Chronic desquamative gingivitis periodontal disease. Aside irom slight marginal erythema, there is little evidence of change in the gingiva and adjacent mucosa c, severe, with. View of multidisciplinary management of desquamative. Desquamative gingivitis is a better descriptive name than gingivosis. Mild desquamation that is localized may be associated with mechanical irritation or induced by trauma. Desquamative gingivitis cutaneous conditions psoriasis. Mar 14, 2010 recalcitrant gingival erythematous lichen planus lesions comprise a considerable therapeutic problem. Symptoms, causes, diagnosis and treatment 1 gingivitis is a gum disease caused by bacterial infection of the tissues surrounding the gums and teeth. Definitive and differential diagnosis of desquamative. Desquamative gingivitis dg is a common clinical manifestation of oral autoimmune vesiculobullous diseases vbds. Less commonly are bullous pemphigoid, pemphigus, linear iga disease, epidermolysis bullosa acquisita weblink, chronic ulcerative stomatitis weblink, discoid lupus erythematosus weblink and psoriasis weblink. Chronic desquamative gingivitis was first recognized and reported in 1894.
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. The same remedies that prevent bacteria build up in gingivitis will help those that have desquamative gingivitis. Desquamative gingivitis wikipedia republished wiki 2. Desquamative gingivitis dg is characterized by the erythematous gingiva, desquamation and erosion of the gingival epithelium, and blister formation. Investigation, diagnosis and therapeutic management in practice andrea richards desquamative gingivitis is a fairly common disorder, with a wide range of causes, most commonly lichen planus and mucous membrane pemphigoid. Desquamative gingiva free download as powerpoint presentation. Desquamative gingivitis is an erythematous red, desquamatous shedding and ulcerated appearance of the gums. Early signs and symptoms of autoimmune bullous diseases such as mucous membrane pemphigoid mmp or pemphigus vulgaris pv develop in the oral cavity in almost all cases. Desquamative gingivitis dg is a clinical condition with unclear etiology. Apr 14, 2020 the exact cause of desquamative gingivitis is not well understood, but it appears that several different factors may be involved. Its a gingival alteration not associated with biofilm and is framed within the gingival manifestations of systemic conditions. Eight oral lichen planus olp and four mucous membrane pemphigoid mmp patients were examined.
As such, this article focuses on treatment for individual conditions, with emphasis on levels of evidence. 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. Squamous cell carcinoma in oral ulcerative lesions. Presentations ppt, key, pdf logging in or signing up. Chapter 21 desquamative gingivitis chronic desquamative gingivitis was first recognized and reported in 1894.
Dentists play an important role in the diagnosis and management of desquamative gingivitis. Detection and differentiation between conditions that manifest desquamative gingivitis have been almost a continuing problem for dental undergraduates. If so, share your ppt presentation slides online with. Role of autoimmune responses in periodontal disease. Treatment is generally of longer duration than for other causes of. 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. Desquamative gingivitis is the term given to the clinical description of chronically red and occasionally sore gingivae. Dandu sivasai prasad reddy iiyr post graduate mamata dental college 2.
Desquamative gingivitis is mainly a manifestation of. Difference between gingivitis and periodontitis 1 if your gums are swollen, red, irritated and bleeding, you might need treatment for gingivitis. Inflammatory periodontal conditions due to plaque are very common preshaw, 2015. Inflammation of the gums, characterized by redness and swelling. 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. It may also be caused by biological stress, such as trauma to the epithelium, or certain reactions to medications. Chronic desquamative gingivitis was first described by tomes and tomes in 1894. Anug acute necrotizing ulcerative gingivitis youtube. The term desquamative gingivitis dg describes a clinical condition in which the gingival tissues are erythematous, blistering, and eroding.
Diagnosis and management of desquamative gingivitis, gingival diseases their aetiology, prevention and treatment, fotinos s. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Mucositis, ulcers and desquamative gingivitis burning. Desquamative gingivitis can be the clinical symptom of some dermatitis and mucocutaneous diseases and the underlying primary cause should be evaluated meticulously. Owing to a lack of recognition of this pattern of oral involvement, diagnosis may be. In 1932, prinz described it as a peculiar condition characterized by intense erythema, desquamation and ulceration of the free and attached gingiva. The facial that is, the surfaces facing out towards the lips and cheeks surface is more frequently affected than. 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. This is not a specific diagnosis but a descriptive term for nonspecific gingival manifestation which is associated with different diseases. Desquamative gingivitis is the main oral feature of mmp and may be the sole presenting feature.
