Desquamative gingivitis treated by an antioxidant therapy. Glickman and smulow stated that desquamative gingivitis may be a clinical feature common to a wide. The differential diagnosis of desquamative gingivitis. It is a descriptive term and can be caused by several different disorders. Usually a manifestation of atrophic lichen planus or m. Meanings of gingivitis descamativa cronica in english spanish dictionary. The commonest intraoral site affected is the gingiva20,21, and the lesions tend to heal with insignificant scarring. A combined treatment regimen for desquamative gingivitis in patients with oral lichen planus. Coined in 1932 prinz to describe a peculiar condition characterized by intense erythema, desquamation, and ulceration of the free and attached gingiva. Inflammatory periodontal conditions due to plaque are very common preshaw, 2015. Chronic desquamative gingivitis is characterized by intense redness and desquamation of the surface epithelium of the attached gingiva.
Desquamative gingivitis treated by an antioxidant therapy a. Oralmedicine 564 dentalupdate june 2017 desquamative gingivitis. At one time this was thought to be a specific degenerative disease of the gingival tissues of unknown etiology was sometimes called gingivosis mccarthy and. The best remedies contain essential oils straight from natures drug store. It may also be caused by biological stress, such as trauma to the epithelium, or certain reactions to medications.
The condition is most commonly seen in middleaged and elderly women, and it often causes pain, sensitivity, and swelling that can make speaking and eating difficult. Use of drugs such as cyclosporine, azathioprine, and dapsone has also been mentioned in the literature 16. Ulceration, bullae formation, desquamative gingivitis. As such, this article focuses on treatment for individual conditions, with emphasis on levels of evidence. Acantholysis may precede elevation of circulating anti. Dentists play an important role in the diagnosis and management of desquamative gingivitis. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Chronic desquamative gingivitis was first recognized and reported in 1894. Investigation, diagnosis and therapeutic management in practice andrea richards desquamative gingivitis is a fairly common disorder, with a wide range of causes, most commonly lichen planus and mucous membrane pemphigoid. Desquamative gingivitis is uncommon, and there are no systematic guidelines to assist the physician in treatment, producing a practice gap in management. Mild desquamation that is localized may be associated with mechanical irritation or induced by trauma.
Desquamative gingivitis is a cutaneous condition characterized by diffuse gingival erythema with varying degrees of mucosal sloughing and erosion a band of red atrophic or eroded mucosa affecting the attached gingiva is known as dequamative gingivitis. Desquamative gingivitis dg is characterized by the erythematous gingiva, desquamation and erosion of the gingival epithelium, and blister formation. Desquamative gingivitis, vesiculobullous lesions, and ulcerations are the common intraoral features seen. Desquamative gingivitis is an elucidating term used to demonstrate epithelial desquamation, erythema, erosions, andor vesiculobullous lesions of the gingiva. Inflammation of the gums, characterized by redness and swelling. Desquamative gingivitis associated with oral lichen planus. Although first recognized and reported in 1894, 157 the term chronic desquamative gingivitis was coined in 1932 by prinz 122 to describe a peculiar condition characterized by intense erythema, desquamation, and ulceration of the free and attached gingiva 50,100 figure 191. Apr 28, 2015 desquamative gingivitis is an elucidating term used to demonstrate epithelial desquamation, erythema, erosions, andor vesiculobullous lesions of the gingiva. Desquamative gingivitis a clinical condition that can indicate various autoimmune diseases immco diagnostics supports your practice and your patients definitive diagnosis of desquamative gingivitis is complex. These oils naturally prevent bacteria growth in the mouth. Jun 22, 2017 the term desquamative gingivitis dg is often used as a descriptive term because the aetiology of the inflammation may originate from multiple oral conditions. In desquamative gingivitis during menopause, sequential administration of estrogens and progestins may be beneficial, but adverse effects of this therapy see menopause. May 29, 2015 chronic desquamative gingivitis is characterized by intense redness and desquamation of the surface epithelium of the attached gingiva. Chapter 21 desquamative gingivitis chronic desquamative gingivitis was first recognized and reported in 1894.
A and b, induce gingival epithelium detachment with a cottontipped applicator in an area close to an erosion where there is attached epithelium overlying an erythematous base often no local anesthesia is required. The term desquamative gingivitis dg describes a clinical condition in which the gingival tissues are erythematous, blistering, and eroding. Dec 07, 2011 desquamative gingivitis is a cutaneous condition characterized by diffuse gingival erythema with varying degrees of mucosal sloughing and erosion a band of red atrophic or eroded mucosa affecting the attached gingiva is known as dequamative gingivitis. Desquamative gingivitis treatment stop receding gums. Jul 31, 20 a series of patients affected by desquamative gingivitis dg was investigated in order to evaluate relation patterns among clinical parameters relevant to plaqueinduced periodontitis, periodontal microbiological data and the presence of dg lesions. In its chronic state it is most frequently associated with the hormonal changes of menopause. Problems occur when gum layers begin to separate from each other, causing inflammation and creating space for bacteria to thrive. It is a common clinical manifestation in several diseases.
