Читать книгу Clinical Cases in Periodontics - Группа авторов - Страница 57

Desquamative gingivitis is not a definitive diagnosis but a clinical term referring to the manifestation of a variety of underlying conditions. To arrive at a definitive diagnosis, a tissue biopsy is required. In this case, punch biopsies of the gingiva and buccal mucosa were performed and submitted for pathologic evaluation. One sample was placed in 10% formalin for hematoxylin and eosin staining and the second in Michel’s medium for direct immunofluorescence studies. The pathology report was signed out as oral lichen planus (LP).

After the diagnosis was established, the patient was prescribed a topical corticosteroid (fluocinonide gel 0.05%) and instructed to apply it two to three times daily. The patient returned after two weeks of treatment with improvement of gingival erythema. The patient was informed that because there is no cure for her condition, the medication would need to be reapplied whenever she became symptomatic.