The gingiva consists of the epithelium, the connective tissue, and the basement membrane separating the two. 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. A variety of conditions affect the gingiva, either in part or totally. Mucous membrane pemphigoid mmp is a rare autoimmune subepithelial blistering disorder characterized by predominant involvement of the mucosae, a chronic course, and a tendency toward scarring of the affected areas. Etiology, diagnosis, and treatment of desquamative gingivitis. These oils naturally prevent bacteria growth in the mouth. Desquamative gingivitis pdf amaryl lids to download. Desquamative gingivitis dg is usually a manifestation of immunologically mediated mucocutaneous disorders, although it was previously suggested to be hormonally related. Chemical damage, such as reactions to sodium lauryl. It is not a diagnosis but is instead a term applied to the manifestation of a multitude of mucocutaneous, systemic, allergic, and immunologic diseases. Patients may be asymptomatic,however when symptomatic, their complaints range from a mild sensation to an intense pain. Treatment of desquamative gingivitis with free gingival graft. Glickman and smulow stated that desquamative gingivitis may be a.
Desquamative gingivitis is a term that indicates diffuses desquamation, erythema and erosion of marginal and inserted gum, introduced by pritz in 1932. Photomicrograph showing subepithelial cleft and basal cell dfsquamative, with haemmorhagic areas. Desquamative gingivitis involves lesions of the free and attached gingiva. 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.
Desquamative gingivitis article about desquamative. Desquamative gingivitis a clinical sign in mucous membrane. For desquamative gingivitis sufferers, finding a solution is vital. Besides, patients should be warned about mechanical and chemical trauma. Desquamative gingivitis is more prevalent than suspected. The commonest intraoral site affected is the gingiva20,21, and the lesions tend to heal with insignificant scarring. The presence of desquamative gingivitis often results in poor oral hygiene, which can have. Treatment is often delayed because of obscurity of diagnosis and symptoms.
Linear iga disease is an acquired, autoimmune, subepidermal blistering disorder characterized by a linear deposition of iga along the dermoepidermal basement membrane zone. Displaying powerpoint presentation on mucositis ulcers and desquamative gingivitis burning mouth syndromedifficulty swallowingopportunistic bacteria available to view or download. Desquamative gingivitis dg is a clinical term used to describe gingival tissues that demonstrate potentially painful gingival erythema, hemorrhage, sloughing. Desquamative gingivitis, vesiculobullous lesions, and ulcerations are the common intraoral features seen. To varzea grande brazil members general quiz ppt download sites gif. Desquamative gingivitis journal of the american academy of. It is not a specific disease entity, but a gingival response associated with a variety of conditions. Diagnosis and management of desquamative gingivitis intechopen.
Dg is a clinical feature of a variety of diseases or disorders. Desquamative gingivitis aetiology, diagnosis and management. It is feasible to assume that it is a disease entity which affects primarily women. Linear iga disease presenting as desquamative gingivitis. Desquamative gingiva diseases and disorders medical. May 18, 2015 desquamative gingivitis is an erythematous, desquamatous and ulcerated appearance of the gums this video contains general medical information if in doubt, always seek professional medical advice. Rituximab for desquamative gingivitis from mucous membrane. The growth of bacteria in these areas is mainly triggered by the lack of proper oral hygiene. Desquamative gingivitis dg is a clinical manifestation common to several diseases or disorders and is frequently associated with autoimmune bullous diseases. 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. Gingivitis is a gum condition that is often caused by poor oral hygiene. Desquamative gingivitis dg is characterized by the erythematous gingiva, desquamation and erosion of the gingival epithelium, and blister. Desquamative gingivitis is a potentially serious form of gum disease.
