A Comparison of the Periodontal Status in Patients With Mucous Membrane Pemphigoid: A 5‐Year Follow‐Up

Abstract

The results of this study suggest that patients diagnosed with MMP appear to be no more at risk than controls matched for age, gender, and smoking history in developing or having an increased progression of periodontal disease.

Diagnosis and Management of Desquamative Gingivitis

“…MMP patients were found to have significantly more Class I furcation defects and more gingivitis but were otherwise www.intechopen.com similar to controls. In a 5 year follow-up of the same MMP patients and the same controls (Schellinck et al, 2009), both groups experienced some progression of periodontal disease but there were no significant differences between groups. Ramon-Fluixa et al (1999) reported that the periodontal status in patients with oral LP was no worse than that observed among healthy controls even if patients with atrophic-erosive gingival lesions exhibited higher plaque and calculus deposits.…”

“…Lack of correct oral hygiene and the accumulation of plaque may increase the long-term risk for plaque-induced periodontal diseases. However, there is some controversy about the relationship between the existence of DG and periodontal status (Akman et al, 2008;Arduino et al, 2011;Lo Russo et al, 2010;Ramon-Fluixa et al, 1999;Schellinck et al, 2009;Tricamo et al, 2006). Akman et al (2008) evaluated the periodontal status of PV patients and compared it with that of healthy controls.…”

“…Arduino et al (2011) showed that patients diagnosed with MMP have higher levels of gingival and periodontal inflammation than healthy controls due to a substantial difference in the oral hygiene of the study groups. A pair of recent studies (Schellinck et al, 2009;Tricamo et al, 2006) showed that patients with MMP appeared to be no more at risk than their matched healthy controls for developing an increased progression of periodontal disease. In the first of these studies (Tricamo et al, 2006) the periodontal health of patients with MMP was compared to that of age and sex matched control patients without MMP or other forms of DG.…”

Relation Between Periodontal Status and Pre-Cancerous Condition (Oral Lichen Planus): A Pilot Study

“…Patients suffering from oral lichen planus are not capable of performing oral hygiene procedures efficiently, hence there will be increased gingival inflammation and periodontal problems. The erosive form of lichen planus is generally persistent and painful to patients so they are unable to maintain oral hygiene procedures regularly, which leads to plaque and calculus deposition, which can exaggerate the condition and increase the possibility of long-term periodontal disease [2].…”

“…Other studies in the literature about periodontal parameters in mucous membrane pemphigoid and pemphigus vulgaris with desquamative gingivitis, such as Arduino et al, Schellinck et al [6], and Akman et al [7], found no correlation between desquamative gingivitis (DG) and periodontal status [8]. Schellinck et al and Tricomo et al demonstrated that patients with MMP exhibited a statistically significantly higher gingival index and amount of lingual gingival recession when compared to controls but they did not appear to be at risk in the development of periodontal disease [6,9]. In another study, conducted by Lopez-Jornet P, they measured the Gingival Index, Plaque Index, and Community Periodontal Index of Treatment Needs (CPITN).…”