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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Nisengard RJ, Neiders M. Clinical problem solving in dentistry 3rd ed. Determination of etiology usually requires desqyamative examination and direct immunofluorescence testing. The condition belongs to a group of mucocutaneous autoimmune blistering disorders often collectively referred to as subepithelial bullous dermatoses. In patients with ocular MMP who were not treated or are inappropriately treated, scarring may lead to blindness.

Linear deposition of IgG and C3 at the dermo-epidermal junction was evident in direct immmunofluorescence [ Figure 5 ]. A classification was gingigitis based on etiologic considerations, together with histologic and immunologic findings.

Desquamative gingivitis: A review

Laryngeal stenosis can lead to fatal asphyxia. If not, they should forgo the use of floss pending improvement in their gingival health. Histopathologic appearance of the lesion Click here to view.

Her medical history was non-contributory. Periodontium gingivaperiodontal ligamentcementumalveolus — Gums and tooth-supporting structures.


The treatment strategies vary according to the preference of the physician, the age of the patient, the severity of the disease and the site involved.

Definition, diagnostic criteria, pathogenic factors, medical treatment, and prognostic indicators. gingiivitis

Oral Lichen Planus (OLP) | Desquamative Gingivitis | Continuing Education Course |

W B Saunders; Ultrastructural study of mechanobullous desquamative gingivitis: Open in a separate window. Your session is about to expire. Expression of estrogen receptors in desquamative gingivitis. Therefore, treatment is often accomplished in a stair-step format beginning with a high potency topical corticosteroid such as fluocinonide or a very high potency steroid such as clobetasol.

The striking presence of desquamative gingivitis in a year-old female patient with an intact hemorrhagic bullae without coexisting skin lesionsin association with characteristic histopathological and immunofluorescent features confirmed the diagnosis of MMP.

Desquamative gingivitis involves lesions of the free and attached gingiva. Periapical, mandibular and maxillary hard tissues — Bones of jaws Agnathia Alveolar osteitis Buccal exostosis Cherubism Idiopathic osteosclerosis Mandibular yingivitis Microgenia Micrognathia Intraosseous cysts Odontogenic: Estrogen deficiencies following oophorectomy and in postmenopausal stages.

They also emphasized that the Nikolsky phenomenon is generally positive in DG patients.

J Am Acad Dermatol ;6: J Am Acad Dermatol. The most frequent first site involved in MMP is the oral cavity. How to cite this URL: Desquamative gingivitis is the main oral feature of MMP[ 22 ] and may be the sole presenting feature. Scully C, Lo Muzio L.


Increased risk of breast cancer following different regimens of hormone replacement therapy frequently used in Europe. There is no standard treatment protocol for the management of patients with MMP.

In the present case, the affected patient was a ginivitis female who presented with exclusive oral involvement without any other mucosal or cutaneous involvement.

Besides, patients should be warned about mechanical and chemical trauma. The chronic mucous membranes – pemphigus of the upper air routes.

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By using this site, you agree to the Terms of Use and Privacy Policy. The first international consensus on mucous membrane pemphigoid: Mucosal and gingival desquamation developing as a result of an allergic reaction against toothpaste.

Although the DIF findings are non-specific, they are supportive of diagnosis of OLP if there is a linear deposition of fibrin or fibrinogen along the basement membrane zone and possibly immunoglobulin cytoid bodies in the underlying connective tissue. Some authorities feel it is not necessary to perform DIF on patients with OLP, although most agree that histopathologic evaluation is desirable.