Desquamative gingivitis is more prevalent than suspected. Recalcitrant gingival erythematous lichen planus lesions comprise a considerable therapeutic problem. 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. Amanda willis, brian mullally and christopher irwin. Chapter 21 desquamative gingivitis chronic desquamative gingivitis was first recognized and reported in 1894. A variety of mucocutaneous disorders represent gingival manifestations in the. Unlike plaqueinduced inflammation of the gums normal marginal gingivitis, desquamative gingivitis extends beyond the marginal gingiva, involving the full width of the gingiva and sometimes the alveolar mucosa. The term desquamative gingivitis dg describes a clinical condition in which the gingival tissues are erythematous, blistering, and eroding. 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.
Etiology, diagnosis, and treatment of desquamative gingivitis. Detection and differentiation between conditions that manifest desquamative gingivitis have been almost a continuing problem for dental undergraduates. It is not a diagnosis but is instead a term applied to the manifestation of a multitude of mucocutaneous, systemic, allergic, and immunologic diseases. Most cases of dg are associated with mucocutaneous diseases, the most common ones being lichen planus, mucous membrane pemphigoid, and pemphigus vulgaris. This is not a specific diagnosis but a descriptive term for nonspecific gingival manifestation which is associated with different diseases. It is a descriptive term and can be caused by several different disorders. Desquamative gingiva diseases and disorders medical. Inflammatory periodontal conditions due to plaque are very common preshaw, 2015. Diagnosis and management of desquamative gingivitis intechopen.
Desquamative gingivitis dg is a clinical condition with unclear etiology. Desquamative gingivitis is the most characteristic feature of mmp and may mark the onset of the disease. Desquamative gingiva free download as powerpoint presentation. Ppt necrotizing%20ulcerative%20gingivitis powerpoint. Powerpoint ppt presentation free to download oral hygiene oral hygiene is the practice of keeping the mouth and teeth clean to prevent dental problems, most commonly, dental cavities, gingivitis, periodontal gum diseases and bad breath. 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. Introduction 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. Mar 14, 2010 recalcitrant gingival erythematous lichen planus lesions comprise a considerable therapeutic problem. Dg is a clinical feature of a variety of diseases or disorders.
In this article, we report the clinical manifestations, histological features and treatment of a case of mmp. In desquamative gingivitis during menopause, sequential administration of estrogens and progestins may be beneficial, but adverse effects of this therapy see menopause. Desquamative gingivitis can be the clinical symptom of some dermatitis and mucocutaneous diseases and the underlying primary cause should be evaluated meticulously. Vesicles, white striae or flecks may also be seen figs 2, 3. 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. Desquamative gingivitis an overview sciencedirect topics. Treatment is often delayed because of obscurity of diagnosis and symptoms. Desquamative gingivitis dg is characterized by the erythematous gingiva, desquamation and erosion of the gingival epithelium, and blister formation. 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. Eight oral lichen planus olp and four mucous membrane pemphigoid mmp patients were examined. Dentists play an important role in the diagnosis and management of desquamative gingivitis. Download mucositis ulcers and desquamative gingivitis burning mouth syndromedifficulty swallowingopportunistic bacteria ppt for free.
Chronic desquamative gingivitis definition of chronic. For desquamative gingivitis sufferers, finding a solution is vital. The differential diagnosis 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. Both histopathological examination and direct immunofluorescence testing are essential to establish a final diagnosis. 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. Chronic desquamative gingivitis was first recognized and reported in 1894. These oils naturally prevent bacteria growth in the mouth. The term desquamative gingivitis dg is often used as a descriptive term because the. Desquamative gingivitis wikipedia republished wiki 2. Chronic desquamative gingivitis periodontal disease. Desquamative gingivitis involves lesions of the free and attached gingiva.
Desquamative gingivitis cutaneous conditions psoriasis. Our new crystalgraphics chart and diagram slides for powerpoint is a collection of over impressively designed datadriven chart and editable diagram s guaranteed to impress any audience. Otherwise, dentists may prescribe a corticosteroid rinse or a corticosteroid paste that is applied directly to the gums. Find powerpoint presentations and slides using the power of, find free presentations research about gingivitis ppt. Desquamative gingivitis synonyms, desquamative gingivitis pronunciation, desquamative gingivitis translation, english dictionary definition of desquamative gingivitis.
