It may also be caused by biological stress, such as trauma to the epithelium, or certain reactions to medications. Chronic desquamative gingivitis periodontal disease. Desquamative gingivitis definition of desquamative. Desquamative gingivitis is mainly a manifestation of.
The differential diagnosis of desquamative gingivitis. Eight oral lichen planus olp and four mucous membrane pemphigoid mmp patients were examined. Desquamation of the gingiva is a sign that may be encountered in clinical practice. Detection and differentiation between conditions that manifest desquamative gingivitis have been almost a continuing problem for dental undergraduates. Studies in the usa and the uk suggest that some degree of gingivitis affects 5090% of the adult population albandar and kingman, 1999. Mucositis, ulcers and desquamative gingivitis burning. Desquamative gingivitis an overview sciencedirect topics. Desquamative gingivitis wikipedia republished wiki 2.
Treatment is often delayed because of obscurity of diagnosis and symptoms. Displaying powerpoint presentation on mucositis ulcers and desquamative gingivitis burning mouth syndromedifficulty swallowingopportunistic bacteria available to view or download. 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. In its chronic state it is most frequently associated with the hormonal changes of menopause. Antioxidants, corticosteroids, desquamative gingivitis, oxitard capsule, systemic i. Desquamative gingivitis is an elucidating term used to demonstrate epithelial desquamation, erythema, erosions, andor vesiculobullous lesions of the gingiva. 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. A variety of mucocutaneous disorders represent gingival manifestations in the. Desquamative gingivitis synonyms, desquamative gingivitis pronunciation, desquamative gingivitis translation, english dictionary definition of desquamative gingivitis. 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. 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.
It is not a diagnosis but is instead a term applied to the manifestation of a multitude of mucocutaneous, systemic, allergic, and immunologic diseases. 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 article about desquamative. Feb 21, 2018 what are gingivitis and periodontitis. The exact cause of desquamative gingivitis is not well understood, but it appears that several different factors may be involved. Presentations ppt, key, pdf logging in or signing up. A combined treatment regimen for desquamative gingivitis in patients with oral lichen planus.
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. Vesicles, white striae or flecks may also be seen figs 2, 3. This is not a specific diagnosis but a descriptive term for nonspecific gingival manifestation which is associated with different diseases. View and download powerpoint presentations on gingivitis ppt. 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. These oils naturally prevent bacteria growth in the mouth. In desquamative gingivitis during menopause, sequential administration of estrogens and progestins may be beneficial, but adverse effects of this therapy see menopause. Chart and diagram slides for powerpoint beautifully designed chart and diagram s for powerpoint with visually stunning graphics and animation effects. Desquamative gingivitis free download as powerpoint presentation.
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. Amanda willis, brian mullally and christopher irwin. Both histopathological examination and direct immunofluorescence testing are essential to establish a final diagnosis. Unlike most forms of gingivitis, the desquamative variety does not seem to be a result of especially poor oral hygiene. Chapter 21 desquamative gingivitis chronic desquamative gingivitis was first recognized and reported in 1894. Inflammatory periodontal conditions due to plaque are very common preshaw, 2015. Gingivitis and periodontitis are inflammation of the gums and teeth respectively. Recalcitrant gingival erythematous lichen planus lesions comprise a considerable therapeutic problem. Desquamative gingivitis is a better descriptive name than gingivosis.
Some people develop the problem despite proper brushing, flossing, and general mouth care. Direct immunofluoresence studies of normal and lesional tissue are often essential in establishing definitive diagnosis. 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. Aside irom slight marginal erythema, there is little evidence of change in the gingiva and adjacent mucosa c, severe, with. The term desquamative gingivitis dg describes a clinical condition in which the gingival tissues are erythematous, blistering, and eroding. The same remedies that prevent bacteria build up in gingivitis will help those that have desquamative gingivitis. 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. It is a descriptive term and can be caused by several different disorders. Etiology, diagnosis, and treatment of desquamative gingivitis. Unlike plaque induced inflammation of the gums normal marginal gingivitis.
