Desquamative Gingivitis in the Context of Autoimmune Bullous Dermatoses and Lichen Planus—Challenges in the Diagnosis and Treatment Article Swipe
Ana Maria Sciucă
,
Mihaela Paula Toader
,
Carmen Gabriela Stelea
,
George-Alexandru Maftei
,
Oana Elena Ciurcanu
,
Ovidiu Mihail Ștefănescu
,
Bianca-Andreea Onofrei
,
Cristina Popa
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.3390/diagnostics12071754
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.3390/diagnostics12071754
Desquamative gingivitis (DG) is a clinical term that describes erythema, desquamation and erosions of the gingiva, of various etiologies. Although the clinical aspect is not specific for a certain disease, an accurate diagnosis of the underlying disorder is necessary because the disease course, prognosis and treatment vary according to the cause. DG may inflict significant oral discomfort, which is why patients typically present to the dentist for a first consultation, rendering it important for these specialists to be informed about this condition. Our paper aims to review the ethiopatogenesis and diagnostic approach of DG, focusing on the most common underlying disorders (autoimmune bullous dermatoses and lichen planus) and on the management of these patients. Potential etiological agents leading to an inflammatory immune response in the oral mucosa and DG appearance include genetic predisposition, metabolic, neuropsychiatric, infectious factors, medication, dental materials, graft-versus-host reaction and autoimmunity. A thorough anamnesis, a careful clinical examination, paraclinical explorations including histopathological exam and direct immunofluorescence are necessary to formulate an appropriate diagnosis. Proper and prompt management of these patients lead to a better prognosis and improved quality of life, and must include management in the dental office with sanitizing the oral cavity, instructing the patient for rigorous oral hygiene, periodic follow-up for bacterial plaque detection and removal, as well as topical and systemic therapy depending on the underlying disorder, based on treatment algorithms. A multidisciplinary approach for the diagnosis and follow-up of DG in the context of pemphigus vulgaris, bullous pemphigoid, cicatricial pemhigoid or lichen planus is necessary, including consultations with dermatologists, oral medicine specialists and dentists.
Related Topics
Concepts
Medicine
Dermatology
Pemphigus vulgaris
Etiology
Cicatricial pemphigoid
Context (archaeology)
Pemphigus
Disease
Oral lichen planus
Physical examination
Gingivitis
Oral hygiene
Pemphigoid
Autoimmune disease
Anamnesis
Bullous pemphigoid
Pathology
Immunology
Dentistry
Surgery
Internal medicine
Paleontology
Antibody
Biology
Metadata
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.3390/diagnostics12071754
- https://www.mdpi.com/2075-4418/12/7/1754/pdf?version=1658304178
- OA Status
- gold
- Cited By
- 25
- References
- 111
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4286209087
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4286209087Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.3390/diagnostics12071754Digital Object Identifier
- Title
-
Desquamative Gingivitis in the Context of Autoimmune Bullous Dermatoses and Lichen Planus—Challenges in the Diagnosis and TreatmentWork title
- Type
-
reviewOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2022Year of publication
- Publication date
-
2022-07-20Full publication date if available
- Authors
-
Ana Maria Sciucă, Mihaela Paula Toader, Carmen Gabriela Stelea, George-Alexandru Maftei, Oana Elena Ciurcanu, Ovidiu Mihail Ștefănescu, Bianca-Andreea Onofrei, Cristina PopaList of authors in order
- Landing page
-
https://doi.org/10.3390/diagnostics12071754Publisher landing page
- PDF URL
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https://www.mdpi.com/2075-4418/12/7/1754/pdf?version=1658304178Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://www.mdpi.com/2075-4418/12/7/1754/pdf?version=1658304178Direct OA link when available
- Concepts
-
Medicine, Dermatology, Pemphigus vulgaris, Etiology, Cicatricial pemphigoid, Context (archaeology), Pemphigus, Disease, Oral lichen planus, Physical examination, Gingivitis, Oral hygiene, Pemphigoid, Autoimmune disease, Anamnesis, Bullous pemphigoid, Pathology, Immunology, Dentistry, Surgery, Internal medicine, Paleontology, Antibody, BiologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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25Total citation count in OpenAlex
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2025: 5, 2024: 14, 2023: 6Per-year citation counts (last 5 years)
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111Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.important | 72 |
| abstract_inverted_index.including | 153, 252 |
| abstract_inverted_index.necessary | 38, 160 |
| abstract_inverted_index.patients. | 113 |
| abstract_inverted_index.pemhigoid | 246 |
| abstract_inverted_index.pemphigus | 241 |
| abstract_inverted_index.prognosis | 43, 177 |
| abstract_inverted_index.rendering | 70 |
| abstract_inverted_index.treatment | 45, 225 |
| abstract_inverted_index.typically | 61 |
| abstract_inverted_index.vulgaris, | 242 |
| abstract_inverted_index.anamnesis, | 146 |
| abstract_inverted_index.appearance | 129 |
| abstract_inverted_index.condition. | 81 |
| abstract_inverted_index.dermatoses | 103 |
| abstract_inverted_index.diagnosis. | 165 |
| abstract_inverted_index.diagnostic | 90 |
| abstract_inverted_index.gingivitis | 1 |
| abstract_inverted_index.infectious | 135 |
| abstract_inverted_index.management | 110, 169, 186 |
| abstract_inverted_index.materials, | 139 |
| abstract_inverted_index.metabolic, | 133 |
| abstract_inverted_index.necessary, | 251 |
| abstract_inverted_index.sanitizing | 192 |
| abstract_inverted_index.underlying | 35, 99, 221 |
| abstract_inverted_index.(autoimmune | 101 |
| abstract_inverted_index.algorithms. | 226 |
| abstract_inverted_index.appropriate | 164 |
| abstract_inverted_index.cicatricial | 245 |
| abstract_inverted_index.discomfort, | 56 |
| abstract_inverted_index.etiological | 115 |
| abstract_inverted_index.etiologies. | 18 |
| abstract_inverted_index.instructing | 196 |
| abstract_inverted_index.medication, | 137 |
| abstract_inverted_index.pemphigoid, | 244 |
| abstract_inverted_index.significant | 54 |
| abstract_inverted_index.specialists | 75, 258 |
| abstract_inverted_index.Desquamative | 0 |
| abstract_inverted_index.desquamation | 10 |
| abstract_inverted_index.examination, | 150 |
| abstract_inverted_index.explorations | 152 |
| abstract_inverted_index.inflammatory | 120 |
| abstract_inverted_index.paraclinical | 151 |
| abstract_inverted_index.autoimmunity. | 143 |
| abstract_inverted_index.consultation, | 69 |
| abstract_inverted_index.consultations | 253 |
| abstract_inverted_index.dermatologists, | 255 |
| abstract_inverted_index.predisposition, | 132 |
| abstract_inverted_index.ethiopatogenesis | 88 |
| abstract_inverted_index.graft-versus-host | 140 |
| abstract_inverted_index.histopathological | 154 |
| abstract_inverted_index.multidisciplinary | 228 |
| abstract_inverted_index.neuropsychiatric, | 134 |
| abstract_inverted_index.immunofluorescence | 158 |
| cited_by_percentile_year.max | 99 |
| cited_by_percentile_year.min | 98 |
| corresponding_author_ids | https://openalex.org/A5059957628, https://openalex.org/A5047874867 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 8 |
| corresponding_institution_ids | https://openalex.org/I304011483 |
| citation_normalized_percentile.value | 0.94293841 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |