Necrotizing ulcerative gingivitis NUG is a typical form of periodontal diseases. It has an acute clinical presentation with the distinctive characteristics of rapid. Gingivitis ulcerativa necrosante o. VIH, leucemia, neutropenia. The patient was prescribed oral antibiotic mg metronidazole every 8 h for 7 days and oral mouth rinse 0. Acute necrotizing ulcerative gingivitis ANUG ; colloquially known as trench mouth is a common, non-contagious infection of the gums with sudden onset.
The patient reported that he had taken some medicines such as antiviral treatment acyclovir and anti-inflammatory drugs diclofenac. The bacterial area with a superficial fibrous mesh composed of degenerated epithelial cells, leukocytes, cellular rests, and a wide variety of bacterial cells, including rods, fusiforms, and spirochetes. Teeth pulpdentinenamel. The clinical examination revealed a halitosis, erythematous, and swelling gingiva localized at the buccal side of the gingiivtis central, the upper, and lower lateral incisors and canines.
NUG has been recognized for centuries. NUG can heal without clinical sequelae. Archived from the original PDF on Actually and according to the recent data, the prevalence rate of NUG varies over a wide range from 6. Acknowledgment The authors would like to thank the patient in this report for help and his good compliance till today. Pathophysiology Risk Factors Findings: It has been given many names: It is characterized by the development of necrotic, ulcerated, and painful lesions with creation of pseudomembranes extending along the gingival margins.
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 diseases Acute necrotizing ulcerative gingivitis Pericoronitis Peri-implantitis Periodontal abscess Periodontal trauma Periodontitis Aggressive As a manifestation of systemic disease Gongivitis Perio-endo lesion Teething.
Periapical, mandibular and maxillary hard tissues — Bones of jaws. Dentistry involving supporting structures of teeth Periodontology. By using this site, you agree to the Terms of Use and Privacy Policy. Conventional therapy Debridement Scaling and root planing Full mouth disinfection Full mouth ultrasonic debridement. Uoceronecrosante diagnosis seems evident according to the three typical clinical features ulceonecrosante papilla necrosis, bleeding, and pain on the one hand and the identification of risk factors that alter the host response on the other hand.
Infectious diseases Bacterial diseases: Managing patients with necrotizing ulcerative gingivitis. Ucleronecrosante developed countries, this disease occurs mostly in young adults. Journal List Contemp Clin Dent v. The main features are painful, bleeding gums, and ulceration of inter-dental papillae the sections of gum between adjacent teeth.
Necrotizing periodontal disease is caused by a mixed bacterial infection that includes anaerobes such as P. Existing predisposing local factors, such as overhanging restorations and interdental open spaces, should be carefully evaluated and treated. The patient was prescribed oral antibiotic mg metronidazole every 8 h for 7 days and oral mouth rinse 0.
The patient reported subjective malaise, chills, and difficulty in eating due to the intensive pain. The predisposing factors for ANUG are smoking, psychological stress, malnutrition and immunosuppression. Systemic symptoms such as lymphadenopathy and malaise could be also found. Bacteroides fragilis Tannerella forsythia Capnocytophaga canimorsus Porphyromonas gingivalis Prevotella intermedia.
A suitable probing was done seven days after emergency treatment, neither pockets nor attachment loss were hlceronecrosante, especially on the upper anterior teeth. This disease, along with necrotizing ulcerative periodontitis NP or NUP is classified as a necrotizing periodontal diseaseone of the seven general types of periodontitis.
Predisposing factors include poor oral hygiene, smoking, malnutrition, psychological stress and immunosuppression sub-optimal functioning of the immune system. He had no other significant medical history or known allergies. Stress and gingivitjs disease: A survey of cases. Eagle syndrome Hemifacial hypertrophy Facial hemiatrophy Oral manifestations of systemic disease.
A uoceronecrosante evolution was noted without any tissue sequelae but rather with the obtention of a symmetrical and homogeneous architecture of the healing gingiva [ Figure 9 ]. In the late s-early s, it was originally thought that some necrotizing periodontal diseases seen in severely affected AIDS patients were strictly ulceronfcrosante sequela of HIVand it was even called HIV-associated periodontitis. The term trench mouth evolved because ginglvitis disease was observed in front line soldiers during World War I, thought to be a result at least partly because of extreme psychologic stress they were exposed to.
The often severe gingival pain that characterizes ANUG distinguishes it from the more common chronic periodontitis which is rarely painful. Diagnosisnecrotizing periodontal diseasesnecrotizing ulcerative gingivitistreatment. Laboratory HIV test was done, and the result was negative [ Figure 5 ]. These are superficial to deep the bacterial zone, the neutrophil rich zone, the necrotic zone and the spirochetal zone. The gingiva state was evaluated 2 days [ Figure 6 ] and 7 days after [ Figure 7 ] the clinical examination showed a major improvement in symptoms with almost complete resolution of the ulcerated pseudomembranous areas and reduction of erythema and swelling, and then, a subgingival debridement was conducted.
Periapical, mandibular and maxillary hard tissues — Bones of jaws. The treatment of NUG is organized in successive stages: BV4 non- proteobacterial G- primarily A00—A79—, — As stated, the condition can occur and be especially dangerous in people with weakened immune systems. This website uses cookies to improve your experience while you navigate through the website.
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