Definitive and Differential Diagnosis of Desquamative Gingivitis Through Direct Immunofluorescence Studies

Suresh, Lakshmanan; Neiders, Mirdza E.

doi:10.1902/jop.2012.110627

Cited by 50 publications

(40 citation statements)

References 24 publications

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“…[101112] Therefore, gingival disorders as silent epidemic[7] are most commonly chronic bacterial infection that affects on 60–90% of school children and nearly 100% of adults. [3940] Furthermore, hospitalization has negative effects on oral health conditions of hospitalized patients and accelerates the accumulation of dental plaque that is associated with the destruction of mucosal membranes and increases the rate of gingivitis. [41] In addition, because the oral cares of hospitalized patients are not the right priority of nurses,[41] However, in these patients, oral problems are rapidly intensified and increased the nosocomial infections.…”

Section: Discussionmentioning

confidence: 99%

Comparison the efficacy of herbal mouthwash with chlorhexidine on gingival index of intubated patients in Intensive Care Unit

Rezaei

Mahboubi³

et al. 2016

J Indian Soc Periodontol

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Background:Intubated patients in Intensive Care Unit (ICU) are not able to take care of their mouth health, so they are at risk of bacterial colonization and dental plaques formation that can lead to systemic diseases such as pneumonia and gingivitis.Aims:In randomized, double-blind clinical study, the efficacy of natural herbal mouthwash containing Salvadora persica ethanol extract and Aloe vera gel was compared with chlorhexidine on gingival index (GI) of intubated patients in ICU.Materials and Methods:Seventy-six intubated patients (18–64 years old with mean age 40.35 ± 13.2) in ICU were admitted to this study. The patients were randomly divided into two groups: (1) Herbal mouthwash and (2) chlorhexidine solution. Before the intervention, the GIs was measured by modified GI device into two groups. The mouth was rinsed by mouthwashes every 2–3 h for 4 days. 2 h after the last intervention, GIs were determined.Results:Along with mechanical methods, herbal mouthwash in reducing GI was statistically significant than that of chlorhexidine (P < 0.05).Conclusion:The results of this study introduce a new botanical extract mouthwash with dominant healing effects on GI (1.5 ± 0.6) higher than that of synthetic mouthwash, chlorhexidine (2.31 ± 0.73).

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Section: Discussionmentioning

confidence: 99%

Comparison the efficacy of herbal mouthwash with chlorhexidine on gingival index of intubated patients in Intensive Care Unit

Rezaei

Mahboubi³

et al. 2016

J Indian Soc Periodontol

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“…Inflammatory serum markers such as CRP are elevated in AgP compared to ChP [31][32][33][34][35][36].…”

Section: Classification Of Periodontal Diseasesmentioning

confidence: 96%

Oral cavity infections: why should cardiologists care about them?

2015

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“…The biopsy for routine histology and DIF should be taken from the vesicle, edge of an ulcer, or erythema and tissue. Histopathology discloses sub-epithelial clefting with preservation of variable inflammation (7). In the DIF technique, MMP patient's biopsy specimens illustrate positive DIF studies for IgG, C3, and often IgA in 50% to 80% of cases.…”

Section: Introductionmentioning

confidence: 99%

A Challenging in Diagnosis of Mucous Membrane Pemphigoid with Desquamative Gingivitis Presentation: A Case Report

Koopaie

2018

J Arch Mil Med

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Desquamative gingivitis (DG) is a descriptive term, indicating inflamed and peeling gingiva. It is characterized by sloughing of the gingival epithelium as a result of formation and rupture of the vesicle. Consequently, the gingiva appears erythematous and often edematous. Desquamative gingivitis may represent an oral clinical manifestation of various systemic mucocutaneous diseases. This case report is on a 42-year-old female with chief complaint of burning sensation in the anterior maxillary gingiva. The patient did not have any other lesion at other sites of the oral cavity. The patient had been affected by asthma and her medications were salbutamol spray and tab cetirizine. Clinically, anterior gingiva appeared as the presentation of desquamative gingivitis. Therefore, an incisional biopsy of the affected area for histopathologic assessment and an incisional biopsy of clinically normal-appearing gingiva for direct immunofluorescence (DIF) study were performed. The histopathologic report was herpes simplex infection. However, this report was incompatible with the clinical view and the patient history. Therefore, a second biopsy was performed. The second histopathologic report was compatible with MMP. The treatment plan was local corticosteroid with follow-up. At the one-month examination visit, a significant improvement was observed in the clinical view of the gums.

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Definitive and Differential Diagnosis of Desquamative Gingivitis Through Direct Immunofluorescence Studies

Cited by 50 publications

References 24 publications

Comparison the efficacy of herbal mouthwash with chlorhexidine on gingival index of intubated patients in Intensive Care Unit

Comparison the efficacy of herbal mouthwash with chlorhexidine on gingival index of intubated patients in Intensive Care Unit

Oral cavity infections: why should cardiologists care about them?

A Challenging in Diagnosis of Mucous Membrane Pemphigoid with Desquamative Gingivitis Presentation: A Case Report

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