Multidisciplinary Management of Desquamative Gingivitis with Periodontal Disease
- Author:
Cheah Chia Wei
1
;
Rathna Devi Vaithilingam
;
Norazlina Mohammad
;
Siar Chong Huat
Author Information
1. , University of Malaya, Kuala Lumpur, Malaysia.
- Publication Type:Journal Article
- Keywords:
Oral lichen planus;
Desquamative gingivitis;
Solo brushing technique;
Regular recall
- From:
Annals of Dentistry
2019;26(1):30-33
- CountryMalaysia
- Language:English
-
Abstract:
Desquamative gingivitis (DG) is a manifestation of a number of mucocutanenous disorders, one of it being oral lichen
planus (OLP). OLP is an autoimmune disease. The aetiology for this condition is unknown, but there are few factors
associated with its occurrence, for example alcohol drinking, smoking, allergic reaction to certain medications or
restorative material. DG lesions increase the long-term risk for plaque-induced periodontal disease. At the same
time, dental plaque and calculus cause gingival OLP resulting in the erosive disease. This report presents the
management of a case of oral lichen planus associated with desquamative gingivitis with periodontitis. The expertise
involved are from the oral medicine, periodontic and prosthodontic clinics. The uniqueness of the case management
was the introduction of single tufted brush, Tepe® compact tuft toothbrush, to perform “solo brushing technique”.
It was able to remove plaque effectively and did not cause irritation to the gingivae. Patients presenting with
mucocutaneous disorders which exarcebates other oral conditions requires multidisciplinary management. Proper
treatment planning will significantly improve their oral health related quality of life.
- Full text:9.2019my0121.pdf
