Classifying mucosal disease states is difficult for the clinician since many mucosal diseases have similar oral appearances. The term “desquamative gingivitis” (DG) is often used as a descriptive term, because the etiology of the inflammation may originate from multiple sources and, ultimately, it may prove to be a clinical feature of one of the mucocutaneous diseases.

Figure 1. Desquamative Gingivitis.

This course is designed to acquaint the clinician with the possible etiologies, treatments and recommendations for the patient who exhibits the characteristics of DG. Patient management is discussed in four separate phases: diagnosis, control, consolidation and maintenance. Relevant histological and direct immunofluorescence examinations are discussed and suggested biopsy techniques for optimal results are explained.