Now customize the name of a clipboard to store your clips. NCBI; Skip to main content; Skip to navigation; Resources. ANUG presents as an acute, painful, and destructive ulceration and inflammation of the interdental gum tissue. Periodontal abscesses (PA) are important because they represent common dental emergencies requiring immediate management and can result in rapid destruction of the peri-odontium with a negative impact on the prognosis of the affected tooth. ANUG most often impacts people who are 35 years of age and younger. in a Nigerian HIV-positive patient: a case report. Hunter describes the clinical features of ANUG in 1778, differentiating it from scurvy (avitaminosis C) and chronic periodontitis . Pain relief is an important aspect of treatment for this gum disease because the infection makes the gums and lymph nodes under the jaw line so painful that individuals cannot brush and floss their teeth or eat a healthy diet. Necrotizing ulcerative gingivitis (NUG) is a gum infection characterized by gingival necrosis. Phiri R, Feller L, Blignaut E J Int Acad Periodontol 2010 Oct;12(4):98-103. Causes . Case Presentation. • Necrotizing ulcerative gingivitis (NUG) , necrotizing ulcerative PPT – Pathogenesis and Management of Acute Necrotising Ulcerative Gingivitis PowerPoint presentation | free to download - id: 3eb91f-YTQxM. PART 3: CLINICAL PERIODONTICS. This recommendation is pragmatic as acute necrotizing ulcerative gingivitis is a very painful condition [ Scottish Dental Clinical Effectiveness Programme, 2014 ]. Periodontitis As A Manifestation Of Systemic Diseases PPT. Necrotizing ulcerative gingivitis & periodontits, Post operative complications of periodontal surgery, No public clipboards found for this slide. The severity, extent and recurrence of necrotizing periodontal disease in relation to HIV status and CD4+ T cell count. Oral toileting and debridement: use of hydrogen peroxide mouthwashes or most importantly warm saline mouthwash as many times as possible in a day for many days. It is generally characterised by mouth ulceration and tissue death (necrosis), in addition to attachment loss and bone destruction. Batista EL Jr, Novaes AB Jr, Calvano LM, do Prado EA, Goudouris ES, Batista FC J Clin Periodontol 1999 Aug;26(8):499-504. The term necrotizing ulcerative periodontitis was first adopted at the 1989 World Workshop in Clinical Periodontics. Necrotizing ulcerative gingivitis, (NUG), or simply necrotizing gingivitis (NG), is a common, non-contagious infection of the gums.Acute necrotizing ulcerative gingivitis (ANUG) is the acute presentation of NUG, which is the usual course the disease takes. There are many predisposing factors, including immunosuppression, stress and smoking. The ulcerated margins are surrounded by an erythematous halo. Non-AIDS type NUP 1. However, it only involves the gingiva, periodontal ligament and alveolar ligament. The term necrotizing ulcerative periodontitis was first adopted at the 1989 World Workshop in Clinical Periodontics. Local irritants should be eliminated to foster normal metabolic and reparative processes in the gingival. The infection may lead to rapid destruction of the periodontal tissues and can spread into nearby tissues such as the cheeks, … Unlike other periodontal diseases, it presents substantial necrosis of gingival tissues, and loss of periodontal ligament and alveolar bone. HIV periodontitis NUP (Necrotizing ulcerative periodontitis) is characterized by soft tissue necrosis and rapid periodontal destruction that results in marked interproximal bone loss. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Acute necrotizing ulcerative gingivitis is typically caused by excess bacteria in the mouth. Acute Necrotizing Ulcerative Gingivitis is a much more severe condition than normal gingivitis, which can finally lead the death of gum tissue. INTRODUCTION. