Usually topical steroids, systemic steroids with topical antifungal are prescribed, they sometimes work, but temporarily. Can anybody suggest a more definite mode of therapy. Any surgery/Laser/injectables etc?
The treatment of desquamative gingivitis is a lil difficult..first of all we need to identify the underlying oral lesion causing desquamative gingivitis as a wide variety of oral lesions can cause it and the most common being LICHEN PLANUS..we need to prescribe lycopene and retinoids for atleast 2-3 months and in severe cases, steroid ointment is required..0.03% TACROLIMUS OINTMENT has also showed promising results...
Lasers? Diode lasers?
There have been two school of thoughts in terms of using lasers, ive tried both with little sucess.
1. Low power deepithelization of desquamated surface (like in depigmentation) and let it heal.
2.High power, non-initiated tip, just heat the area. Its turns black after few days and then become healthy in few weeks.
What technique you follow or recommend Harjit ?
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