In this paper the etiology, the clinical and histologic features, the immunopathologic studies, the diagnosis and treatment of chronic desquamative gingivitis are. Chronic desquamation of the gingiva is referred to as desquamative gingivitis ( DG) (2). Chronic desquamative gingivitis was described for the. Desquamative gingivitis (DG) is an erythematous (red), desquamatous (shedding ) and erythematosus · Chronic ulcerative stomatitis; Chronic bacterial, fungal, and viral infections; Reactions to medications, mouthwashes, and chewing gum.

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In this mucocutaneous disorder, the unique gingival involvement necessitates careful history taking and diagnosis by dentist, hence denoting the role of dentists in such mucocutaneous disorders.

Diagnostic pathways and clinical significance of desquamative gingivitis. Journal of Archives in Military Medicine. Author information Article notes Copyright and License information Disclaimer.

Chronic desquamative gingivitis and oral health-related quality of life

Gao X, Xing D. Unlike lichen planus and pemphigoid pemphigus rarely seen as a cause of DG. Recovery of the gingiva may take months Contact sensitivity reactions in the oral mucosa. J Istanb Univ Fac Dent.

However, further research and assessment of this flowchart in clinical setting using randomized controlled trials is needed.

Desquamative gingivitis – Wikipedia

The supportive periodontal therapy SPT has been performed thereafter, with a 3-month recall schedule. Atrophic form of Lichen Planus creates a typical desquamative gingivitis appearance at the gingiva. Lichen planus Scully et al. Adult linear immunoglobulin A disease manifesting as desquamative gingivitis.


The lesions showed considerable improvement after steroid application.

Desquamative gingivitis

Glickman I, Smulow J. Orofacial soft tissues — Soft tissues around the mouth. Clinical appearance at the baseline.

Gallagher and Shklar[ 22 ] compiled the data of patients and observed gingival involvement in almost all cases. A case report of a newly described disease entity. Oral and maxillofacial pathology K00—K06, K11—K14 ginfivitis, —, — Clinicians are advised to conduct a mucosal evaluation during oral examinations and take a thorough medical history, which could ultimately benefit the patient. Discussion In the present case, in addition to the initial periodontal therapy, topical application of 0.

Published online Nov The both two groups of students were asked to review the same five cases of DG. Periodontal status in patients with oral lichen planus: Ocular cicatricial pemphigoid occurring as a sequela of Stevens-Johnson syndrome.

Periapical, mandibular and maxillary hard tissues — Bones of jaws Agnathia Alveolar osteitis Desquamstive exostosis Cherubism Idiopathic osteosclerosis Mandibular fracture Microgenia Micrognathia Intraosseous cysts Odontogenic: Only articles that describe the terminology and classification of DG-associated disorders or the diagnostic procedures of DG were selected, then obtained in full text and analyzed.

Desquamative gingivitis is characterized clinically by a diffuse erythema of the marginal and attached gingivae associated with areas of desquamation and corresponding symptoms. The desquamative gingivitis is seen after puberty, especially in individuals over 30 years of age 3. Jpn J Conserv Dent. Author information Article notes Copyright and License information Disclaimer. Linear deposition of IgG and C3 at the dermo-epidermal junction was evident in direct immmunofluorescence [ Figure 5 ].


This article has been cited by other articles in PMC. Since the initial symptoms of pemphigus can begin as desquamative gingivitis, it is important to evaluate this clinical symptom to reach an early diagnosis.

Secondary infections, constant trauma from chewing and the use of a tooth brush, may delay the healing process. However, the palatal gingiva was unaffected. The marginal gingiva was scalloped in outline and had ginvivitis borders with absence of melanin pigmentation [ Figure 1 ]. Rev Stomatol Chir Maxillofac ; Gallagher G, Shklar G.

Eur J Gen Dent ;4: Analysis of desquamative gingivitis using direct immunofluorescence in conjunction with histology. Definitive diagnosis of DG should be made by incisional biopsy, histopathological examination and DIF.

The differential diagnosis of desquamative gingivitis DG includes a wide spectrum, such as chemical and desquuamative burns, allergic reactions, hormonal disorders and mucocutaneous diseases. Support Center Support Center. Dermatological diseases enlist cicatricial pemphigoid, lichen planus, pemphigus vulgaris PVpsoriasis PSbullous pemphigoid, epidermolysis bullosa, and contact stomatitis.

The idea of estrogen therapy has been rejected since the estrogen receptors expressions in the gingival tissues are not related to the presence or absence of estrogen as well as the side effects of estrogen 45 Frequency of desquamative gingivitis in skin diseases.

During the open flap debridement, maxillary central incisors with periapical lesions were extracted.