Article: Volume 44 Number 6 Page 564 - June 2017

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  Dent Update 2017; 44: 564-570

Oral medicine:  Desquamative Gingivitis – Aetiology, Diagnosis and Management

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Abstract: The diagnosis and classification of mucosal disease for the busy general dental practitioner can be difficult since many mucosal diseases present with a similar oral appearance. The term desquamative gingivitis (DG) is often used as a descriptive term because the aetiology of the inflammation may originate from multiple oral conditions. In this review article, we discuss oral lichen planus, mucous membrane pemphigoid, and pemphigus vulgaris as the main mucocutaneous diseases associated with DG. The importance of plaque control is emphasized in the initial management of these cases.

Clinical relevance: As an oral complaint, patients will likely seek dental advice as their first point of contact for symptoms associated with DG. Therefore, an understanding of potential conditions that are causing their symptoms, as well as some general measures which may help improve their condition, are important.

Author notes: Lewis Winning, BDS, DChDent(Perio), FFD RCSI, FDS RCPSG, Specialist in Periodontics, Queen’s University Belfast, Amanda Willis, BDS, BMedSci(Hons), MMedSci, PhD, MJDF RCSEng, PGCE, Consultant/Lecturer in Oral Medicine, Queen’s University Belfast, Brian Mullally, BDS, MDS, PhD, FDS RCPSG, FFD RCSI, Consultant/Senior Lecturer in Restorative Dentistry, Queen’s University Belfast and Christopher Irwin, BSc, BDS, PhD, FDS RCPSG(Rest Dent), FFD RCSI, Professor of Periodontology, Queen’s University Belfast, University Road, Belfast BT7 1NN, UK.

Objective: To provide a basic knowledge of the aetiology, diagnosis and management of the main conditions associated with desquamative gingivitis.

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