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. Coined in 1932 prinz to describe a peculiar condition characterized by intense erythema, desquamation, and ulceration of the free and attached gingiva. 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. 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.
Introduction history chronic desquamative gingivitis systemic approach for the diagnosis of chronic desquamative gingivitis clinical history clinical examination biopsy immunofluorescence management. Desquamative gingivitis dg is the clinical term given to the gingival manifestation of mucocutaneous diseases. Gingivitis dental disorders merck manuals professional. Dandu sivasai prasad reddy iiyr post graduate mamata dental college 2. The term desquamative gingivitis dg is often used as a descriptive term because the. 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. Scribd is the worlds largest social reading and publishing site. It is characterized by an erythematous, glazed, friable and hemorrhagic gingiva, which can be accompanied by pain. Desquamative gingivitis is the most characteristic feature of mmp and may mark the onset of the disease. Dentists play an important role in the diagnosis and management of desquamative gingivitis. For desquamative gingivitis sufferers, finding a solution is vital. Desquamative gingivitis treated by an antioxidant therapy a. Desquamative gingivitis cutaneous conditions psoriasis.
In 1932, prinz described it as a peculiar condition characterized by intense erythema, desquamation and ulceration of the free and attached gingiva. The importance of being able to recognise and properly diagnose this condi. 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 an erythematous red, desquamatous shedding and ulcerated appearance of the gums. The best remedies contain essential oils straight from natures drug store. Diagnosis and management of desquamative gingivitis intechopen.
It is feasible to assume that it is a disease entity which affects primarily women. Usually a manifestation of atrophic lichen planus or m. Desquamative gingiva diseases and disorders medical. Periodontal clinical and microbiological data in desquamative. Find powerpoint presentations and slides using the power of, find free presentations research about gingivitis ppt.
Mild desquamation that is localized may be associated with mechanical irritation or induced by trauma. Inflammation of the gums, characterized by redness and swelling. 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. Download mucositis ulcers and desquamative gingivitis burning mouth syndromedifficulty swallowingopportunistic bacteria ppt for free. Ppt necrotizing%20ulcerative%20gingivitis powerpoint. Desquamative gingivitis involves lesions of the free and attached gingiva. Otherwise, dentists may prescribe a corticosteroid rinse or a corticosteroid paste that is applied directly to the gums. Chronic desquamative gingivitis definition of chronic.
Desquamative gingivitis dg is a common manifestation of mmp. Desquamative gingivitis dg is characterized by erythematous, epithelial desquamation, erosion of the gingival epithelium, and blister formation on the gingiva. Desquamative gingivitis can be the clinical symptom of some dermatitis and mucocutaneous diseases and the underlying primary cause should be evaluated meticulously. Treatment of desquamative gingivitis with free gingival graft. Apr 28, 2015 desquamative gingivitis is an elucidating term used to demonstrate epithelial desquamation, erythema, erosions, andor vesiculobullous lesions of the gingiva. In this article, we report the clinical manifestations, histological features and treatment of a case of mmp. Desquamative gingivitis treatment stop receding gums. Chronic desquamative gingivitis was first recognized and reported in 1894. July 23, 2016 desquamative gingivitis not a disease entity but a clinical term for persistently sore, glazed and red or ulcerated gingiva.
The division of these gum layers provides space for bacteria to enter and multiply, which leads to infection. Dg is a clinical feature of a variety of diseases or disorders. Desquamative gingivitis in mucous membrane pemphigoid. Desquamative gingivitis dg is characterized by the erythematous gingiva, desquamation and erosion of the gingival epithelium, and blister formation. Most cases of dg are associated with mucocutaneous diseases, the most common ones being lichen planus, mucous membrane pemphigoid, and pemphigus vulgaris. Desquamative gingivitis is more prevalent than suspected. Biopsy, desquamative gingivitis, mucous membrane pemphigoid, treatment. Desquamative gingiva free download as powerpoint presentation. Mar 14, 2010 recalcitrant gingival erythematous lichen planus lesions comprise a considerable therapeutic problem. Apr 14, 2020 the exact cause of desquamative gingivitis is not well understood, but it appears that several different factors may be involved.
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