Treatment of desquamative gingivitis pdf

Diagnosis and management fig 9 gingival ulceration in pemphigus vulgaris. Oral hygiene instructions and professional control as part. Desquamative gingivitis is uncommon, and there are no systematic guidelines to assist the physician in treatment, producing a practice gap in management. Treatment of desquamative gingivitis with free gingival graft. The treatment of desquamative gingivitis consists of. The importance of being able to recognise and properly diagnose this condi. Oral hygiene instructions and professional control as part of the. A variety of mucocutaneous disorders represent gingival manifestations in the. Desquamative gingivitis dg is a common manifestation of mmp. Desquamative gingivitis journal of the american academy of. 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. Mucous membrane pemphigoid, oral lichen planus and pemphigus vulgaris have emerged as the most common causes of desquamative gingivitis. Diagnosis and treatment of lichen planus richard p. As such, this article focuses on treatment for individual conditions, with emphasis on levels of evidence.

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. Desquamative gingivitis periodontal disease treatment. A combined treatment regimen for desquamative gingivitis in patients with oral lichen planus. Treatment for complex aphthosis should be initiated with topical therapies, and if refractory, systemic therapy is indicated. Dg is a clinical feature of a variety of diseases or disorders. Removal of the underlying cause where possible for example, by avoidance of known or suspected allergens and irritants. Desquamative gingivitis associated with oral lichen planus. This is not a specific diagnosis but a descriptive term for nonspecific gingival manifestation which is associated with different diseases. Both histopathological examination and direct immunofluorescence testing are essential to establish a final diagnosis. Dentists play an important role in the diagnosis and management of desquamative gingivitis. Desquamative gingivitis dg is a clinical condition with unclear etiology. Diagnosis and management of desquamative gingivitis. Topical corticosteroids are commonly used to treat dg.

Pdf desquamative gingivitis dg is characterized by the erythematous gingiva. This case of chronic desquamative gingivitis in a 25yearold woman with erosive oral lichen planus was treated with topical and systemic. Desquamative gingivitis dg is characterized by erythematous, epithelial desquama. This infection causes symptoms to develop such as the following. Systemic and topical corticosteroids are used for the medical treatment of dg. Desquamative gingivitis treated by an antioxidant therapy. Desquamative gingivitis dg is characterized by erythematous gingiva. Gingival diseases their aetiology, prevention and treatment.

The patients received a complete periodontal examination at baseline visit, during protocol and at final treatment, including. Usatine, md, and michelle tinitigan, md, university of texas health science center. Pdf desquamative gingivitis desquamative gingivitis. Gentle palpation with the periodontal probe elicited some desquamation of the gingival surface positive nikolskys sign. Mild erythema and swelling of gingiva associated with pv. Desquamative gingivitis an overview sciencedirect topics. Desquamative gingivitis is a descriptive term of nonspecific clinical expression in the gingiva redness, burning, erosion, pain of several. Pdf diagnosis and management of desquamative gingivitis. The differential diagnosis of desquamative gingivitis dg includes a wide spectrum, such as chemical and electrical burns, allergic reactions, hormonal disorders and mucocutaneous diseases. Diagnosis and management of desquamative gingivitis intechopen.