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Gaultier F, Ejeil AL, Jungo S, Ingen-Housz-Oro S, de Clatigny FLP, Bruno G, Pirnay P, Bellakhdar F, Dridi SM. Clinical relevance of interdental papilla biopsy in chronic erosive gingivitis (desquamative gingivitis): retrospective bicentric study of 148 specimens. BMC Oral Health 2021; 21:452. [PMID: 34535102 PMCID: PMC8447615 DOI: 10.1186/s12903-021-01820-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2021] [Accepted: 09/09/2021] [Indexed: 11/15/2022] Open
Abstract
Background Chronic erosive gingivitis, also called desquamative gingivitis, defines a clinical picture that can be generated by several inflammatory and immune diseases. Pathology is therefore essential for the differential diagnosis. However, when the gingival lesion is initial, exclusive or predominant, selecting the biopsy site and protocol may be problematic due to tissue fragility. Especially since there are few studies on the subject, the aim of our study was to assess the protocol, diagnostic relevance and tolerance of an original protocol using interdental papilla biopsy. Methods We conducted a retrospective bicentric study, from October 2011 to July 2019, including all patients with a chronic erosive gingivitis who had received, for diagnostic purposes, a interdental papilla biopsy. Results The contribution levels for the two hospital departments were 94.7% and 97.1%, respectively. No postoperative complication was recorded in the short or long term. Conclusion The interdental papilla biopsy protocol is perfectly adapted to the anatomopathological examinations required to establish differential diagnosis of chronic erosive gingivitis. This surgical protocol is simple to perform, non iatrogenic with a very good tolerance and and accessible to all clinicians. It is highly efficient with an excellent contribution level. ClinicalTrials NCT04293718 (March 3, 2020). Health Data Hub N° F20201109083211 (November 9, 2020). Supplementary Information The online version contains supplementary material available at 10.1186/s12903-021-01820-9.
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Affiliation(s)
- Frédérick Gaultier
- Department of Odontology, Oral Medicine and Oral Surgery, APHP Henri Mondor Hospital, Université de Paris, 1 Rue Gustave Eiffel, 94000, Créteil, France.
| | - Anne-Laure Ejeil
- Department of Odontology, Oral Medicine and Oral Surgery, Bretonneau Hospital, Université de Paris France, Paris, France
| | - Sébastien Jungo
- Department of Odontology, Oral Medicine and Oral Surgery, Bretonneau Hospital, Université de Paris France, Paris, France
| | - Saskia Ingen-Housz-Oro
- Department of Dermatology, Henri Mondor Hospital, Créteil, France.,Competence Centre of Autoimmune Bullous Diseases MALIBUL, FIMARAD Sector, Créteil, France.,EA7379 EpidermE, UPEC, Créteil, France
| | | | - Gogly Bruno
- Department of Odontology, Oral Medicine and Oral Surgery, APHP Henri Mondor Hospital, Université de Paris, 1 Rue Gustave Eiffel, 94000, Créteil, France.,Laboratory of Molecular Oral Pathophysiology, INSERM 1138, Université de Paris France, Paris, France
| | - Philippe Pirnay
- Department of Odontology, Oral Medicine and Oral Surgery, APHP Henri Mondor Hospital, Université de Paris, 1 Rue Gustave Eiffel, 94000, Créteil, France
| | - Fadel Bellakhdar
- Department of Odontology, Oral Medicine and Oral Surgery, APHP Henri Mondor Hospital, Université de Paris, 1 Rue Gustave Eiffel, 94000, Créteil, France
| | - Sophie-Myriam Dridi
- Department of Odontology, Saint Roch Hospital, Nice, France.,Oral Microbiology, Immunotherapy and Health EA 7354, Nice, France
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