Desquamative Gingivitis - A Diagnostic Sign Of Systemic Diseases
| Main Authors: | Dr Latha Mary Cherian, MDS [1];, Dr Sreela Jayakumar, MDS [2];, Dr Santhosh Kumar, MDS [3] |
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| Format: | Article |
| Bahasa: | eng |
| Terbitan: |
, 2017
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| Subjects: | |
| Online Access: |
https://zenodo.org/record/1097669 |
Daftar Isi:
- ABSTRACT Background and Settings: Desquamative gingivitis (DG) is an erythematous, atrophic or eroded blistering, and painful, non-plaque-induced, condition that commonly affects the entire thickness of the labial aspect of the attached gingiva of the anterior teeth which is found to desquamate easily with minimal trauma. It is frequently seen in females around 50 years of age and is usually an indication of an oral or systemic disease. Its clinical appearance is not majorly altered by traditional brushing or conventional therapy. Aims and Objectives: The large majority of desquamative cases have a dermatologic origin and represent oral manifestations of one of the following dermatoses (mucocutaneous diseases); in particular lichen planus, pemphigoid and pemphigus. It is not considered as just another clinical entity, but a clinical manifestation of varied disorders. The aim of the study is to identify the disorders, where the desquamation of the gingiva as a clinical manifestation, could be used as a diagnostic tool to identify uncommon systemic disorders. Materials and methods: Twenty random patients with clinical diagnosis of desquamative gingivitis were selected for the study; and their clinical presentations, histopathological features, and any co-existing systemic illnesses, were studied Results: Of the majority of the patients with clinical diagnosis of Desquamative gingivitis, 12 showed histopathological features of Lichen planus. Fifteen of the 20 patients were females, and 15% of the patients suffered from Hypertension, Diabetes or both. Conclusion: Desquamative gingivitis is not a diagnosis per se. It is a clinical sign of myriad of diseases such as the pemphigus, linear IgA disease, pemphigoid and erythema multiformae. Invariably, many of these lesions go undiagnosed or are wrongly diagnosed. The erosive or bullous forms of lichen planus are particularly painful. Hence, it is of paramount importance to correctly diagnose and treat the cases in order to ensure an optimum patient care.