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.
|Published (Last):||21 March 2007|
|PDF File Size:||5.20 Mb|
|ePub File Size:||14.20 Mb|
|Price:||Free* [*Free Regsitration Required]|
Lea and Febiger; The clinical spectrum of desquamative gingivitis.
They also emphasized that the Nikolsky phenomenon is generally positive in DG patients. For generalized lesions, prednisolone mgbetamethasone 0. The classification has been divided into the following categories: Nisengard RJ, Neiders M. Occassionally, gingival inflammation may occur in the absence of bacterial plaque, in the form of chronic desquamative gingivitis.
Vesiculo-ulcerative diseases and periodontal practice. The majority of cases of CDG are now known to be due to mucocutaneous conditions, in particular lichen planus, pemphigoid and pemphigus. Childhood cicatricial pemphigoid with exclusive gingival involvement. The condition belongs to a group of mucocutaneous autoimmune blistering disorders often collectively referred to as subepithelial bullous dermatoses. Step B Chart 1bafter intra-oral desquuamative, at this stage, the clinical history should be taken meticulously.
Topical use of sicatrizing drugs as supportive treatment accelerates regression of lesions Adenosquamous carcinoma Basaloid squamous carcinoma Mucosal melanoma Spindle cell carcinoma Squamous cell carcinoma Verrucous carcinoma Oral florid papillomatosis Oral melanosis Smoker’s melanosis Pemphigoid Benign mucous membrane Pemphigus Plasmoacanthoma Stomatitis Aphthous Denture-related Herpetic Smokeless tobacco keratosis Submucous fibrosis Ulceration Riga—Fede disease Verruca vulgaris Verruciform xanthoma White sponge nevus.
Unlike lichen planus and pemphigoid pemphigus rarely seen as a cause of DG. Preservation of tissue-fixed immunoglobulins in skin biopsies of patients with lupus erythematosus and bullous diseases – Preliminary report. Articles from Gingiivitis of International Oral Health: This is an open-access article distributed under the terms of the Creative Desquammative Attribution-Noncommercial-Share Alike 3.
Linear deposition of IgG and C3 at the dermo-epidermal junction was evident in direct immmunofluorescence [ Figure 5 ]. Gnigivitis gingivitis is the main oral feature of MMP[ 22 ] and may be the sole presenting feature. The clinical signs and symptoms of desquamative gingivitis are gingivitls to make a definitive diagnosis. A case report and. MMP is a rare, chronic autoimmune blistering disorder characterized by subepithelial bullae.
Desquamative gingivitis – Wikipedia
Then clinical diagnosis of generalized chronic periodontitis with CDG was made. Direct gingivitos showing a linear deposition of IgG and C3 at the dermo-epidermal junction. Periapical, mandibular and maxillary hard tissues — Bones of jaws Agnathia Alveolar osteitis Buccal exostosis Cherubism Idiopathic osteosclerosis Mandibular fracture Microgenia Micrognathia Intraosseous cysts Odontogenic: This article has been cited by.
The response to topical corticosteroids as well as systemic corticosteroids and dapsone or sulfapyridine has been gratifying. In addition, a clinical effective flowchart was designed to advance further the teaching and learning of fesquamative undergraduates.
Chronic desquamative gingivitis and oral health-related quality of life
Recently, it has been generally accepted that DG can be the initial symptom of vesicular bullous diseases and can emerge as a result of reactions against some chemicals and allergens, and that it is not related to hormones 2361012 Nisengard and Levine 14 have mentioned some characteristics in order to diagnose the clinical findings as DG, since gingival erythema is not associated with plaque and presence of gingival desquamatiev.
Periodontists and dermatologists need to collaborate with each other for comprehensive assessment, which could ultimately benefit the patient.
Review of available therapies. Desquamative gingivitis is a fairly common disorder in which the gingivae are desquamated.
Whereas, the control group failed to diagnose correctly the studied cases as they were able to reach the correct diagnosis of 3 cases out of 5. The clinical picture worsens with the disruption of oral hygiene practices due to pain and bleeding 3 Immunodiagnosis of pemphigus and mucous membrane pemphigoid.
Plasma cell gingivitis related to the use of chtonic toothpaste.
The patient was asked to stop the topical steroid application desquamqtive reinforcement of oral hygiene instructions were given. Correct and early diagnosis is important. Desquamative gingivitis is a complex term that needs a clear definition.
Desquamative gingivitis: A review
Cicatricial pemphigoid disclosed by superficial desquamative gingivitis. Faint white striae were visible bordering chronjc areas showing desquamation. Detection and differentiation between conditions that manifest desquamative gingivitis have been almost a continuing problem for dental undergraduates.
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 ggingivitis 3. Related articles Desquamative gingivitis immunofluorescence pemphigoid suprabasilar split. Erosions have a yellowish slough and are surrounded by an inflammatory halo.
Epidemiology of desquamative cjronic Treatment If there are previously determined etiologic factors allergen materials, etc. Large ulceration areas can be observed in some cases This condition was first recognized and reported inbut the term desquamative gingivits was not coined until Its nature and treatment.