6533b7cefe1ef96bd12578fa

RESEARCH PRODUCT

A combined treatment regimen for desquamative gingivitis in patients with oral lichen planus

Giuseppe PizzoL PiconePio Domenico GalloC. Di LibertoGiuseppina CampisiRosario GuigliaMatteo D'angeloLorenzo Lo Muzio

subject

Cancer Researchmedicine.medical_specialtyErythemabusiness.industryBleeding on probingDentistrymedicine.diseaseDental plaqueOral hygieneGastroenterologyPathology and Forensic MedicineDesquamative gingivitisstomatognathic diseasesGingivitisstomatognathic systemOtorhinolaryngologyInternal medicineOral and maxillofacial pathologymedicinePeriodonticsOral lichen planusOral Surgerymedicine.symptombusiness

description

Background:  Chronic desquamative gingivitis (DG) is a condition characterized by erythema, ulceration, and desquamation of the free and attached gingiva, usually expression of a district-systemic disease, such as oral lichen planus (OLP). Methods:  A combined protocol of oral hygiene and topic corticosteroid therapy was applied in 30 patients with DG associated with OLP. Plaque index (PI) and bleeding on probing (BoP) were evaluated at baseline and after 3 months. Results:  PI scoring was significantly lower after treatment in anterior, posterior, and all sites (P < 0.0001) as well as in vestibular and lingual ones (P < 0.0001 and P = 0.0001, respectively). BoP measures were found to be reduced significantly to 22.94% in a full-mouth evaluation (P < 0.0001; OR = 2.633; 95% CI: 2.2685–3.0561) as well as in each specific site (P < 0.0001). Conclusion:  This clinical trial validated the efficacy, in patients with DG associated with OLP, of a protocol based on professional oral hygiene and self-performed plaque control measures in improving of gingival health status.

https://doi.org/10.1111/j.1600-0714.2007.00478.x