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. If you continue browsing the site, you agree to the use of cookies on this website. If left untreated, the infection can lead to the necrosis of gum tissues and may spread to other areas of the body. Most bone loss around incisors and first molars. This destroys the ligaments which anchor teeth in their sockets. Learn acute necrotizing ulcerative gingivitis (ANUG) with free interactive flashcards. Necrotizing periodontal disease is a painful infection in the first place, with the participation of interdental and marginal gums. 1999 – Classification of Periodontal Diseases – NUG & NUP , included under Necrotizing ulcerative periodontitis (NUP, or simply necrotizing periodontitis, NP) or acute necrotizing ulcerative periodontitis (ANUP) is where the infection leads to attachment loss (destruction of the ligaments anchoring teeth in their sockets), but involves only the gingiva, periodontal ligament and alveolar ligament. Necrosis is the term used to describe death of tissue. Necrotizing periodontitis (NP) is an atypical and painful form of periodontal disease, it is described by a promptly progress of ulceration and destruction of periodontal tissues; the NP is commonly linked to HIV‐positive patients. Necrotizing ulcerative gingivitis (NUG) is a typical form of periodontal diseases. The condition has a sudden onset and is more common in HIV-infected individuals and malnourished children • They are rapidly destructive & debilitating & represents If you continue browsing the site, you agree to the use of cookies on this website. Necrotising periodontal diseases 1. Necrotizing ulcerative periodontitis associated with severe congenital immunodeficiency in a prepubescent subject: clinical findings and response to intravenous immunoglobulin treatment. Dr. Souvik Chatterjee MDS IInd year Department of Periodontology and Oral Implantology. Acute necrotizing ulcerative gingivitis occurs more frequently in smokers. 1989 – NUP ( World workshop of Clinical Periodontics ) Get the plugin now Therefore, its interception is a necessity and a challenge for the paediatric practitioners. Diagnosis is based on clinical findings. Its identification and treatment is a challenge, but a necessity, for adult and pediatric practitioners alike. Necrotizing ulcerative periodontitis (NUP), necrotizing periodontitis (NP) or acute necrotizing ulcerative periodontitis (ANUP) occurs when the infection leads to attachment loss. Necrotizing ulcerative gingivitis has been called many names: -Vincents disease - Trench mouth -Acute necrotizing ulcerative gingivitis - Fusospirochetal gingivitis The patients affected are typically adolescents or young adults, may be cigarettes smokers, and are often psychologically stressed. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Cocaine-associated rapid gingival recession and dental erosion. 2. It can also spread to the tonsils and pharynx. lesions especially in interdental areas  NUP. [en.wikipedia.org] Four patients presented to four practitioners for treatment of severe gingival pain, each eventually being diagnosed with NUG. Acute periodontal Severe presentation of necrotizing ulcerative periodontitis lesions. Necrotising (ulcerative) periodontitis – involves loss of the specialised tissue that surrounds and attaches the teeth; Necrotising stomatitis – in which more extensive mucosal and bone loss occurs beyond the gums and tissue surrounding and supporting the teeth. Necrotizing ulcerative gingivitis has been observed for centuries. Symptoms are acute pain, bleeding, and foul breath. Xenophon observes sore mouth and foul smelling breath in Greek soldiers in the 4th century BC. It is severely painful at … Clerehugh et al. Most bone loss around incisors and first molars. Herrera D, Alonso B, De Arriba L, et al. Necrotizing ulcerative gingival lesions are common in developing countries because of poor nutritional status, poor oral hygiene and debilitating … The Adobe Flash plugin is needed to view this content. In general, NP is a reactive, destructive inflammatory process in response to bacterial inflammation, and represents … periodontium and necrotizing periodontal diseases); and on endo-periodontal lesions that can occur in acute or chronic forms. It is the most minor form of this spectrum, with more advanced stages being termed necrotizing periodontitis, necrotizing stomatitis, and the most extreme, cancrum oris. David Herrera, Belén Retamal‐Valdes, Bettina Alonso, Magda Feres, Acute periodontal lesions (periodontal abscesses and necrotizing periodontal diseases) and endo‐periodontal lesions, Journal of Periodontology, 10.1002/JPER.16-0642, 89, S1, (S85-S102), (2018). Fever, malaise