Corticosteróide tópico oclusivo no tratamento de manifestações gengivais de doenças vesicobolhosas auto-imunes

Abstract

Management of gingival lesions of vesicobullous autoimmune diseases is one the main challenges to oral medicine, primarily because of their chronic nature. Systemic therapy is required in most severe lesions, however, whenever feasible, topic corticosteroid therapy is preferred. This article describes a technique to provide topical occlusive corticotherapy that has shown to be effective in controlling these lesions, especially in patients exclusively with gingival lesions. Keywords: Adrenal cortex hormones; Autoimmune diseases; Gingiva; Oral manifestations; Skin diseases, vesiculobullous Resumo: O tratamento das lesões gengivais de doenças vesicobolhosas auto-imunes constitui grande desafio na estomatologia, principalmente pela natureza crônica das lesões. O tratamento sistêmico é necessário no controle das apresentações mais graves

Benign Mucosal Membrane Pemphigoid as a Differential Diagnosis of Necrotizing Periodontal Disease

“…As for BMMP and its clinical signs, some studies have shown that desquamative gingivitis can be present in up to 95% of cases [5,11,12]. Erosive flat lichen and, less frequently, pemphigus vulgaris may also cause desquamative gingivitis [5].…”

“…The changes caused by BMMP in the oral epithelium affect periodontal health, facilitating the accumulation of dental biofilm and changing periodontal parameters. Bleeding, probing depth, and the clinical insertion level may make diagnosing the condition challenging due to the overlapping clinical signs of different autoimmune diseases and periodontal changes [3,11,12].…”

“…In more severe cases, the elimination of gingival irritative factors such as dental biofilm and calculus should also be treated with the association of drug therapy [5]. As it is a dermatosis, multidisciplinary follow-up with a dental surgeon and dermatologist is essential [12].…”