We will briefly discuss the clinical picture of lge. Nug is a necrotizing form of periodontitis of the gingiva primarily the interdental papilla with no loss of periodontal attachment. Linear gingival erythema is a form of gingivitis that has been called hiv gingivitis because of the frequency in these patients. Pdf correlation linear gingival erythema, candida infection. Select the correct image based on the above description. It is the most common form of hivrelated periodontal disease in children.
Wikiproject dentistry rated stubclass, lowimportance this article is supported by wikiproject dentistry. It is characterized by 23mm marginal band of intense erythema in free gingiva extending to attached gingiva as focal or diffuse erythema andor extending beyond mucogingival line into alveolar mucosa. It was originally thought that lge was directly associated with hiv, and it was thus called hivassociated gingivitis hivg. There are several kinds of oral soft tissue lesions that are common manifestations observed in human immunodeficiency virus hiv. Linear gingival erythema lge, defined as an erythematous band of at least 2 mm extending between adjacent papilla, was observed in all 4 groups. Lingual gingival erythema definition of lingual gingival. Gingivitis desquamative granulomatous plasma cell hereditary gingival fibromatosis hypercementosis granulomwtosa linear gingival erythema necrotizing periodontal diseases acute necrotizing.
Linear gingival erthema a distinct linear red band that is limited to the free gingiva and does not respond well to improved selfcare or periodontal instrumentation. The relationship of candidiasis to linear gingival. Chaisson, in mandell, douglas, and bennetts principles and practice of infectious diseases eighth edition, 2015. Linear gingival erythema definition of linear gingival. What is necrotizing ulcerative gingivitis nug and linear gingival erythema lge. Linear gingival erythema article about linear gingival. The american academy of periodontology classifies gingival disease as a major group of periodontal diseases and distinguishes two main subgroups, those gingival diseases induced by dental plaque and those attributed to other causes. In the blood plasma of linear gingival erythema it was found decrease of t lymphocyte, histiocytes and high percent of neutrophils and ig g, and important changes in the inflammatory cell. Clinically, linear gingival erythema appears as a distinct linear band of erythema along the free gingival margin. Linear gingival erythema an overview sciencedirect topics. Lge is a relatively uncommon gingival disorder usually following hiv infection. Linear gingival erythema hiv gingivitis, redband gingivitis erythematous band on gingival margin extends 23mm from gingival margin erythema is disproportionate to local factors such as plaque and calculus lack of response to oral hygiene measures may be tender and bleed easily.
Pdf correlation linear gingival erythema, candida infection and. There is a strong association between hiv infection and certain unusual patterns of periodontal disease, including linear gingival erythema, necrotizing ulcerative. The intense linear gingival erythema of a fourth child was also clinically evaluated as a possible form of erythematous oral candidiasis. Linear gingival erythema lge is characterized b a red band limited to the free gingiva tooth anatomy that may predispose plaquerelated gingivitis or periodontitis include all. The lesion does not respond to plaque control measures or root planing and scaling. Periodontal diseases in hiv internet scientific publications. Severe forms of periodontal disease are frequent in patients with acquired immunodeficiency syndrome aids. Linear gingival erythema doctors answer your questions. Linear gingival erythema candidiasis it occurs from an overgrowth of candida albicans, usually after a course of antibiotics or as a result of congenital or acquired immunodeficiencies 10. Cementicle cementoblastoma gigantiform cementoma eruption cyst epulis pyogenic granuloma congenital epulis gingival enlargement gingival cyst of the adult gingival cyst of the newborn gingivitis desquamative granulomatous plasma cell hereditary gingival fibromatosis hypercementosis hypocementosis linear gingival erythema necrotizing periodontal. Erythema multiforme is a chronic mucocutaneous inflammatory disease with a variable recurrent pattern. Thirty female and twenty male patients, ranging in age from 11 to 75 years, were studied. Management of periodontal disease aids institute clinical.
Linear gingival erythema lge treatment dental debridement 0. Reviews scientific articles stomatologija, baltic dental. Photo and radiographs of periodontal disease associated with hiv for images. Linear gingival erythema lge is a progressive disease described in hivpositive patients and is considered to be an early stage of necrotizing periodontitis. Doctors give trusted, helpful answers on causes, diagnosis, symptoms, treatment, and more. Immunohistochemical study of linear gingival erythema from. The etiology and pathogenesis of lge are questionable, but a. Treatment may include debridement, povidoneiodine irrigation, chlorhexidine mouth rinse, andor antifungal therapy. Summary severe forms of periodontal disease are frequent in patients with acquired immunodeficiency syndrome aids. Inflammation bleeding pain fever halitosis bad breath signssymptoms of. Iv gingival diseases modified by malnutrition ascorbic acid deficiency other non plaque induced gingival lesions i gingival lesions of specific bacterial origin ii gingival lesions of viral origin iii gingival lesions of fungal origin iv gingival lesions of genetic origin v gingival manifestations of systemic conditions. Immunohistochemical study of linear gingival erythema from hiv. Association of candida with linear gingival erythema in. This was formerly called hivrelated gingivitis and presents as a red line at the gingival margin figure b.