Desquamative gingivitis free download as powerpoint presentation. Desquamative gingivitis as a clinical sign of oral lichen. Desquamative gingivitis synonyms, desquamative gingivitis pronunciation, desquamative gingivitis translation, english dictionary definition of desquamative gingivitis. Ppt pathogenesis and management of acute necrotising. 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. Desquamative gingivitis dg is a common manifestation of mmp. A variety of mucocutaneous disorders represent gingival manifestations in 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. Ppt lichen planus lp powerpoint presentation free to. Pdf the differential diagnosis of desquamative gingivitis. A combined treatment regimen for desquamative gingivitis in patients with oral lichen planus. Apr 28, 2015 desquamative gingivitis is an elucidating term used to demonstrate epithelial desquamation, erythema, erosions, andor vesiculobullous lesions of the gingiva. Problems occur when gum layers begin to separate from each other, causing inflammation and creating space for bacteria to thrive. Desquamative gingivitis treatment stop receding gums. Some people develop the problem despite proper brushing, flossing, and general mouth care. Desquamative gingivitis presents as erythema reddening and.
Desquamative gingivitis is a descriptive clinical term, not a diagnosis. The division of these gum layers provides space for bacteria to enter and multiply, which leads to infection. Desquamative gingivitis an overview sciencedirect topics. Desquamative gingivitis dg is an erythematous red, desquamatous shedding and ulcerated appearance of the gums. Unlike most forms of gingivitis, the desquamative variety does not seem to be a result of especially poor oral hygiene. Download mucositis ulcers and desquamative gingivitis burning mouth syndromedifficulty swallowingopportunistic bacteria ppt for free. The best remedies contain essential oils straight from natures drug store. Desquamative gingivitis is a descriptive term of nonspecific clinical expression in the gingiva redness, burning, erosion, pain of several.
Return to article details multidisciplinary management of desquamative gingivitis with periodontal disease download download pdf pdf. Introduction history chronic desquamative gingivitis systemic approach for the diagnosis of chronic desquamative gingivitis clinical history clinical examination biopsy immunofluorescence management. Pathogenesis and management of acute necrotising ulcerative gingivitis is the property of its rightful owner. Desquamative gingivitis dg is characterized by erythematous, epithelial desquamation, erosion of the gingival. Desquamative gingivitis dg is characterized by erythematous, epithelial desquamation, erosion of the gingival epithelium, and blister formation on the gingiva. Gingival lesions commonly have the features of desquamative gingivitis a. Desquamative gingivitis is a clinical finding with several potential etiologies. Desquamative gingivitis affecting the marginal and attached gingiva was appreciated dedquamative respect to left maxillary gingival region, along with the presence of blood filled bullae. Desquamative gingivitis is uncommon, and there are no systematic guidelines to assist the physician in treatment, producing a practice gap in management.
Studies in the usa and the uk suggest that some degree of gingivitis affects 5090% of the adult population albandar and kingman, 1999. It is important to rule out other entities such as bv, trichomonas, and stds prior to beginning treatment. Desquamative gingivitis associated with oral lichen planus. 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. Desquamative gingivitis definition of desquamative. It is a descriptive term and can be caused by several different disorders. Wickhams striae may also be seen near these ulcerated areas. Desquamative gingivitis, besides being a mouth full to say, is form of gingivitis can be extremely painful and hard to treat. 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. In its chronic state it is most frequently associated with the hormonal changes of menopause. Desquamative gingivitis is an elucidating term used to demonstrate epithelial desquamation, erythema, erosions, andor vesiculobullous lesions of the gingiva. Both histopathological examination and direct immunofluorescence testing are essential to establish a final diagnosis. Desquamative inflammatory vaginitis should be in the differential diagnosis for all menopausal and perimenopausal women presenting with complaints of chronic vaginitis.
We describe our experience using rituximab to treat 3 patients with recalcitrant desquamative gingivitis. Direct immunofluoresence studies of normal and lesional tissue are often essential in establishing definitive diagnosis. This often leads to swelling of the gums when bacteria get into the gum line. An emphasis is also placed on the role of dental care in disease control and the best. Desquamation of the gingiva is a sign that may be encountered in clinical practice. Their polymorphous clinical presentations coupled with similar histologic features make diagnosis indistinguishable among the different vbds. Desquamative gingivitis dg is an erythematous red, desquamatous shedding. Coined in 1932 prinz to describe a peculiar condition characterized by intense erythema, desquamation, and ulceration of the free and attached gingiva. Regular gingivitis involves the buildup of plaque and tartar on the teeth. Unlike plaqueinduced inflammation it is a dusky red colour and extends beyond the marginal gingiva, often. Desquamative vaginitishow to recognize and treat it the. Desquamative gingivitis has also been associated with.
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