Mild desquamation that is localized may be associated with mechanical irritation or induced by trauma. In its chronic state it is most frequently associated with the hormonal changes of menopause. The importance of being able to recognise and properly diagnose this condi. Displaying powerpoint presentation on mucositis ulcers and desquamative gingivitis burning mouth syndromedifficulty swallowingopportunistic bacteria available to view or download. Desquamative gingivitis article about desquamative.
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. Gingivitis and periodontitis are inflammation of the gums and teeth respectively. Desquamative gingivitis dg is the clinical term given to the gingival manifestation of mucocutaneous diseases. Desquamative gingivitis is an erythematous red, desquamatous shedding and ulcerated appearance of the gums. Aside irom slight marginal erythema, there is little evidence of change in the gingiva and adjacent mucosa c, severe, with.
Introduction history chronic desquamative gingivitis systemic approach for the diagnosis of chronic desquamative gingivitis clinical history clinical examination biopsy immunofluorescence management. Desquamative gingivitis is mainly a manifestation of. Coined in 1932 prinz to describe a peculiar condition characterized by intense erythema, desquamation, and ulceration of the free and attached gingiva. Dandu sivasai prasad reddy iiyr post graduate mamata dental college 2. 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. Chart and diagram slides for powerpoint beautifully designed chart and diagram s for powerpoint with visually stunning graphics and animation effects. It may also be caused by biological stress, such as trauma to the epithelium, or certain reactions to medications. Presentations ppt, key, pdf logging in or signing up.
Desquamative gingivitis treated by an antioxidant therapy a. Feb 21, 2018 what are gingivitis and periodontitis. Direct immunofluoresence studies of normal and lesional tissue are often essential in establishing definitive diagnosis. 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.
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. Desquamative gingivitis dg is characterized by erythematous, epithelial desquamation, erosion of the gingival epithelium, and blister formation on the gingiva. Desquamative gingivitis in mucous membrane pemphigoid. Treatment of desquamative gingivitis with free gingival graft. Desquamation of the gingiva is a sign that may be encountered in clinical practice. Desquamative gingivitis is a better descriptive name than gingivosis. Desquamative gingivitis treatment stop receding gums. Desquamative gingivitis is an elucidating term used to demonstrate epithelial desquamation, erythema, erosions, andor vesiculobullous lesions of the gingiva. The exact cause of desquamative gingivitis is not well understood, but it appears that several different factors may be involved. Vesicles, white striae or flecks may also be seen figs 2. Diagnosis and management of desquamative gingivitis, gingival diseases their aetiology, prevention and treatment, fotinos s. It is feasible to assume that it is a disease entity which affects primarily women. Periodontal clinical and microbiological data in desquamative. 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 a common manifestation of mmp. A combined treatment regimen for desquamative gingivitis in patients with oral lichen planus. Biopsy, desquamative gingivitis, mucous membrane pemphigoid, treatment. Scribd is the worlds largest social reading and publishing site. Antioxidants, corticosteroids, desquamative gingivitis, oxitard capsule, systemic i. Gingivitis dental disorders merck manuals professional. Some people develop the problem despite proper brushing, flossing, and general mouth care. Mucositis, ulcers and desquamative gingivitis burning.
In 1932, prinz described it as a peculiar condition characterized by intense erythema, desquamation and ulceration of the free and attached gingiva. View and download powerpoint presentations on gingivitis ppt. July 23, 2016 desquamative gingivitis not a disease entity but a clinical term for persistently sore, glazed and red or ulcerated gingiva. Usually a manifestation of atrophic lichen planus or m. Desquamative gingivitis definition of desquamative. Unlike plaque induced inflammation of the gums normal marginal gingivitis. Apr 14, 2020 the exact cause of desquamative gingivitis is not well understood, but it appears that several different factors may be involved. 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 free download as powerpoint presentation. It is characterized by an erythematous, glazed, friable and hemorrhagic gingiva, which can be accompanied by pain. Inflammation of the gums, characterized by redness and swelling. The division of these gum layers provides space for bacteria to enter and multiply, which leads to infection. The same remedies that prevent bacteria build up in gingivitis will help those that have desquamative gingivitis.