Eur J Musculoskel Dis 2022 May-Aug;11(2):59-63
CASE REPORT
ORAL HYGIENE IN PATIENTS WITH AUTOIMMUNE BULLOUS DISEASES
R.A. Assanti1 and P. Daliu2
1Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania “Luigi Vanvitelli”,
Naples, Italy;
2Dental School, Albanian University, Tirana, Albany
Correspondence to:
Remo Antonio Assanti, DDS
Multidisciplinary Department of Medical-Surgical and Dental Specialties,
University of Campania “Luigi Vanvitelli”,
Naples, Italy
e-mail: remoantonio.assanti@unicampania.it
ABSTRACT
Pemphigus vulgaris (PV) and mucous membrane pemphigoid (MMP) are immunologically mediated mucocutaneous disorders denoted by blistering mucous membranes, skin, and oral cavity lesions. The buccal mucosa, soft palate, and lips are often the first sites involved in PV and MMP patients. The oral blisters blasted fast, exiting painful erosions and ulcers. Gingival involvement (desquamative gingivitis) consists of an erythematous lesion accompanied by dryness, desquamation, and bullae. Although gingivitis desquamative is autoimmune e non induced by the accumulation of plaque and tartar, careful oral hygiene prevents secondary inflammation, with consequent clinical worsening of the primary pathology. The present work aims to review the recent literature regarding oral hygiene protocols applied to patients suffering from vesiculo-bullous diseases, with a critical evaluation of the advantages and limitations of the therapy.
KEYWORDS: vesicle, pain, gingival, inflammation, hygiene, protocol