6533b851fe1ef96bd12a89ec

RESEARCH PRODUCT

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

Guiglia RDi Liberto CPizzo GPicone LLo Muzio LGallo P DCampisi GD'angelo M

subject

AdultAged 80 and overMalechronic desquamative gingivitiDental Plaque IndexMiddle AgedCombined Modality TherapyStatistics NonparametricGingivitis Necrotizing Ulcerativeoral lichen planusAdrenal Cortex Hormonesbleeding gingival statuDental ScalingHumansFemaleSingle-Blind MethodPeriodontal Indexdental plaque controlAgedLichen Planus Oral

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.

10.1111/j.1600-0714.2007.00478.xhttp://hdl.handle.net/10447/2848