Studies in the usa and the uk suggest that some degree of gingivitis affects 5090% of the adult population albandar and kingman, 1999. Treatment involves professional teeth cleaning and intensified home dental hygiene. Desquamative lesions on the attached gingiva associated with pemphigus vulgaris. Erythema multiforme em demonstrates keratinocyte necrosis, liquefactive degeneration of the basal keratinocytes with basal vacuolar degeneration, and a mixed lymphohistiocytic infiltrate that can demonstrate a lichenoid pattern and obscure the dermoepidermal junction.
Desquamative gingivitis dg is a common manifestation of mmp. It is now known to represent a common manifestation in a number of disorders ranging from bullous diseases to adverse reactions to a variety of chemicals or allergens 4. Desquamative gingivitis is mainly a manifestation of. Desquamative gingivitis manifests predominantly as painful erosions or ulceration of the attached and free gingiva. Eight oral lichen planus olp and four mucous membrane pemphigoid mmp patients were examined.
Desquamative gingivitis synonyms, desquamative gingivitis pronunciation, desquamative gingivitis translation, english dictionary definition of desquamative gingivitis. Desquamation of the gingiva is a sign that may be encountered in clinical practice. Direct immunofluoresence studies of normal and lesional tissue are often essential in establishing definitive diagnosis. Most cases of dg are associated with mucocutaneous diseases, the most common ones being lichen planus, mucous membrane pemphigoid, and pemphigus vulgaris. Management of two cases of desquamative gingivitis with clobetasol and calendula officinalis gel 337 to the gingiva, clinically named desquamative gengivitis dg2. The term desquamative gingivitis dg is often used as a descriptive term because the aetiology of the inflammation may originate from multiple oral conditions. Antioxidants, corticosteroids, desquamative gingivitis, oxitard capsule, systemic i. In this article, we report the clinical manifestations, histological features and treatment of a case of mmp. Desquamative gingivitis is the main oral feature of mmp and may be the sole presenting feature. Desquamative gingivitis is an erythematous red, desquamatous shedding and ulcerated appearance of the gums.
Aside irom slight marginal erythema, there is little evidence of change in the gingiva and adjacent mucosa c, severe, with. Apr 14, 2020 the exact cause of desquamative gingivitis is not well understood, but it appears that several different factors may be involved. Otherwise, dentists may prescribe a corticosteroid rinse or a corticosteroid paste that is applied directly to the gums. Desquamative gingivitis is a potentially serious form of gum disease. Desquamative gingivitis is a descriptive term, first introduced by prinz in 1932 that is synonymous with the presence of erythema, desquamation, erosion, and blistering of attached and marginal gingiva. Routine histology demonstrates specific features for several differential diagnoses of desquamative gingivitis dg. The division of these gum layers provides space for bacteria to enter and multiply, which leads to infection. Even though these composites combine varying properties, the abrupt.
Desquamative gingivitis can be the clinical symptom of some dermatitis and mucocutaneous diseases and the underlying primary cause should be evaluated meticulously. Unlike plaqueinduced inflammation it is a dusky red colour and extends beyond the marginal gingiva, often to the full width. A series of patients affected by desquamative gingivitis dg was investigated in order to evaluate relation patterns among clinical parameters relevant to plaqueinduced periodontitis, periodontal microbiological data and the presence of dg lesions. Desquamative gingivitis is a descriptive term of nonspecific clinical expression in the gingiva redness, burning, erosion, pain of several. Clinical and histological features of gingival lesions. Desquamative gingivitis involves lesions of the free and attached gingiva. Regular gingivitis involves the buildup of plaque and tartar on the teeth. Pdf diagnosis and management of desquamative gingivitis. Desquamative gingivitis, besides being a mouth full to say, is form of gingivitis can be extremely painful and hard to treat. Desquamative gingivitis in mucous membrane pemphigoid. It is seen mainly in adults, especially women, although rare cases have been observed in children 2.
Biopsy, desquamative gingivitis, mucous membrane pemphigoid, treatment. Gingivitis dental disorders merck manuals professional. Damoulis2 1 department of dermatology, national and kapodistrian university, athen, griechenland 2 private practice, athen, griechenland. Contact allergic reactions to various oral hygiene products and chemical agents have also been reported to represent as dg. Desquamative gingivitis a clinical sign in mucous membrane. A fairly common problem in which the gingivae show chronic desquamation and is a term that denotes a particular clinical picture and not a diagnosis in itself. Desquamative gingivitis dg is a clinical term used to describe gingival tissues that demonstrate potentially painful gingival erythema, hemorrhage, sloughing. Chronic desquamative gingivitis definition of chronic. For desquamative gingivitis sufferers, finding a solution is vital. Chronic desquamative gingivitis periodontal disease. Gingivitis is a type of periodontal disease characterized by inflammation of the gums gingivae, causing bleeding with swelling, redness, exudate, a change of normal contours, and, occasionally, discomfort.
