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Desquamative gingivitis: a challenging diagnosis for clinicians
Murad Shaqman1, Ahmad Hamdan2, Omar Karadsheh2
1Department of Oral and Maxillofacial Surgery, Oral Medicine and Periodontics, School of Dentistry, The University of Jordan, 11942, Jordan. murad90@yahoo.com.
Diagnosis of desquamative gingivitis (DG) is often delayed, with patients waiting over 10 months for initial consultation. Factors like less severe disease and female gender contribute to this delay, highlighting a need for increased awareness.
Area of Science:
- Oral Medicine
- Dermatology
Background:
- Desquamative gingivitis (DG) diagnosis is frequently delayed in clinical practice.
- Factors influencing delayed diagnosis of DG are not well understood.
Purpose of the Study:
- To investigate diagnostic patterns in patients with desquamative gingivitis.
- To identify factors associated with patient and professional diagnostic delays in DG.
Main Methods:
- A cohort of 41 patients with primary DG complaints were interviewed.
- Patient and professional diagnostic delays were assessed.
- Desquamative gingivitis clinical score (DGCS) evaluated disease severity.
Main Results:
- Average patient delay was 10.8 months; less severe DG and female gender correlated with longer delays.
- Patients consulted an average of 4.1 professionals, with a mean professional delay of 7.3 months.
- Professional delay increased with more consultations and absence of other oral/extraoral lesions.
Conclusions:
- Significant diagnostic delays are characteristic of desquamative gingivitis.
- Enhanced patient and professional awareness of DG symptoms and diagnostic pathways is crucial.
- Reducing diagnostic delays can improve patient outcomes and experiences.
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