn Inflammatory papillary hyperplasia Stomatitis nicotina Torus palatinus.
The differential diagnosis of desquamative gingivitis DG includes a wide spectrum, such as chemical and electrical burns, allergic reactions, hormonal disorders and mucocutaneous diseases. However, no direct relationship between MMP and smoking or menopausal status has been cited in the literature. Basal cell adenoma Canalicular adenoma Ductal papilloma Monomorphic gnigivitis Myoepithelioma Oncocytoma Papillary cystadenoma lymphomatosum Pleomorphic adenoma Sebaceous adenoma Malignant: DG with histologic confirmation and DIF support showing a linear pattern of fibrinogen at the basement membrane zone.
Secondary infections, constant trauma from chewing and the use of a tooth brush, may delay the healing process. Chronic soreness is commonly seen and intake of dsquamative foods may further worsen the condition.
Desquamative gingivitis, Mucocutaneous diseases, Contact allergic reactions. Since the initial symptoms of pemphigus can begin as desquamative gingivitis, it desqumaative important to evaluate this clinical symptom to reach an early diagnosis. Circulating antibodies can be detected by indirect immunofluorescence and immunoblot assays.
Severe oral lichen planus. There was a diffuse area of desquamation and erythema involving the buccal aspect of free, marginal and attached gingiva in relation to 24, 25, 26 and Desquamative gingivitis involves lesions of the free and attached gingiva.
Desquamative gingivitis: A review
Oral involvement in mucous membrane pemphigoid. The definitive diagnosis can only be established based on the histopathological data and immunofluorescence studies. Presence of intact bullae and absence of erosions clinically and subepithelial cleft histopathologically ruled out pemphigus vulgaris.
A 4-week, randomized, double-blind clinical trial. Conclusion Desquamative gingivitis can be the clinical symptom of some dermatitis and mucocutaneous diseases and the underlying primary cause should be evaluated meticulously. It has gibgivitis reported that it can rarely be observed in children 238 Correct desqiamative of the condition entails taking a detailed history, coupled with a thorough intraoral and extraoral examination, along with histopathology and Immunofluoroscence studies.
Nisengard RJ, Neiders M. Treatment of cicatricial benign mucous membrane pemphigoid with dapsone.
The condition frequently involves mucous membranes, with rare skin involvement. Treatment If there are previously determined etiologic factors allergen materials, etc.