Treatment of desquamative gingivitis pdf

The patients received a complete periodontal examination at baseline visit, during protocol and at final treatment, including. Both histopathological examination and direct immunofluorescence testing are essential to establish a final diagnosis. The importance of being able to recognise and properly diagnose this condi. Desquamative gingivitis is uncommon, and there are no systematic guidelines to assist the physician in treatment, producing a practice gap in management. Desquamative gingivitis treated by an antioxidant therapy. Removal of the underlying cause where possible for example, by avoidance of known or suspected allergens and irritants. Dentists play an important role in the diagnosis and management of desquamative gingivitis. Diagnosis and management of desquamative gingivitis. Usatine, md, and michelle tinitigan, md, university of texas health science center.

Pdf desquamative gingivitis dg is characterized by the erythematous gingiva. Desquamative gingivitis dg is a common manifestation of mmp. Pdf desquamative gingivitis desquamative gingivitis. This is not a specific diagnosis but a descriptive term for nonspecific gingival manifestation which is associated with different diseases. This case of chronic desquamative gingivitis in a 25yearold woman with erosive oral lichen planus was treated with topical and systemic. Treatment of desquamative gingivitis with free gingival graft. As the term desquamative gingivitis is a clinical term that represents an oral expression of different mucocutaneous diseases, its treatment is diversified and for this reason it has expressed the importance of the control of their dental hygiene 12. Topical corticosteroids are commonly used to treat dg. Desquamative gingivitis is a descriptive term of nonspecific clinical expression in the gingiva redness, burning, erosion, pain of several. The treatment of desquamative gingivitis consists of. Gentle palpation with the periodontal probe elicited some desquamation of the gingival surface positive nikolskys sign. Systemic and topical corticosteroids are used for the medical treatment of dg. Furthermore, a similar clinical pattern can be observed in reactions developing against mouthwashes figure 1, chewing gums, cosmetic products, drugs, cinnamon and dental materials 16. Diagnosis and management of desquamative gingivitis intechopen.

A variety of mucocutaneous disorders represent gingival manifestations in the. Mucous membrane pemphigoid, oral lichen planus and pemphigus vulgaris have emerged as the most common causes of desquamative gingivitis. Desquamative gingivitis periodontal disease treatment. Gingival diseases their aetiology, prevention and treatment. Dg is a clinical feature of a variety of diseases or disorders. The differential diagnosis of desquamative gingivitis dg includes a wide spectrum, such as chemical and electrical burns, allergic reactions, hormonal disorders and mucocutaneous diseases. Desquamative gingivitis journal of the american academy of. Treatment for complex aphthosis should be initiated with topical therapies, and if refractory, systemic therapy is indicated. Desquamative gingivitis associated with oral lichen planus. Desquamative gingivitis dg is characterized by erythematous, epithelial desquama. This infection causes symptoms to develop such as the following. Desquamative gingivitis dg is characterized by erythematous gingiva.

Pdf diagnosis and management of desquamative gingivitis. Oral hygiene instructions and professional control as part of the. Mild erythema and swelling of gingiva associated with pv. Desquamative gingivitis an overview sciencedirect topics. As such, this article focuses on treatment for individual conditions, with emphasis on levels of evidence.

A combined treatment regimen for desquamative gingivitis in patients with oral lichen planus. Oral hygiene instructions and professional control as part. Desquamative gingivitis dg is a clinical condition with unclear etiology. Diagnosis and management fig 9 gingival ulceration in pemphigus vulgaris. Diagnosis and treatment of lichen planus richard p.