Desquamative gingivitis dg is characterized by erythematous, epithelial desquamation, erosion of the gingival epithelium, and blister formation on the gingiva. Etiology, diagnosis, and treatment of desquamative gingivitis. Unlike plaque induced inflammation of the gums normal marginal gingivitis. Desquamative gingivitis aetiology, diagnosis and management. Desquamative lesions with bleeding on the attached gingiva associated with mmp. The patient with recurrent oral ulceration talacko. It is usually associated with autoimmune blistering disease like, pemphigus vulgaris, pemphigoid and bullous form of oral lichen planus, but also. Desquamative gingivitis definition of desquamative. Desquamative gingivitis is an erythematous, desquamatous and ulcerated appearance of the gums this video contains general medical information if in. Desquamative gingivitis is the most characteristic feature of mmp and may mark the onset of the disease. Mucosal peeling technique for the immunopathologic evaluation of desquamative gingivitisassociated mucous membrane pemphigoid. Desquamative gingivitis dg is characterized by the erythematous gingiva, desquamation and erosion of the gingival epithelium, and blister. The same remedies that prevent bacteria build up in gingivitis will help those that have desquamative gingivitis.
Desquamative gingivitis als manifestation einer chronischen mukokutanen erkrankung desquamative gingivitis as a manifestation of chronic mucocutaneous disease eleni gagari1, petros d. Desquamative gingivitis an overview sciencedirect topics. Clinical features of desquamative gingivitis vary in severity mild form moderate form severe form 6. Pdf desquamative gingivitis desquamative gingivitis ayko. The diagnosis and classification of mucosal disease for the busy general dental practitioner can be difficult since many mucosal diseases present with a similar oral appearance. This often leads to swelling of the gums when bacteria get into the gum line. Introduction desquamative gingivitis is a descriptive term, first introduced by prinz in 1932 that is synonymous with the presence of erythema, desquamation, erosion, and blistering of attached and marginal gingiva 1.
Lichen planus may affect only the gingivae appearing as a desquamative gingivitis with erythema of the marginal and attached gingivae fig 6. Unlike most forms of gingivitis, the desquamative variety does not seem to be a result of especially poor oral hygiene. Periodontal clinical and microbiological data in desquamative. In 1932, prinz described it as a peculiar condition characterized by intense erythema, desquamation and ulceration of the free and attached gingiva. The importance of being able to recognise and properly diagnose this condi. It is not a diagnosis but is instead a term applied to the manifestation of a multitude of mucocutaneous, systemic, allergic, and immunologic diseases. Dg is a clinical feature of a variety of diseases or disorders. Desquamative gingivitis cutaneous conditions psoriasis. Some people develop the problem despite proper brushing, flossing, and general mouth care. July 23, 2016 desquamative gingivitis not a disease entity but a clinical term for persistently sore, glazed and red or ulcerated gingiva. Desquamative gingivitis, which is sometimes known as gingivosis, is a form of gum disease where the gum tissue layers begin to separate from each other. Both histopathological examination and direct immunofluorescence testing are essential to establish a final diagnosis. Chronic desquamative gingivitis was first described by tomes and tomes in 1894.
Desquamative gingivitis is a descriptive term, first introduced by prinz in 1932 that is synonymous with the presence of erythema, desquamation, erosion, and blistering of attached and marginal gingiva 1. Amanda willis, brian mullally and christopher irwin. Desquamative gingivitis dg is a clinical condition with unclear etiology. Clinical and histological features of gingival lesions med oral patol. The term desquamative gingivitis dg is often used as a descriptive term because the. This is not a specific diagnosis but a descriptive term for nonspecific gingival manifestation which is associated with different diseases. Desquamative gingivitis dg is an erythematous red, desquamatous shedding and ulcerated appearance of the gums.
Dg can present as reticular, erosive or atrophic subtypes10 however, the clinical appearance of dg is not pathognomonic and may represent the gingival manifesta. Desquamative gingiva free download as powerpoint presentation. Detection and differentiation between conditions that manifest desquamative gingivitis have been almost a continuing problem for dental undergraduates. Esthetic management of multiple recession defects in a patient with cicatricial pemphigoid. The erythematous areas may merge into regions of ulceration which are invariably painful. No matter where you are in your career, we would welcome you and encourage you to consider joining our community. A variety of mucocutaneous disorders represent gingival manifestations in the. Oral lesions such as desquamative gingivitis, marginal gingivitis or erosive mucosal lesions have been reported in up to 40% of patients. Desquamative gingiva diseases and disorders medical.
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