MAIN AND ADDITIONAL SIGNS AT THE BASIS OF DIAGNOSIS OF DESCVAMATIVE GINGIVITIS IN LICHEN PLANUS OF ORAL MUCOSA
Abstract and keywords
Abstract (English):
The most characteristic manifestations of desquamative gingivitis are bright hyperemia, the appearance of blisters of various sizes on the free and attached gum and erosion. This type of lesion can occur in diseases such as lichen planus, pemphigus, systemic lupus erythematosus. Despite the manifesting clinical picture, difficulties arise at the clinical reception in diagnosing both the symptom itself and the underlying disease. All this increases the interest in studying the main and additional clinical signs of specific gum lesions in lichen planus of the oral mucosa. In this paper, the manifestations of the signs of desquamative gingivitis observed by us in various forms of lichen planus are presented in detail, the main and additional signs of specific gingival lesions are highlighted, which make it possible to increase the effectiveness of the primary diagnosis of specific gingival lesions in patients with diseases of the oral mucosa. Subject of the study. To systematize the main and additional signs of forms of desquamative gingivitis with lichen planus of the oral mucosa. Purpose of the study. Identify and describe the main and additional clinical signs of forms of desquamative gingivitis in the red lichen planus of the oral mucosa. Methodology. The analysis of complaints, anamnesis, results of clinical and laboratory examination methods was carried out, photographs of clinical manifestations on the mucous membrane and the red border of the lips of the main and additional signs of a specific lesion of the gum were studied in detail. Results. The conducted clinical study made it possible to identify and describe in detail the main (bright hyperemia with sharp borders, uneven nature of the lesion, the spread of the process to the gum in the area of missing teeth, etc.) and additional clinical manifestations (papules, blisters, hemorrhages, dryness, epithelial atrophy) of desquamative gingivitis in all forms of red lichen planus of the oral mucosa. Conclusions. Knowledge of the identified signs will increase the effectiveness of the primary diagnosis of specific gum lesions.

Keywords:
lichen planus, desquamative gingivitis, pemphigus, diagnostics, mucous membrane of mouth, dentistry
References

1. Gileva O.S., Koshkin S.V, Libik T.V., Gorodilova E.A., Halyavina I.N. Parodontologiya. 2017;22;3(84):9-14. [O.S. Gileva, S.V. Koshkin, T.V. Libik, E.A. Gorodilova, I.N. Khalyavina. Periodontal aspects of oral mucosal diseases: lichen planus. Parodontologiya. 2017;22;3(84):9-14. (In Russ.)]. https://www.parodont.ru/jour/article/view/120/120

2. Borovskiy E.V., Mashkilleyson A.L., Vinogradova T.F. i dr. Zabolevaniya slizistoy obolochki polosti rta i gub. Moskva : «MEDpress». 2001:320. [E.V. Borovsky, A.L. Mashkilleison, T.F. Vinogradova et al. Diseases of the mucous membrane of the oral cavity and lips. Moscow : «MEDpress». 2001:399. (In Russ.)]. https://djvu.online/file/eqOg5aQZKrJCQ

3. Arduino P.G. Oral complications of dermatologic disorders // Atlas Oral Maxillofac Surg Clin North Am. - 2017;25:221-228. DOI:https://doi.org/10.1016/j.cxom.2017.04.013

4. Cabras M., Gambino A., Broccoletti R., Arduino P.G. Desquamative gingivitis: a systematic review of possible treatments // J Biol Regul Homeost Agents. - 2019;33(2):637-642. https://iris.polito.it/handle/11583/2731008

5. Gizem K., Kivanc B., Meral U. Desquamative gingivitis: A review // J.Istanb. Univ. Fac. Dent. - 2016;50(2):54-60. DOI:https://doi.org/10.17096/jiufd.57228

6. Guiglia R., Di Liberto C., Pizzo G., Picone L., Lo Muzio L., Gallo P.D., Campisi G., D'Angelo M. A combined treatment regimen for desquamative gingivitis in patients with oral lichen planus // J Oral Pathol Med. - 2007;36(2):110-116. DOI:https://doi.org/10.1111/j.1600-0714.2007.00478.

7. Hasan S. Desquamative gingivitis -A clinical sign in mucous membrane pemphigoid: Report of a case and review of literature // Jornal of Pharmacy & Bioallied Sciences. - 2014;6(2):122-126. DOI:https://doi.org/10.4103/0975-7406.129177

8. Jandinski J.J., Shklar G. Lichen planus of the gingiva // J Periodontol. - 1976;47(12):724-733. DOI:https://doi.org/10.1902/jop.1976.47.12.724.

9. Lo Russo L., Fedele S., Guiglia R., Ciavarella D., Lo Muzio L., Gallo P., Di Liberto C., Campisi G. Diagnostic pathways and clinical significance of desquamative gingivitis // J Periodontol. - 2008;79(1):4-24. DOI:https://doi.org/10.1902/jop.2008.070231.

10. Maderal A.D., Lee Salisbury P., Jorizzo J.L. Desquamative gingivitis: Clinical findings and diseases // J Am Acad Dermatol. - 2018;78(5):839-848. DOI:https://doi.org/10.1016/j.jaad.2017.05.056.

11. Maderal A.D., Lee Salisbury P., Jorizzo J.L. Desquamative gingivitis: Diagnosis and treatment // J Am Acad Dermatol. - 2018;78(5):851-861. DOI:https://doi.org/10.1016/j.jaad.2017.04.1140.

12. Mhaske M., Thakur N., Bansode S., Kedar P. Desquamative Gingivitis Treated By An Antioxidant Therapy- A Case Report // International Journal of Pharmaceutical Science Invention. - 2016;5(4):18-22. DOI:https://doi.org/10.1016/j.jaad.2017.05.056

13. Mignogna M.D., Lo Russo L., Fedele S. Gingival involvement of oral lichen planus in a series of 700 patients // J Clin Periodontol. - 2005;32(10):1029-1033. DOI:https://doi.org/10.1111/j.1600-051X.2004.00761.x.

14. Mustafa M.B., Porter S.R., Smoller B.R., Sitaru C. Oral mucosa manifestations of autoimmune skin diseases // Autoimmunity Rev. - 2015;14:930-951. DOI:https://doi.org/10.1016/j.autrev.2015.06.005

15. Paul G.T. Desquamative gingivitis: Does the gingiva tell you more than what meets the eye? A comprehensive review // J. Adv. Clin. Res. Insights. - 2019;6:48-52. DOI:https://doi.org/10.15713/ins.jcri.258.

16. Ramesh A., Bhat R.M., Madhumita M., Jaganathan P. Desquamative gingivitis in dermatological disorders // Indian J. Dermatol. Venereol. Leprol. - 2021;87:446-451. DOI:https://doi.org/10.25259/IJDVL_130_20.

17. Sciuca A.M., Toader M.P., Stelea C.G., Maftei G.A., Ciurcanu O.E., Stefanescu O.M., Onofrei B.A., Popa C. Desquamative Gingivitis in the Context of Autoimmune Bullous Dermatoses and Lichen Planus-Challenges in the Diagnosis and Treatment // Diagnostics (Basel). - 2022;12(7):1754. DOI:https://doi.org/10.3390/diagnostics12071754.

18. Scott M. Peters. Demystifying Desquamative Gingivitis: Diagnosis and Management. Decisions in Dentistry. 2020. https://decisionsindentistry.com/author/scottmpeters/


Login or Create
* Forgot password?