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P.G. Arduino, R. Broccoletti, V. Sciannameo, C. Scully, A practical clinical recording system for cases of desquamative gingivitis, British Journal of Dermatology, Volume 177, Issue 1, 1 July 2017, Pages 299–301, https://doi.org/10.1111/bjd.15075
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Conflicts of interest: none declared.
Dear Editor, The most frequent autoimmune disorders that involve the oral mucosae are lichen planus, pemphigoid, pemphigus, epidermolysis bullosa acquisita, erythema multiforme, discoid lupus erythematosus and chronic ulcerative stomatitis. Affected individuals present with variable oral lesions,1,2,3 mainly hyperkeratosis, erythema, blisters, erosions and ulcerations. The gingival tissues are commonly involved, not least because of decreases in oral hygiene,4 but the gingiva can be the site of onset or the first manifestation of the disorder,5 often as desquamative gingivitis (DG).3,6,7
The aim of gingival treatment should be principally directed towards diminution of pain and discomfort, lessening erosions and ulcers into mild diseases. To date, there is only weak evidence for the superiority of any interventions over placebo in the treatment of DG. One barrier to good studies is the lack of a reproducible gingival clinical score, although a helpful mucosal index for lichen planus has been described.8