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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Early presenting symptom of mucocutaneous disease. Definitive diagnosis of Desuqamative should be made by incisional biopsy, histopathological examination and DIF. Gingival lesions are controlled by improving oral hygiene and the use of topical corticosteroids.
The material cannot be used for commercial purposes. Thorough oral prophylaxis was done and the patient was counseled to maintain good oral hygiene.
American Academy of Periodontology; Dermatological pathologies like bullous pemphigoid, MMP, pemphigus vulgaris and bullous lichen planus were considered as the most probable differential diagnosis. Besides, patients should be warned about mechanical and chemical trauma. The clinical condition generally exacerbates with plaque accumulation, trauma or improper brushing.
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Although the intraoral presence of igngivitis gingival lesions differ, various durations from gingigitis months to 25 years have been reported Esophageal strictures may lead to dysphagia and may rarely rupture to result in mediastinitis. Periapical, mandibular and maxillary hard tissues — Bones of jaws. Erosions have a yellowish slough and are surrounded by an inflammatory halo. The effects of mouth rinses and dentifrice-containing magnesium monoperoxyphthalate mmpp on oral microflora, plaque reduction, and mucosa.
Oral Lichen Planus (OLP) | Desquamative Gingivitis | Continuing Education Course |
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 Subgingival and supragingival plaques should be removed and proper teeth brushing with a soft brush in addition to flossing should be recommended Determination of etiology usually requires histopathological examination and direct immunofluorescence testing.
Jones and Dolby 34 Gingival desquamation may be the result of various disease processes in gingiva. Often similar lesions are found elsewhere in the oral cavity. Your session is about to expire. Paediatric dentistry 4th ed. Desquamative gingivitis and oral mucous membrane diseases. Robinson NA, Wray D. The ability to readily determine the correct etiology of DG may sometimes be difficult due the extremely friable nature of the affected tissues.
Systemic and topical corticosteroids are used for the medical treatment of DG. The patient can either have no complaints or there can be a burning sensation or severe pain.
OLP can affect individuals of all ages, although it usually involves individuals ranging in age from years with a female to male ratio of at least 2: A study of sixty-five patients.
Indirect immunofluorescence using salt-split mucosa provides more sensitive assay. Efficacy of low-level laser therapy for chronic cutaneous ulceration in humans: Occassionally, gingival inflammation may occur in the absence of bacterial plaque, in the form of chronic desquamative gingivitis.
Apically positioned flap Bone graft Coronally positioned flap Crown lengthening Open flap debridement Gingival graft Gingivectomy Guided bone regeneration Guided tissue regeneration Enamel matrix derivative Implant placement Lateral pedicle graft Pocket reduction surgery Socket preservation Sinus gingivitks Subepithelial connective tissue graft Tools Curette Membrane Probe Scaler.
The patient with recurrent oral ulceration. How to cite this URL: Diagnosis and management of desquamative gingivitis. Sitemap What’s New Feedback Disclaimer. Periapical, mandibular and maxillary hard tissues — Bones of jaws Agnathia Alveolar osteitis Buccal exostosis Cherubism Idiopathic osteosclerosis Mandibular fracture Microgenia Micrognathia Intraosseous cysts Odontogenic: Faint white striae were visible bordering the areas showing desquamation.
Contact sensitivity reactions in the oral mucosa. This page was last edited on 29 Decemberat Chronic inflammatory infiltrate in the lamina propria contains eosinophils, lymphocytes, and neutrophils. Oral and maxillofacial pathology K00—K06, K11—K14—, — The management of DG has been a major problem, largely because the etiology of the disease has been elusive.