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. Pdf desquamative gingivitis desquamative gingivitis. The desquamative gingivitis is seen after puberty, especially in individuals over 30 years of age. It is usually associated with autoimmune blistering disease like, pemphigus vulgaris, pemphigoid and bullous form of oral lichen planus, but also other systemic disorders. Always seek the advice of your own physician or other qualified health care professional regarding any medical questions or conditions. Diagnosis and management of desquamative gingivitis. It is a common clinical manifestation in several diseases.
Desquamative gingivitis desquamative gingivitis dg is a descriptive term, indicating inflamed, peeling gingiva 1. Oral hygiene instructions and professional control as part of the. Direct immunofluoresence studies of normal and lesional tissue are often essential in establishing definitive diagnosis. 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. Desquamative gingivitis journal of advanced clinical and.
Chronic desquamation of the gingiva is referred to as desquamative gingivitis dg 2. Desquamative gingivitis an overview sciencedirect topics. Desquamative gingivitis dg is characterized by erythematous, epithelial desquamation, erosion of the gingival epithelium, and blister formation on the gingiva. As the term desquamative gingivitis is a clinical term that represents an oral expression of different mucocu taneous diseases, its treatment is diversified and for this. Apr 01, 2016 desquamative gingivitis dg is characterized by the erythematous gingiva, desquamation and erosion of the gingival epithelium, and blister formation. Desquamative gingivitis is not a disease sui generis but represents a reaction pattern of the gingivae to various stimuli. May 29, 2015 dentists play an important role in the diagnosis and management of desquamative gingivitis. This case of chronic desquamative gingivitis in a 25yearold woman with erosive oral lichen planus was treated with topical and systemic. Learn vocabulary, terms, and more with flashcards, games, and other study tools.
Pdf desquamative gingivitis dg is characterized by the erythematous gingiva, desquamation and. Desquamative gingivitis, oral hygiene, oral lichen planus, mucous membrane. Etiology, diagnosis, and treatment of desquamative gingivitis. Desquamative gingivitis dg is characterized by erythematous. Desquamative gingivitis dg is a clinical condition with unclear etiology. 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. Report of a rare case of contact stomatitis manifesting as irregular erosions partially covered with pseudomembrane along with desquamative gingivitis in a. Desquamative gingivitis is uncommon, and there are no systematic guidelines to assist the physician in treatment, producing a practice gap in management. Gingivitis may develop from the action of unfavorable external factors on the gum tissues intoxication with lead, manganese, bismuth, or other toxins, but may also be a manifestation of the irritation of the bodys local or general reactivity. Desquamative gingivitis definition of desquamative. Desquamation of epithelial tissue is generally seen in free and keratinized gingiva.
Desquamative gingivitis cutaneous conditions diseases. Dentists play an important role in the diagnosis and management of desquamative gingivitis. Cicatricial pemphigoid, lichen planus, and pemphigus vulgaris may present. Desquamative gingivitis as a manifestation of chronic. In 1932, prinz described it as a peculiar condition characterized by intense erythema, desquamation and ulceration of the free and attached gingiva. The color is another dissimilarity between typical marginal gingivitis and desquamative gingivitis, in the latter it is dusky red. Treatment of desquamative gingivitis with free gingival. Desquamative gingivitis synonyms, desquamative gingivitis pronunciation, desquamative gingivitis translation, english dictionary definition of desquamative gingivitis. Desquamative gingivitis a clinicopathologic study pdf free download ebook description gingival desquamation is a clinical manifestation in many inflammatory and immunological disorders. Desquamative vaginitishow to recognize and treat it the.
Health, general allergic reaction development and progression prognosis allergy chemical weapons dentifrices gum diseases oral hygiene products toiletries industry. Consider desquamative vaginitis in women presenting with chronic vaginal symptoms, specifically. Consanguinity in the parents of the patients has been implicated as an etiologic factor. Desquamative gingivitis is a descriptive term of nonspecific clinical expression in the gingiva redness, burning, erosion, pain of several. 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. Featured software all software latest this just in old school emulation msdos games historical software classic pc games software library. Esthetic management of multiple recession defects in a patient with cicatricial pemphigoid.
