Problems occur when gum layers begin to separate from each other, causing inflammation and creating space for. Desquamative gingivitis dg is a clinical condition with unclear etiology. 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 pdf in this paper the etiology, the clinical and histologic features, the immunopathologic studies, the diagnosis and treatment of chronic desquamative skip to content. Desquamative gingivitis dg is characterized by the erythematous gingiva, desquamation and erosion of the gingival epithelium, and blister. Desquamative gingivitis dg is a common manifestation of mmp. Coined in 1932 prinz to describe a peculiar condition characterized by intense erythema, desquamation, and ulceration of the free and attached gingiva. 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 is a descriptive term of nonspecific clinical expression in the gingiva redness, burning, erosion, pain of several. Desquamative gingivitis treatment stop receding gums. 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. In its chronic state it is most frequently associated with the hormonal changes of menopause.
Some people develop the problem despite proper brushing, flossing, and general mouth care. Desquamative gingivitis desquamative gingivitis dg is a descriptive term, indicating inflamed, peeling gingiva 1. Diagnosis and management of desquamative gingivitis. Desquamative gingivitis dg is a clinical term used to describe gingival. Desquamative gingivitis dg is an erythematous red, desquamatous shedding and ulcerated appearance of the gums. Desquamative gingivitis dg is characterized by erythematous, epithelial desquama. This often leads to swelling of the gums when bacteria get into the gum line. Mild desquamation that is localized may be associated with mechanical irritation or induced by trauma. Silver diamine fluoride sdf is an interim caries arresting liquid medicament clinically applied. Detection and differentiation between conditions that manifest desquamative gingivitis have been almost a continuing problem for dental undergraduates. Desquamative gingivitis is mainly a manifestation of.
Xeroderma pigmentosum with desquamative gingivitis a rare. Unlike plaque induced inflammation of the gums normal marginal gingivitis, desquamative gingivitis extends beyond the. Learn vocabulary, terms, and more with flashcards, games, and other study tools. The importance of being able to recognise and properly diagnose this condi.
What links here related changes upload file special pages permanent link page. Vesicles, white striae or flecks may also be seen figs 2, 3. Pdf desquamative gingivitis dg is characterized by the erythematous gingiva, desquamation and erosion of the gingival epithelium, and. Most cases of dg are associated with mucocutaneous diseases, the most common ones being lichen planus, mucous membrane pemphigoid, and pemphigus vulgaris. Chronic desquamative gingivitis was first recognized and reported in 1894. Unlimited viewing of the articlechapter pdf and any associated supplements and figures. Desquamative gingivitis is a descriptive clinical term, not a diagnosis. Regular gingivitis involves the buildup of plaque and tartar on the teeth. Desquamative lesions with bleeding on the attached gingiva associated with mmp. The content on the uptodate website is not intended nor recommended as a substitute for medical advice, diagnosis, or treatment. 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. 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. The importance of being able to recognise and properly diagnose this condition is accentuated by the fact that a serious and life threatening disease may initially manifest as desquamative gingivitis.
Coined in 1932 prinz to describe a peculiar condition characterized by intense erythema, desquamation, and. Desquamative gingivitis article about desquamative. May 29, 2015 dentists play an important role in the diagnosis and management of desquamative gingivitis. 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. Always seek the advice of your own physician or other qualified health. Desquamative gingivitis is a fairly common disorder in which the gingivae are desquamated. Identify treatments suggested for the disorders associated with desquamative gingivitis. Desquamative gingivitis dg is characterized by the erythematous gingiva, desquamation and erosion of the gingival epithelium, and blister formation. In 1932, prinz described it as a peculiar condition characterized.
Meanings of gingivitis descamativa cronica in english spanish dictionary. 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. Unlike most forms of gingivitis, the desquamative variety does not seem to be a result of especially poor oral hygiene. Chronic soreness is commonly seen and intake of spicy foods may further worsen the condition. Desquamative gingivitis is an erythematous red, desquamatous shedding and ulcerated. Direct immunofluoresence studies of normal and lesional tissue are often essential in establishing definitive diagnosis. 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.
Desquamative gingivitis an overview sciencedirect topics. 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 disease can be lowgrade, with only mild gingival erythema and edema, or have a more severe presentation, including desquamation, blistering, erosions, and ulceration. Desquamative gingivitis is the main oral feature of mmp and may be the sole presenting feature. 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. Abstract the term desquamative gingivitis dg describes a clinical condition in which the gingival tissues are erythematous, blistering, and eroding. Desquamative gingivitis free download as powerpoint presentation. This case report describes a case of desquamative gingivitis which was diagnosed with erosive lichen planus based on symptoms, clinical findings and histological examination. Abstract the term desquamative gingivitis dg describes a.
