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