Curr Health Sci J, vol. 44, no. 4, 2018

Desquamative Gingivitis - A Clinicopathological Review

[Review]

ELENA CRISTINA TOFAN(1), IOANINA PARLATESCU(1), SERBAN TOVARU(1), CARMEN NICOLAE(1), ADELINA SMARANDA PREDA(3), CRISTIAN FUNIERU(2)


(1)Oral Medicine/Oral Pathology Discipline, Faculty of Dental Medicine, University of Medicine and Pharmacy “Carol Davila”, Bucharest
(2)Preventive Dentistry Discipline, Faculty of Dental Medicine, University of Medicine and Pharmacy “Carol Davila”, Bucharest
(3)PhD, Faculty of Dental Medicine, University of Medicine and Pharmacy of Craiova


Abstract:

This article aims to review the etiology, clinical features and diagnosis of desquamative gingivitis in order to outline all the aspects necessary to increase the efficiency of patient management. Because of the polymorphic etiology, dental practitioners may elude the correct diagnose. Consequently, we find it important to underline all the clinical features that desquamative gingivitis may have as well as the associated oral lesions. Also we shortly review the systemic disorders that frequently associate desquamative gingivitis. It is important to know that the muco-cutaneous disorders frequently involved can have an abrupt onset with lesions sometimes confined to the gingiva. In evolution these diseases can be life threatening and a quick treatment can assure not only a more favorable evolution but also a better life quality. Laboratory analyses are mandatory in order to correctly diagnose the main systemic disorder. Histology and direct immunofluorescence investigations are the most accurate. Remission of the underlining disease brings improvement or even resolution of the oral lesions.


Keywords:
Desquamative gingivitis, systemic disease, oral lesions, differential diagnosis



Corresponding:
Ioanina Parlatescu, Discipline Oral Medicine/Oral Pathology, Faculty of Dental Medicine, University of Medicine and Pharmacy "Carol Davila", Str. Eforie, nr. 4-6 floor 3 room 18, Bucharest, 050037, e-mail ioaninap@yahoo.com, ioanina.parlatescu@umfcd.ro


DOI 10.12865/CHSJ.44.04.01 - Download PDF