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.
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Oral lesions of mucous membrane pemphigoid. The first international consensus on mucous membrane pemphigoid: Economopoulou P, Laskaris G.
Immunodiagnosis of pemphigus and mucous membrane pemphigoid. Desquamative gingivitis, Mucocutaneous diseases, Contact allergic reactions. Gingival involvement of oral lichen planus in a series of patients. An accurate diagnosis of the underlying disease of chronic desquamative gingivitis can be made on the basis of careful history and clinical observation, light microscopic examination of gingival biopsy specimens, immunopathologic and follow-up findings.
The response to topical corticosteroids as well as systemic corticosteroids and dapsone or sulfapyridine has been gratifying. Pemphigus vulgaris in a Mediterranean young adult manifesting as desquamative gingivitis.
Chronic desquamative gingivitis and oral health-related quality of life
J Contemp Dent Pract. Since the patient was found to have no lesions in cutaneous, nasal, ocular or genital area, the dermatologist ruled out pemphigus vulgaris or bullous pemphigoid as an underlying pathology. The re-evaluation at 6 months post-operation revealed a significant improvement in gingival conditions [ Fig. Double-blind clinical trial of 0.
Arteaga S, Eisenberg E. The features reported in the present case were consistent with the previous literature reviews. Although the intraoral presence of desquamative gingival lesions differ, various durations from 2 months to 25 years have been reported A clinical sign in mucous membrane hingivitis. Further research is needed to understand the impact of periodontal treatment on the oral health-related quality of life of patients with CDG and other mucocutaneous disorders.
The condition belongs to a group of mucocutaneous autoimmune blistering disorders often collectively referred to as subepithelial bullous dermatoses.
The instruction was also given to the patient gigivitis apply a steroidal ointment containing 0. These interventions resulted in a significant improvement of the gingival lesions.
Step B Chart 1bafter intra-oral examinations, at this stage, the clinical history should be taken meticulously. Debridement Scaling and root planing Full mouth disinfection Full mouth ultrasonic debridement.
Chronic diffuse desquamative gingivitis. Thorough oral prophylaxis was done and the patient was counseled to maintain good oral hygiene.
The material cannot be used for commercial purposes. A year-old woman was referred from an oral surgery clinic of a general hospital to our dental clinic, with a chief complaint of oral discomfort, soreness of the gingiva. If there is an underlying systemic disease, the case should be consulted with the physician. Desquamative gingivitis DG is an erythematous reddesquamatous shedding and ulcerated appearance of the gums.
Management of patients with foreign body gingivitis: Definitive diagnosis of DG should be made by incisional biopsy, histopathological examination and DIF. Analysis of desquamative gingivitis using direct immunofluorescence in conjunction with histology.
Arteaga and Eisenberg 36 The affected gingiva epithelium is very fragile and tends to exfoliate easily, even with the slightest trauma 3. Gentle manipulation of the normal mucosa induced a positive Nikolsky’s sign. The other mucosa, skin, internal organs, and systemic disease involvement either together or solely should be assessed meticulously. Analysis of desquamative gingivitis using direct immunofluorescence in conjunction with histology.
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Desquamative gingivitis: A review
N Engl J Med. Direct immunofluorescence Click here to view. Desquamative gingivitis is a fairly common disorder in which the gingivae are desquamated. Erosive lichen planus, mucous membrane pemphigoid, pemphigus vulgaris, and lupus erythematosus. MMP is a heterogeneous group of autoimmune, chronic inflammatory, subepithelial blistering disease of mucous membranes, oral, ocular, genital, nasopharyngeal, esophageal, and laryngeal mucosa are dequamative affected, with rare skin involvement.
Although they are generally observed in the anterior region, they can be seen in any gingival area 6. Circulating antibodies can be detected by indirect immunofluorescence and immunoblot assays. Diagnostic pathways and clinical significance of desquamative gingivitis.
Unlike plaque -induced inflammation of the gums normal marginal gingivitisdesquamative gingivitis extends beyond the marginal gingiva, involving the full width of the ginbivitis and sometimes the alveolar mucosa.
Gao X, Xing D. Oral lichen planus in childhood.
Mucosal and gingival desquamation developing as a result of an allergic reaction against toothpaste.