Desquamative gingivitis as a clinical sign of oral lichen planus: review of literature

C, Martínez Fabiana

doi:10.15406/jdhodt.2018.09.00423

Cited by 2 publications

(4 citation statements)

References 7 publications

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“…The clinical features of LP-associated DG vary according to the severity of the lesion (mild, moderate and severe). The mucosa acquires a bright red color, with small opaque gray plaques, which are found at the level of the attached gum [ 73 , 74 ]. The epithelium detaches with friction leaving a bright red underlying connective tissue which, on clinical examination, is very painful and bleeding.…”

Section: Lichen Planus (Lp)mentioning

confidence: 99%

“…Gingival involvement is common, and in about 10% of cases OLP only manifests on the gingival mucosa. The typical presence is that of chronic DG delimited at the periphery by Wickham’s striae, a clinical aspect that facilitates the clinician’s diagnosis [ 74 ].…”

Section: Lichen Planus (Lp)mentioning

confidence: 99%

“…Signs that may indicate a malignant transformation, such as intensified symptoms and loss of homogeneity, should be carefully evaluated at each consultation. If the lesions alter their clinical appearance at follow-up visits, a biopsy should be considered immediately [ 74 , 76 , 77 , 78 ].…”

Section: Lichen Planus (Lp)mentioning

confidence: 99%

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Desquamative Gingivitis in the Context of Autoimmune Bullous Dermatoses and Lichen Planus—Challenges in the Diagnosis and Treatment

et al. 2022

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Desquamative gingivitis (DG) is a clinical term that describes erythema, desquamation and erosions of the gingiva, of various etiologies. Although the clinical aspect is not specific for a certain disease, an accurate diagnosis of the underlying disorder is necessary because the disease course, prognosis and treatment vary according to the cause. DG may inflict significant oral discomfort, which is why patients typically present to the dentist for a first consultation, rendering it important for these specialists to be informed about this condition. Our paper aims to review the ethiopatogenesis and diagnostic approach of DG, focusing on the most common underlying disorders (autoimmune bullous dermatoses and lichen planus) and on the management of these patients. Potential etiological agents leading to an inflammatory immune response in the oral mucosa and DG appearance include genetic predisposition, metabolic, neuropsychiatric, infectious factors, medication, dental materials, graft-versus-host reaction and autoimmunity. A thorough anamnesis, a careful clinical examination, paraclinical explorations including histopathological exam and direct immunofluorescence are necessary to formulate an appropriate diagnosis. Proper and prompt management of these patients lead to a better prognosis and improved quality of life, and must include management in the dental office with sanitizing the oral cavity, instructing the patient for rigorous oral hygiene, periodic follow-up for bacterial plaque detection and removal, as well as topical and systemic therapy depending on the underlying disorder, based on treatment algorithms. A multidisciplinary approach for the diagnosis and follow-up of DG in the context of pemphigus vulgaris, bullous pemphigoid, cicatricial pemhigoid or lichen planus is necessary, including consultations with dermatologists, oral medicine specialists and dentists.

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Section: Lichen Planus (Lp)mentioning

confidence: 99%

Section: Lichen Planus (Lp)mentioning

confidence: 99%

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Desquamative Gingivitis in the Context of Autoimmune Bullous Dermatoses and Lichen Planus—Challenges in the Diagnosis and Treatment

et al. 2022

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“…3 Earlier, Desquamative Gingivitis was regarded as a pathological entity of obscure etiology, possibly precipitated by the deficiency of sex hormones in postmenopausal females. 4 McCarthy et al, in 1960, suggested that desquamative gingivitis is not a conclusivelesion but a gingival response including vesiculobullous disorders and allergic reaction to chemicals/allergens. So only desquamative gingivitis suggests a specific clinical manifestation and is not a definite diagnosis.…”

Section: Introductionmentioning

confidence: 99%

Desquamative Gingivitis as the Sole Manifestation in Oral Lichen Planus: Report of Case and Brief Literature Review

2020

IJFMT

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The Mouth is the mirror of the human body that reflects systemic disorders, and various systemic pathologies find expression in the oral region. Oral manifestations may be the initial feature or the only presenting sign in mucocutaneous diseases. Mucocutaneous disorders share two features in common: An immune-mediated pathogenesis and possibly common clinical appearance termed as 'Desquamative gingivitis'. Desquamative gingivitis is mostly a manifestation of a wide array of vesiculobullous disorders; however, it may also result due to endocrine disturbances, chronic infections, and allergic/chemical reactions. Hereby, presenting a case of oral lichen planus with Desquamative gingivitis as the sole manifestation in a 35-year-old female patient.

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Desquamative gingivitis as a clinical sign of oral lichen planus: review of literature

Cited by 2 publications

References 7 publications

Desquamative Gingivitis in the Context of Autoimmune Bullous Dermatoses and Lichen Planus—Challenges in the Diagnosis and Treatment

Desquamative Gingivitis in the Context of Autoimmune Bullous Dermatoses and Lichen Planus—Challenges in the Diagnosis and Treatment

Desquamative Gingivitis as the Sole Manifestation in Oral Lichen Planus: Report of Case and Brief Literature Review

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