Non-Plaque Gingival Lesions

primary HSV, recurrent HSV, herpes zoster

candidiasis, linear gingival erythema, histoplasmosis

hereditary gingival fibromatosis

infective gingivitis and stomatitis

• 1. lichen planus
• 2. pemphigoid
• 3. pemphigus vulgaris
• 4. erythema multiforme
• 5. lupus erythematosus

• 1. n. gonorrhea
• 2. t. pallidum
• 3. streptococci
• 4. m. chelonae

ulcerations with serofibrinous exudate

• symptoms: ulcers at vermillion border, attached gingiva or hard palate
• differential: aphthous ulcers are not on keratinized mucosa

latent in dorsal root ganglion and 2nd/3rd trigeminal branches

candidiasis causes Thrush: pseudomembranous (white precipitate) and erosive erythematous (yellowish edema)

distinct red band limited to free gingiva and lack of BOP

granulomatous disease causing caseous necrosis in any area of the oral mucosa

only genetic disorder to cause gingival enlargement and displaces teeth.

wickham striae: white lace-like appearance

autoantibody reaction against hemidesmosomes and lamina lucida that causes detachment of the epithelium from CT

• acantholysis: breakdown of the spinous cell layer
• -also: mediterranean and jewish background

• - bullae rupture and leave extensive ulcers
• - bulls-eye lesions
• - swollen lips
• - crust on vermillion border

• - autoimmune CT disorder (assoc. with Marfan's)
• - clincally: central atrophic area surrounded by irradiating fine white striae with a periphery of enlarged capillaries