This gingival condition is characterized by intense erythema, sloughing off or ulceration that is commonly associated with some kind of systemic autoimmune disease. Unlike plaqueinduced inflammation it is a dusky red colour and extends beyond the marginal gingiva, often. Desquamative gingivitis als manifestation einer chronischen mukokutanen erkrankung desquamative gingivitis as a manifestation of chronic mucocutaneous disease eleni gagari1, petros d. Consequently, the gingiva appear erythematous and often edematous. Desquamative gingivitis dg is the clinical term given to the gingival manifestation of mucocutaneous diseases. A variety of mucocutaneous disorders represent gingival manifestations in the.
Meanings of gingivitis descamativa cronica in english spanish dictionary. This is not a specific diagnosis but a descriptive term for nonspecific gingival manifestation which is associated with different diseases. Contact allergic reactions to various oral hygiene products and chemical agents have also been reported to represent as dg. Desquamative gingivitis free download as powerpoint presentation. Rees 2 1department of periodontology, nihon university, school of dentistry at matsudo 2department of periodontics, baylor college of dentistry. 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. Aug 10, 2019 a comparison of the periodontal status in patients with mucous membrane pemphigoid.
Generally, the lesions that affect the buccallabial surfaces of. Desquamative gingivitis is described as an erythematous, desquamated. Desquamative gingivitis dg is characterized by erythematous, epithelial desquama. Desquamative gingivitis dg is an erythematous red, desquamatous shedding. Diagnostic pathways and clinical significance of desquamative gingivitis. Some people develop the problem despite proper brushing, flossing, and general mouth care. Full text of treatment of desquamative gingivitis with. The division of these gum layers provides space for bacteria to enter and multiply, which leads to infection. The lesions affect the gingiva free and adhered mainly, and according to the clinical affectation can be distinguished two types. It is characterized by sloughing of the gingival epithelium as a result of the formation and rupture of a vesicle. Desquamative gingivitis is a descriptive clinical term for desquamation, erosions, ulcers, vesicles and bullas that involve both free and attached gingival 1,2. Chronic soreness is commonly seen and intake of spicy foods may further worsen the condition. Desquamative inflammatory vaginitis is a form of vaginitis occurring primarily in perimenopausal white women. Xeroderma pigmentosum with desquamative gingivitis a.
Report of a rare case of contact stomatitis manifesting as irregular erosions partially covered with pseudomembrane along with desquamative gingivitis in a 32yearold female patient is presented. In its chronic state it is most frequently associated with the hormonal changes of menopause. These interventions resulted in a significant improvement of the gingival lesions. The importance of being able to recognise and properly diagnose this condition is accentuated by the fact that a serious and life threatening disease may initially manifest as desquamative gingivitis. Treatment of oral lichen planus patients with desquamative gingivitis by use of free gingival graft is an aggressive therapy but more effective, with fewer side effects and more stable as the most important benefit compared to topical or systemic steroids. Desquamative gingivitis article about desquamative. This chart is a simple guide that aims to help dental undergraduates to establish a differential diagnosis of desquamative gingivitis. Bboy radio entrepreneurs roundtable culture caucus grind. Periapical, mandibular and maxillary hard tissues bones of jaws. The term full width gingivitis usually refers to the oral lesions of orofacial granulomatosis however. Desquamative gingivitis a clinicopathologic study pdf. The syndrome includes vaginal inflammation, rash and purulent discharge along with dyspareunia. 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.