Report of a rare case of contact stomatitis manifesting as irregular erosions partially covered with pseudomembrane along with desquamative gingivitis in a 32yearold female patient is presented. In 1932, prinz described it as a peculiar condition characterized by intense erythema, desquamation and ulceration of the free and attached gingiva. Desquamative gingivitis, oral hygiene, oral lichen planus. Desquamative gingivitis is a clinical term to describe red, painful, glazed and friable gingivae which may be a manifestation of some mucocutaneous conditions such as lichen planus or the vesiculobullous. Desquamation of the gingiva is a sign that may be encountered in clinical practice. Desquamative gingivitis as a manifestation of chronic. Chronic desquamative gingivitis pdf in this paper the etiology, the clinical and histologic features, the immunopathologic studies, the diagnosis and treatment of chronic desquamative skip. Desquamative gingiva free download as powerpoint presentation. Pdf desquamative gingivitis desquamative gingivitis. Both histopathological examination and direct immunofluorescence testing are essential to establish a final diagnosis. Desquamative gingivitis involves lesions of the free and attached gingiva.
Pdf diagnosis and management of desquamative gingivitis. Periodontal clinical and microbiological data in desquamative. Desquamative gingivitis dg is characterized by erythematous, epithelial desquamation, erosion of the gingival epithelium, and blister formation on the gingiva. Apr 28, 2015 desquamative gingivitis is an elucidating term used to demonstrate epithelial desquamation, erythema, erosions, andor vesiculobullous lesions of the gingiva. Definitive and differential diagnosis 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. Presentations ppt, key, pdf logging in or signing up. The term desquamative gingivitis dg is often used as a descriptive term because the. Detection and differentiation between conditions that manifest desquamative gingivitis. Chapter 21 desquamative gingivitis chronic desquamative gingivitis was first recognized and reported in 1894. Apr 14, 2020 the exact cause of desquamative gingivitis is not well understood, but it appears that several different factors may be involved. The differential diagnosis of desquamative gingivitis. Desquamative gingivitis dg is a clinical description characterized by an intense erythema of the gingiva with desquamation that can progress to ulceration.
Desquamative gingivitis a clinical sign in mucous membrane. Aside irom slight marginal erythema, there is little evidence of change in the gingiva and adjacent mucosa c, severe, with. Desquamative gingiva diseases and disorders medical. Desquamative gingivitis dg is a common clinical manifestation of oral autoimmune ve siculobullous diseases vbds. 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, besides being a mouth full to say, is form of gingivitis can be extremely painful and hard to treat. Desquamative gingivitis is an elucidating term used to demonstrate epithelial desquamation, erythema, erosions, andor vesiculobullous lesions of the gingiva. Rees 2 1department of periodontology, nihon university, school of dentistry at matsudo 2department of periodontics, baylor college of dentistry. Etiology, diagnosis, and treatment of desquamative gingivitis. Gingivitis may develop from the action of unfavorable external factors on the gum tissues intoxication with lead, manganese, bismuth, or other toxins, but may also be a manifestation of the irritation of the bodys local or general reactivity. Usually a manifestation of atrophic lichen planus or m. Chief of dental service, veterans administration hospital and clinical professor of periodontia and oral medicine, new york university college of.
Dg is a clinical feature of a variety of diseases or disorders. Oral hygiene instructions and professional control as part of the. 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. This is not a specific diagnosis but a descriptive term for nonspecific gingival manifestation which is associated with different. We would like to show you a description here but the site wont allow us. It is characterized by sloughing of the gingival epithelium as a result of the formation and.
Oralmedicine 564 dentalupdate june 2017 desquamative gingivitis. 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 definition of desquamative. Desquamative gingivitis periodontal disease treatment. Eight oral lichen planus olp and four mucous membrane pemphigoid mmp patients were examined. The case report of a gihgivitis with chronic desquamative gingivitis, assisted in the department of periodontics of martires del moncada teaching provincial stomatological clinical in.
In gingivitis caused by systemic disorders, treatment is directed at the cause. Desquamative gingivitis is a potentially serious form of gum disease. Chronic desquamative gingivitis was first recognized and reported. Dentists play an important role in the diagnosis and management of desquamative gingivitis. In desquamative gingivitis during menopause, sequential administration of estrogens and progestins may be beneficial, but adverse effects of this therapy see menopause. A variety of mucocutaneous disorders represent gingival manifestations in the. Use of silver diamine fluoride for arresting dental caries. Silver diamine fluoride sdf is an interim caries arresting liquid medicament clinically applied to control and prevent the further progression of active dental caries and reduce dentin hypersensitivity. Gingivitis dental disorders merck manuals professional. Chronic desquamative gingivitis pdf in this paper the etiology, the clinical and histologic features, the immunopathologic studies, the diagnosis and treatment of chronic desquamative. Amanda willis, brian mullally and christopher irwin. The division of these gum layers provides space for bacteria to enter and multiply, which leads to infection. July 23, 2016 desquamative gingivitis not a disease entity but a clinical term for persistently sore, glazed and red or ulcerated gingiva.
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