Desquamative Gingivitis Flashcards
At one time desquamative gingivitis was thought to be a specific degenerative disease of the gingival tissues of unknown etiology was sometimes called
Gingivoses
desquamative gingivitis was not a specific disease entity but a
gingival response associated with a variety of condition
Causes of Desquamative gingivitis Classification?
1.Dermatoses
2. Hypersensitivity Rxns
3. Miscelleneous
What dermatoses cause Desquamative gingivitis?
A. Dermatoses
• Oral lichen planus
• Mucous membrane pemphigoid
• Pemphigus vulgaris
• Bullous pemphigoid
• Erythema multiforme
• Linear IgA disease
• Lupus erythematosus
• Epidermolysis bullosa aquisita
• Dermatitis herpetiformis
Local Hypersensitivity to…. cause desquamative gingivitis
Local hypersensitivity reactions to
Toothpastes,
mouthwashes,
dental materials,
drugs,
cosmetics,
chewing gum
cinnamon, etc
Miscellaneous causes of desquamative gingivitis
. Miscellaneous
–Chronic ulcerative stomatitis
–Orofacial granulomatosis
–Plasma cell gingivitis
Clinical features of desquamative gingivitis
Females are more frequently affected.
• Buccal aspect of anterior gingiva most commonly affected.
• The gingiva is fiery red, friable and desquamates easily
• Patients complain of soreness, especially when eating spicy or acidic food,
and of bleeding and discomfort with toothbrushing.
• Lesions get aggravated by local plaque accumulation.
• A positive Nikolsky’s sign where the surface epithelium “floats away” when
lateral pressure is applied to the mucosa, may indicate vesiculobullous disorder
• The presence of white plaques or white striae indicate lichen planus
For diagnoses of Desquamative gingivitis……?
Perilesional/incisional biopsy
Biopsy must be done if the lesion do not subside in
1 mt
Nikolsky sign in desquamativs gingivitis is?
+ve
Topical corticosteriods are the treatment for
MMP and LP