Spanish pdf article dsecamativa xml format article references how to cite this article automatic translation send this article by email. Chronic desquamative gingivitis definition of chronic. Pdf diagnosis and management of desquamative gingivitis. Desquamative gingivitis cutaneous conditions diseases and. Identify treatments suggested for the disorders associated with desquamative gingivitis. More than that, for the past couple of months i only had one migraine attack, comparing to six a week as i used to. Desquamative gingivitis is a descriptive term of nonspecific clinical expression in the. Desquamative gingivitis dg is a descriptive term, indicating inflamed, peeling gingiva. Mccarthy et al1960 desquamative gingivitis was not a. Apr 14, 2020 the exact cause of desquamative gingivitis is not well understood, but it appears that several different factors may be involved.
It has been reported that it can rarely be observed in children 2, 3, 8, 12. Oct, 2019 chronic desquamative gingivitis pdf in this paper the etiology, the clinical and histologic features, the immunopathologic studies, the diagnosis and treatment of chronic desquamative. The content on the uptodate website is not intended nor recommended as a substitute for medical advice, diagnosis, or treatment. Desquamative gingivitis a clinical sign in mucous membrane. Desquamative gingivitis dg is characterized by erythematous gingiva. Report by journal of istanbul university faculty of dentistry. Most cases of dg are associated with mucocutaneous diseases, the most common ones being lichen planus, mucous membrane pemphigoid, and pemphigus. Diagnosis and management of desquamative gingivitis intechopen. Jul 24, 2019 squamous cell papilloma keratoacanthoma malignant.
Oct 21, 2018 desquamative gingivitis a clinicopathologic study pdf free download ebook description gingival desquamation is a clinical manifestation in many inflammatory and immunological disorders. Desquamative gingivitis cutaneous conditions psoriasis. Most cases of dg are associated with mucocutaneous diseases, the most common ones being lichen planus, mucous membrane pemphigoid, and pemphigus vulgaris. Scribd is the worlds largest social reading and publishing site.
Chapter 21 desquamative gingivitis chronic desquamative gingivitis was first recognized and reported in 1894. Periodontium gingivaperiodontal ligamentcementumalveolus gums and toothsupporting structures. Desquamative gingivitis dg is a clinical term used to describe gingival tissues that demonstrate potentially painful gingival erythema, hemorrhage, sloughing. Pdf on sep 22, 2011, hiroyasu endo and others published diagnosis and. Abstract the term desquamative gingivitis dg describes a clinical condition in which the gingival tissues are erythematous, blistering, and eroding. Desquamative gingivitis involves lesions of the free and attached gingiva. Unlike most forms of gingivitis, the desquamative variety does not seem to be a result of especially poor oral hygiene. Desquamative gingivitis treated by an antioxidant therapy. Chronic desquamative gingivitis was described for the. Desquamative gingivitis dg is characterized by the erythematous gingiva, desquamation and erosion of the gingival epithelium, and blister formation.
Inflammation of the gums, characterized by redness and swelling. Desquamative gingivitis periodontal disease treatment. The free and attached gingiva may present as an intense erythema, desquamation, and or ulceration and most often with. 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. As such, this article focuses on treatment for individual conditions, with emphasis on levels of evidence. Desquamative gingivitis is a fairly common disorder in which the gingivae are desquamated. Desquamative gingivitis as a clinical sign of oral lichen planus. Desquamative gingivitis is the main oral feature of mmp and may be the sole presenting feature. Dg is a clinical feature of a variety of diseases or disorders. In this paper the etiology, the clinical and histologic features, the immunopathologic studies, the diagnosis and treatment of chronic desquamative gingivitis are. Coined in 1932 prinz to describe a peculiar condition characterized by intense erythema, desquamation, and ulceration of the free and attached gingiva.
487 1425 359 989 1397 539 83 908 995 604 474 1089 713 1197 441 52 438 166 1115 882 1422 1403 943 1084 512 595 1474 242 1399 388 61 398 397 567 273 311 624 313 1077 998 1471 886 1394 174 915