Dr. Abhishek Gaur BDS, MDS Some of the slides may appear Blank/White/Black, those are the Videos that I added in the presentation. Kindly Ignore those slides.

1. Desquamative
Gingivitis
Dr. Abhishek Gaur
Periodontist and Implantologist
(BDS, MDS)
Friday : 08-March-2019

2. Chronic Desquamative Gingivitis
Chronic desquamative gingivitis is characterised by intense
redness and desquamation of the surface epithelium of the
attached gingiva.
Clinical features of desquamative gingivitis vary in severity
1. Mild form
2. Moderate form
3. Severe form

3. Mild Form :
1. Erythema
2. Painless
3. Females - 17-23 yrs

4. Moderate Form
1. Patchy distribution of bright red and grey areas involving
marginal and attached gingiva.
2. Smooth and shiny.
3. Occurs in 30 and 40 years of age.

5. Severe Form
1.Wide areas of the oral cavity involved.
2.Surface epithelium appears shredded.
3.Blowing off air causes a bubble in gingival epithelium.
4.Very painful.
5.Constant dry, burning sensation.

6. Diagnosis Process
1. Clinical history
2. Clinical examination
3. Biopsy
4. Microscopic examination
5. Immunoflouroscence

7. Disease clinically
presenting
as
Desquamative Gingivitis :

8. ORAL LICHEN PLANUS:
Chronic inflammatory disease that affects skin and mucous membrane.
Women > Men
Ongoing inflammatory condition.
Burning Sensation
Pain
Discomfort to the patient
Lesions : White, lacy patches, red swollen tissues or open sores.

9. VESICULAR OR BULLOUS LESIONS
These lesions are uncommon & short lived on the gingiva, quickly rupturing and
leaving an ulceration.
Lesions : Erosive and Painful
Etiology : Trauma, erythema Multiforme or toxidermia.

10. ATROPHIC LESIONS
Atrophy of the gingival tissues with ensuing epithelial thinning results in
erythema confined to the gingiva.

11. Differential Diagnosis
1. Lichenoid reactions
2. Lupus erythematous
3. Chronic ulcerative stomatitis
4. Cicatricial pemphigoid (affects : conjunctiva)
5. Pemphigus vulgaris
6. Leukoplakia

13. Treatment
But if its associated with
ERYTHEMA MULTIFORME……….
no corticosteroids….
That can be detrimental
Emphasis should be on hydration and topical analgesics.
The best treatment is yet to be determined, but patients usually
require in-patient treatment.

14. Conclusion
In many cases of desquamative gingivitis it may not be possible
to determine the basic etiology.
However, local therapy together with diligence & patience will
eventually improve the condition and the etiologic background
may be discovered on the eventual appearance of other lesions
or symptoms.
The importance of being able to recognise and properly
diagnose this condition is accentuated by the fact that a serious
and life threatening disease may initially manifest as desquamative
gingivitis.