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Desquamative gingivitis: Diagnosis and treatment
Andrea D Maderal1, Paul Lee Salisbury2, Joseph L Jorizzo3
1Department of Dermatology, University of Miami Miller School of Medicine, Miami, Florida.
Journal of the American Academy of Dermatology
|April 22, 2018
Summary
Desquamative gingivitis requires histologic examination for accurate diagnosis before systemic therapy. This review details biopsy techniques and emphasizes dental care for effective disease management.
Area of Science:
- Oral Medicine
- Dermatology
- Pathology
Background:
- Desquamative gingivitis presents as a clinical finding with diverse underlying causes.
- Accurate diagnosis is crucial for effective treatment, yet systematic guidelines are lacking.
- A practice gap exists in managing this uncommon condition.
Purpose of the Study:
- To provide guidance on diagnosing desquamative gingivitis.
- To outline optimal biopsy techniques for histologic examination.
- To review indications for further testing and evidence-based treatment strategies.
Main Methods:
- Review of current literature and clinical best practices.
- Discussion of mucosal biopsy specimen acquisition.
- Evaluation of diagnostic and therapeutic approaches.
Main Results:
- Histologic examination is essential for confirming the diagnosis of desquamative gingivitis.
- Specific biopsy methods are recommended for dermatologists.
- Immunofluorescence studies may be indicated for certain etiologies.
Conclusions:
- Accurate diagnosis via histology is the cornerstone of managing desquamative gingivitis.
- Treatment should be tailored to the underlying condition, considering evidence levels.
- Comprehensive dental care and oral hygiene are vital for disease control.
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