Surgical considerations and management of patients with mucocutaneous disorders.
Surgeons may be confronted with providing periodontal plastic or implant therapy for patients with gingival manifestations of systemic conditions. These conditions (often referred to as mucocutaneous disorders) commonly present with features of desquamative gingivitis, which was once believed to represent a disease entity. However, today, the term desquamative gingivitis is used to describe clinical features of various local or systemic diseases or disorders that result in chronic gingival lesions characterized by epithelial desquamation, erythema, ulceration, and/or vesiculobullous lesions of the gingiva. Often, other oral tissues also are involved. Mucocutaneous disorders include such disease entities as lichen planus, graft-versus-host disease, pemphigoid, pemphigus vulgaris, lupus erythematosus, erythema multiforme, and linear IgA disease. Surgeons should be able to recognize these disorders and have the tools necessary to treat these conditions so that they can render the appropriate surgical care. This article describes the diagnosis, etiology, and clinical manifestation of these disease entities, as well as the surgical considerations and management in providing care to these patients.
Toscano
Nicholas J
NJ
The American Board of Periodontology, USA.
Holtzclaw
Dan J
DJ
Shumaker
Nicholas D
ND
Stokes
Steven M
SM
Meehan
Sean C
SC
Rees
Terry D
TD
D017742:Dental Care for Chronically Ill; D004892:Erythema Multiforme / Q000150:complications; D005891:Gingivitis / Q000209:etiology*; D005892:Gingivitis, Necrotizing Ulcerative / Q000150:complications; D006086:Graft vs Host Disease / Q000150:complications; D006801:Humans; D017676:Lichen Planus, Oral / Q000150:complications; D008180:Lupus Erythematosus, Systemic / Q000150:complications; D019647:Oral Surgical Procedures; D012872:Skin Diseases, Vesiculobullous / Q000150:complications*