Squamous cell carcinoma in oral ulcerative lesions. Doctor answers on symptoms, diagnosis, treatment, and more. 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. 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. That must be followed up with proper brushing and flossing to achieve proper oral health. Desquamative gingiva diseases and disorders medical. Desquamative gingivitis may also be mistaken for pemphi gus, pemphigoid, dermatitis herpetiformis, or lin ear iga disease. The term desquamative gingivitis describes the clinical appearance of gingiva that are red, glazed, often oedematous, with loss of stippling, and that have areas of superficial epithelial desquamation andor ulceration fig 1. The same remedies that prevent bacteria build up in gingivitis will help those that have desquamative gingivitis. Multidisciplinary management of desquamative gingivitis. Amanda willis, brian mullally and christopher irwin.
The management of the patient suffering from desquamative gingivitis such as. Desquamative gingivitis is the main oral feature of mmp and may be the sole presenting feature. Desquamative gingivitis dg is a common manifestation of mmp. Desquamative gingivitis dg is characterized by erythematous, epithelial desquamation, erosion of the gingival epithelium, and blister formation on the gingiva. It is a descriptive term and can be caused by several different disorders. Dandu sivasai prasad reddy iiyr post graduate mamata dental college 2.
Inflammation of the gums, characterized by redness and swelling. 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. Some people develop the problem despite proper brushing, flossing, and general mouth care. Recalcitrant gingival erythematous lichen planus lesions comprise a considerable therapeutic problem. Glickman and smulow stated that desquamative gingivitis may be a clinical feature common to a wide. Oral presentation of pemphigus vulgaris and its response to systemic steroid therapy. Regular gingivitis involves the buildup of plaque and tartar on the teeth.
The commonest intraoral site affected is the gingiva20,21, and the lesions tend to heal with insignificant scarring. Desquamation of the gingiva is a sign that may be encountered in clinical practice. 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. 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.
Desquamative gingivitis treatment answers on healthtap. Desquamative gingivitis wikipedia republished wiki 2. Desquamative gingivitis is a descriptive clinical term, not a diagnosis. Etiology, diagnosis, and treatment of desquamative gingivitis. Desquamative gingivitis synonyms, desquamative gingivitis pronunciation, desquamative gingivitis translation, english dictionary definition of desquamative gingivitis. Gingivitis mild gum disease gingivitis an inflammation of the gums is the initial stage of gum disease and the easiest to treat. Desquamative gingivitis is mainly a manifestation of. Symptoms, causes, diagnosis and treatment 1 gingivitis is a gum disease caused by bacterial infection of the tissues surrounding the gums and teeth.
Desquamative gingivitis a clinical sign in mucous membrane. Such lesions impede proper oral hygiene indirectly increase the longterm risk for plaqueinduced periodontal disease via plaque. Dermatologic conditions cause about 75% of cases of desquamative gingivitis, and over 95% of the dermatologic cases are accounted for by either oral lichen planus or cicatricial pemphigoid. Desquamative inflammatory vaginitis should be in the differential diagnosis for all menopausal and perimenopausal women presenting with complaints of chronic vaginitis. 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. Download mucositis ulcers and desquamative gingivitis burning mouth syndromedifficulty swallowingopportunistic bacteria ppt for free. 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. Usually a manifestation of atrophic lichen planus or m. Desquamative vaginitishow to recognize and treat it the. 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. Clinical presentation of oral lesions in pemphigus vulgaris. For desquamative gingivitis sufferers, finding a solution is vital. A variety of mucocutaneous disorders represent gingival manifestations in the. There is erosion of the superficial epithelium layer.
Detection and differentiation between conditions that manifest desquamative gingivitis have been almost a continuing problem for dental undergraduates. Contents introduction history epidemiology classification disorders associated with desquamative gingivitis lichen planus pemphigoid pemphigus lupus erythematosus erythema multiforme miscellaneous conditions mimicking desquamative gingivitis diagnostic pathways clinical significance and implications. The division of these gum layers provides space for bacteria to enter and multiply, which leads to infection. Pdf desquamative gingivitis desquamative gingivitis ayko.
