Desquamative gingivitis one is characteristic erosive gingival epithelium as a result of the formation and rupture of a vesicle. Gingivitis is reddened and mostly edematous. The patients complain of abnormal sensations and pain when chewing and not infrequently about bleeding gums. The pathogenetic mechanism consists of the detachment of the epithelium from the underlying connective tissue, triggered by periodontal disease processes that either sub- or intraepithelial Can cause blistering. Desquamation is triggered by deliberate local friction (Nikolsky phenomenon) as well as through unintentional stimuli caused by local factors such as chewing forces, poor dentures, or tartar (analog the Koebner phenomenon in skin diseases) the symptoms.
Desquamative Gingivitis Periodontal Disease
Desquamative gingivitis is not a distinct diagnosis, rather one non-pathognomonic, the clinical name under which various systemic mucosal diseases can manifest themselves. The most common Desquamative gingivitis-causing diseases include benign scarring mucosal pemphigoid (VP), the lichen planus (LP), and the pemphigus Vulgaris (PV). Desquamative gingivitis occurs significantly less often in diseases such as Erythema multiforme, lupus erythematosus, linear IgA dermatosis, bullous Pemphigoid (BP), epidermolysis bullosa (EB), chronic ulcerative stomatitis and paraneoplastic pemphigus.
Desquamative gingivitis & Gum Disease