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Article: Volume 43 Number 9 Page 895 - November 2016

  Dental Update 439: 895-895  Read article

Clinical Challenges Q&A:  Clinical Challenges Q&A 25. White Gingivae

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Abstract: A 40-year-old woman came for a routine dental check-up. Clinical examination of her lower anterior teeth revealed tooth surface loss (attrition) and gingival abnormalities, such as recession, ulcerations without destruction of interdental papillae, mild swelling with loss of gingival striping with white diffuse lesions in both free and attached gingivae. These gingival lesions (Figure 1) were slightly sensitive with brushing and not associated with other lesions in her mouth, skin and other mucosae. The patient suffered only from allergic rhinitis, occasionally used anti-histamine tablets and used cinnamon chewing gum regularly.

Author notes: Dimitrios Malamos, DDS, MSc, PhD, DipOM, Oral Medicine Clinic, National Organization for the Provision of Health Services (IKA), Athens, Greece, and Crispian Scully, CBE, MD, PhD, MDS, MRCS, BSc, FDS RCS, FDS RCPS, FFD RCSI, FDS RCSE, FRCPath, FMedSci, FHEA, FUCL, DSc, DChD, DMed(HC), Emeritus Professor, University College London, UK.