The differential diagnosis of desquamative gingivitis. It is seen mainly in adults, especially women, although rare cases have been observed in children 2. Desquamative gingivitis can be the clinical symptom of some dermatitis and mucocutaneous diseases and the underlying primary cause should be evaluated meticulously. Diagnosis and management of desquamative gingivitis intechopen. 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. Coined in 1932 prinz to describe a peculiar condition characterized by intense erythema, desquamation, and ulceration of the free and attached gingiva. Desquamative gingivitis article about desquamative. Desquamative gingiva free download as powerpoint presentation. The term desquamative gingivitis dg is often used as a descriptive term because the. Desquamative gingivitis is a potentially serious form of gum disease. Introduction history chronic desquamative gingivitis systemic approach for the diagnosis of chronic desquamative gingivitis clinical history clinical examination biopsy immunofluorescence management. 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. The importance of being able to recognise and properly diagnose this condi. Diagnosis and management of desquamative gingivitis, gingival diseases their aetiology, prevention and treatment, fotinos s.
Treatment of desquamative gingivitis with free gingival. The growth of bacteria in these areas is mainly triggered by the lack of proper oral hygiene. The term desquamative gingivitis dg is often used as a descriptive term because the aetiology of the inflammation may originate from multiple oral conditions. This often leads to swelling of the gums when bacteria get into the gum line. This is not a specific diagnosis but a descriptive term for nonspecific gingival manifestation which is associated with different diseases. The direct cause of gingivitis is plaque the soft, sticky, colorless film of bacteria that forms constantly on the teeth and gums. Chronic desquamative gingivitis definition of chronic. These oils naturally prevent bacteria growth in the mouth. Desquamative gingivitis cutaneous conditions psoriasis. Desquamative gingivitis dg is characterized by erythematous, epithelial desquamation, erosion of the gingival. Desquamative gingivitis dg is characterized by the erythematous gingiva. Adobe flash, apple quicktime, adobe acrobat, microsoft powerpoint, windows. Mild desquamation that is localized may be associated with mechanical irritation or induced by trauma. Desquamative gingivitis is an elucidating term used to demonstrate epithelial desquamation, erythema, erosions, andor vesiculobullous lesions of the gingiva.
A combined treatment regimen for desquamative gingivitis in patients with oral lichen planus. Depending on the severity you may need an extensive type of cleaning and debridement of your gums. 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. Chronic desquamative gingivitis was first recognized and reported in 1894. Preliminary observations with tetracycline treatment bernt arne rnbeck, dds. Desquamative gingivitis definition of desquamative. Most cases of dg are associated with mucocutaneous diseases, the most common ones being lichen planus, mucous membrane pemphigoid, and pemphigus vulgaris. Adobe flash, apple quicktime, adobe acrobat, microsoft powerpoint, windows media player, or real networks real one player. Oral lichen planus is a disorder that affects the oral mucosal.
Desquamative gingivitis, vesiculobullous lesions, and ulcerations are the common intraoral features seen. Problems occur when gum layers begin to separate from each other, causing inflammation and creating space for bacteria to thrive. The term desquamative gingivitis dg describes a clinical condition in which the gingival tissues are erythematous, blistering, and eroding. Desquamative gingivitis is an erythematous red, desquamatous shedding and ulcerated appearance of the gums. Desquamative gingivitis dg is characterized by the erythematous gingiva, desquamation and erosion of the gingival epithelium, and blister formation. Desquamative gingivitis an overview sciencedirect topics. Treatment of desquamative gingivitis with free gingival graft. Presentations ppt, key, pdf logging in or signing up. Photographs are used to record the clinical aspect at presentation and in.
