Chronic desquamative gingivitis and oral health-related quality of life

Abstract

Background: Chronic desquamative gingivitis is a clinical description of the gingiva which is often a presenting manifestation of dermatoses or mucocutaneous disorders. The patients often experience oral discomfort and pain, which can significantly compromise their life qualities.Main observations: Here we present a case of chronic desquamative gingivitis in a 77-year-old woman with periodontitis. After establishment of oral hygiene, initial periodontal therapy including topical steroid application was performed. Subsequent periodontal surgery resulted in further reduction of local inflammation. These interventions lead to a significant improvement in gingival lesions as well as oral health-related quality of life.Conclusions: Chronic desquamative gingivitis is often a presenting manifestation of dermatoses or mucocutaneous disorders. Correct and early diagnosis is important. Management of inflammatory conditions including periodontitis can contribute to the clinical resolution of chronic desquamative gingivitis and improve life quality of the patient. A greater awareness of this condition among dentists and dermatologists would be helpful in providing patient-centered care.

Effect of Initial Periodontal Therapy on Oral Health–Related Quality of Life in Patients With Periodontitis in Japan

“…The Japanese version of the base instrument was piloted with adult volunteers during a simulated patient practice conducted in a dental hygiene program 32 . Furthermore, the final and refined instrument was clinically used with patients with periodontitis and periodontally healthy volunteers 33,34 …”

A review of the oral health‐related quality of life (OHRQL) model for dental hygiene: Eighteen years later

“…In 2009, Saito used the OHRQL in the treatment of a patient diagnosed with chronic desquamative gingivitis as a pre-post measure of the impact on oral health related quality of life. (40) The post-treatment questionnaire results showed a positive effect on the patient’s perceived oral health-related quality of life. This case report was followed by research published in 2010 and 2011 on patients diagnosed with periodontal disease to determine the impact of therapy, both non-surgical and surgical, on patients’ oral health related quality of life.…”

“…(40–44) Saito served as principle investigator on three of the articles pertaining to OHRQL and patient care and as senior investigator on the fourth. The Sato et al study exploring the incorporation of the OHRQL model in a dental hygiene curriculum in Japan was discussed above in describing how OHRQL has been used in education.…”

Use of Fusidic Acid for Desquamative Gingivitis Treatment: 1-Year Follow-Up

“…In addition, their narrower focus makes them potentially more sensitive to small but clinically important changes in oral health. About improvements in quality of life after treatments, there is only a case report in literature demonstrating that basic functions, such as eating, chewing, social and psychological factors had a significantly improvement after treatment of DG (22). Even with an increase of pain experience values in the 12-month period, patients were more satisfied about their oral condition when compared with baseline.…”