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