A band of inflammation of the periodontium, appearing as a reddish gingival band about 2 to 3 mm in width. Linear gingival erythema lge is a progress ive disease described in hiv positive patients and is considered to be an early stage of necrotizing periodontitis. Twelve patients had oral lesions only, nineteen had oral and lip changes. Epulis granulomatosa pdf an epulis granulomatosa is a granuloma which grows from an extraction socket the hole left after a tooth has been. Pdf the relationship of candidiasis to linear gingival erythema.
Association of candida with linear gingival erythema in hiv. Linear gingival erythema and necrotizing ulcerative. Oral findings include painful granulomatous lesions figure c. Linear gingival erythema lge is a progressive disease described in hiv. Reviews scientific articles stomatologija, baltic dental and. Linear gingival erythema lge, formally referred to as hiv gingivitis, is the most common form of hiv associated periodontal disease in the hiv infected. Gingival disease continued b non plaque induced 3 gingival diseases of fungal origin b linear gingival erythema aids related periodontitis for details click on the books the photo to the left shows areas of gingival and periodontal necrosis and gingival hypertrophy.
Hiv gingivitis, redband gingivitis a condition in which the edge of the gums near the teeth become red and inflamed. Linear gingival erythema extra oral features hiv salivary gland disease salivary gland disease in hiv manifests primarily as unilateral or bilateral enlargement of the parotid gland, with or without xerostomia. The swelling may be due to a wide spectrum of pathological conditions that include reactive or. Linear gingival erythema lge a condition in which the edge of the gums near the teeth become red and inflamed. Objective of this case report is to help clinicians to recognize and distinguish olp lesions from other lesions that have similar appearance such as lge and give a proper treatment for.
May 08, 2020 linear gingival erythema speaker synonyms. Direct microscopic examiniation of material from the gingival lesions of the latter disclosed yeast cells and hyphae. Periodontal diseases unique to the immunocompromised patient are necrotizing ulcerative periodontitis nup figure 1 below and linear gingival erythema lge figure 2 below. High number of neutrophils in the gingival epithelial are associated with mostly. Clinical features characteristically, linear gingival erythema appears as a fiery red band 24 mmwide along the margin of the gingiva and a punctate or diffuse erythema of the attached gingival. Apr, 2015 what is necrotizing ulcerative gingivitis nug and linear gingival erythema lge. The etiopathogenesis of linear gingival erythema is uncertain, although some investigators hypothesize that the condition results from subgingival colonization and tissue invasion by candida species. This is a granulomatous disease caused by histoplasma capsulatum. Periodontal diseases associated with hiv infection are grouped into linear gingival erythema lge, necrotizing ulcerative gingivitis nug and necrotizing. A condition in which the edge of the gums near the teeth become red and inflamed. Later research confirmed that lge also occurs in hiv negative immunocompromised patients, and it was thus renamed. Linear gingival erythema lge, formally referred as hivgingivitis, is the most common form of hivassociated periodontal disease in hiv infection. Linear gingival erythema can be abbreviated as lge.
Linear gingival erythema is common with hiv infection. Linear gingival erythema lge is a periodontal disorder diagnosed based on distinct clinical characteristics. The relationship of candidiasis to linear gingival erythema. Lge typically presents at the anterior teeth initially cherrypeppers, et al. The gingival tissue and oral mucosa is erythematous with a removable white coating and appears fragile figure a. In some cases, punctate or more diffuse erythema also may be noted on the gingiva and alveolar mucosa. Sep 30, 2019 cementicle cementoblastoma gigantiform cementoma eruption cyst epulis pyogenic granuloma congenital epulis gingival enlargement gingival cyst of the adult gingival cyst of the newborn gingivitis desquamative granulomatous plasma cell hereditary gingival fibromatosis hypercementosis hypocementosis linear gingival erythema necrotizing periodontal. Severe gingivitis linear gingival erythema and periodontitis necrotizing ulcerative periodontitis have been observed in patients with hiv disease. The meaning of lge abbreviation is linear gingival erythema. There are several kinds of oral soft tissue lesions that are common manifestations observed in human immunodeficiency virus hivinfected children. Although clinical and microbiological differences are reported in lge and non. Localized gingivitis inflammation of a single tooth or a specific group of teeth marginal gingivitis involves the free or marginal gingiva. Although now it is widely accepted that candida contributes to the occurrence of lge, still some controversy exists in the nature of its association as an aetiological agent. The relationship of candidiasis to linear gingival erythema in hivinfected homosexual men and parenteral drug users.
1461 579 1335 497 364 371 200 270 828 499 388 185 77 431 720 1371 1361 286 618 810 951 572 151 1050 300 1235 860 1041 222 664 1373 143 277