This case of chronic desquamative gingivitis in a 25yearold woman with erosive oral lichen planus was treated with topical and systemic corticosteroid administration, followed by placement of a free gingival graft on right upper quadrant. Both histopathological examination and direct immunofluorescence testing are essential to establish a final diagnosis. Unlike plaqueinduced inflammation it is a dusky red colour and extends beyond the marginal gingiva, often to the full width. Chronic desquamative gingivitis was first described by tomes and tomes in 1894.
Mucositis, ulcers and desquamative gingivitis burning. Throne, dds, md,c oslo, norway university of oslo and the national hospital, rikshospitalet fourteen patients admitted to our clinic were found to have desquamative gingivitis. In its chronic state it is most frequently associated with the hormonal changes of menopause. 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. Approximately 50% of desquamative gingivitis cases are localized to. Diagnosis and management of desquamative gingivitis. It is not a diagnosis but is instead a term applied to the manifestation of a multitude of mucocutaneous, systemic, allergic, and immunologic diseases. 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 usually a manifestation of oral lichen planus olp and may be the only clinical presentation of these disorders. Desquamative gingivitis involves lesions of the free and attached. 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. Eight oral lichen planus olp and four mucous membrane pemphigoid mmp patients were examined. Oralmedicine 564 dentalupdate june 2017 desquamative gingivitis. Direct immunofluoresence studies of normal and lesional tissue are often essential in establishing definitive diagnosis. Desquamative gingivitis free download as powerpoint presentation.
Chapter 21 desquamative gingivitis chronic desquamative gingivitis was first recognized and reported in 1894. Aside irom slight marginal erythema, there is little evidence of change in the gingiva and adjacent mucosa c, severe, with. Desquamative gingivitis involves lesions of the free and attached gingiva. Dentists play an important role in the diagnosis and management of desquamative gingivitis. Studies in the usa and the uk suggest that some degree of gingivitis affects 5090% of the adult population albandar and kingman, 1999. Unlike plaque induced inflammation of the gums normal marginal gingivitis. Ppt lichen planus lp powerpoint presentation free to. It demonstrate potentially painful gingival erythema, hemorrhage, sloughing, erosion, and ulceration. Vesicles, white striae or flecks may also be seen figs 2, 3. Desquamative gingivitis, systemic disease, oral lesions. Apr 28, 2015 desquamative gingivitis is an elucidating term used to demonstrate epithelial desquamation, erythema, erosions, andor vesiculobullous lesions of the gingiva. Displaying powerpoint presentation on mucositis ulcers and desquamative gingivitis burning mouth syndromedifficulty swallowingopportunistic bacteria available to view or download.
Wickhams striae may also be seen near these ulcerated areas. It may also be caused by biological stress, such as trauma to the epithelium, or certain reactions to medications. Chronic desquamative gingivitis periodontal disease. Dg is a clinical feature of a variety of diseases or disorders. Desquamative gingivitis dg is a clinical condition with unclear etiology. Unlike most forms of gingivitis, the desquamative variety does not seem to be a result of especially poor oral hygiene.
Mar 14, 2010 recalcitrant gingival erythematous lichen planus lesions comprise a considerable therapeutic problem. Inflammatory periodontal conditions due to plaque are very common preshaw, 2015. Desquamative gingivitis, besides being a mouth full to say, is form of gingivitis can be extremely painful and hard to treat. Desquamative gingivitis aetiology, diagnosis and management. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Desquamative gingivitis treatment stop receding gums. Apr 14, 2020 the exact cause of desquamative gingivitis is not well understood, but it appears that several different factors may be involved. Desquamative gingivitis diagnosis and management 1. Periodontal clinical and microbiological data in desquamative. July 23, 2016 desquamative gingivitis not a disease entity but a clinical term for persistently sore, glazed and red or ulcerated gingiva. The best remedies contain essential oils straight from natures drug store. In 1932, prinz described it as a peculiar condition characterized by intense erythema, desquamation and ulceration of the free and attached gingiva.
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