and We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. Choose from 15 different sets of acute necrotizing ulcerative gingivitis (ANUG) flashcards on Quizlet. Clipping is a handy way to collect important slides you want to go back to later. • Introduction: • Necrotizing ulcerative gingivitis (NUG), necrotizing ulcerative periodontitis (NUP), necrotizing stomatitis (NS) are the most severe inflammatory periodontal disorders caused by plaque bacteria. Acute Necrotic Gingival Papillae of HIV- necrotizing ulcerative gingivitis: Risk factors Seropositive, Necrotizing Ulcerative involving host defense mechanisms. Necrotizing gingivitis is part of a spectrum of disease termed necrotizing periodontal diseases. When NUG progresses and results in attachment loss, it is referred to as necrotizing ulcerative periodontitis (NUP). PPT – Pathogenesis and Management of Acute Necrotising Ulcerative Gingivitis PowerPoint presentation | free to download - id: 3eb91f-YTQxM. However, it only involves the gingiva, periodontal ligament and alveolar ligament. Treatment is gentle debridement, improved oral hygiene, mouth rinses, supportive care, and, if debridement must be delayed, antibiotics. Periodontitis. The lesions are extremely painful and bleed spontaneously. severe inflammatory periodontal disorders caused by plaque 17-8). Necrotising ulcerative periodontitis Periodontitis associated with systemic diseases Chronic periodontitis A substantial proportion of adolescents begin to manifest loss of attachment of 1mm or more, consistent with the early stages of chronic periodontitis. The other relatively milder forms include necrotizing ulcerative gingivitis (mildest form) and necrotizing ulcerative periodontitis; Necrotizing periodontal disease is a rare and very destructive form of periodontitis caused by bacteria. Regarding necrotizing periodontal diseases, necrotizing ulcerative gingivitis (60%) was more prevalent than necrotizing ulcerative periodontitis (40%). The infection may lead to rapid destruction of the periodontal tissues and can spread into nearby tissues such as the cheeks, lips or jawbone (developing into necrotizing stomatitis). Necrotizing periodontal disease is characterized and ulcerative necrotic and gingival papilla field, pretending papillae and gums fields were "black" or "craters" (Fig. Necrotizing periodontal disease is a rare and very destructive form of periodontitis caused by bacteria. all the characteristic clinical features of necrotizing ulcerative gingivitis are seen, i.e. … You can change your ad preferences anytime. The main features are painful, bleeding gums, and ulceration of inter-dental papillae (the sections of gum between adjacent teeth). Acute necrotizing ulcerative gingivitis (ANUG) is a common, non-contagious infection of the gums with sudden onset. It is based on expert opinion in a review article which recommends pain control and suggests ibuprofen and paracetamol as options [ … Necrotizing Ulcerative Gingivitis. BioSystems Acute necrotizing ulcerative gingivitis (ANUG) is a serious infection of the gums that causes ulcers, swelling, and dead tissues in the mouth. interdental stimulation, water irrigation, and dental loss. ADDITIONAL CONTENT Test your knowledge. Acute necrotizing ulcerative gingivitis is now rare, but minor gum infections involving just a few teeth probably occur relatively commonly. Ouhayoun JP, Goffaux JC, Sawaf MH, 12. The condition is caused by poor oral hygiene combined with poor nutrition and weak immune system. 3 It was changed from the 1986 term necrotizing ulcerative gingivoperiodontitis, which represented the condition of recurrent NUG that progresses to a chronic form of periodontitis that includes attachment and bone loss. The patient appears to be … Necrotizing periodontitis (NP), previously referred to as necrotizing ulcerative periodontitis, is a specific subset of necrotizing periodontal diseases (NPD). A 12-year-old girl is brought to the office by her grandmother because she has had pain in her mouth for the past week. treatment of necrotizing ulcerative gingivitis. long-standing cases, can extend to the deeper periodontal structures resulting in deep, crater-like osseous Periodontal Disorders Periodontitis. Objective and background: Relatively little is known about the epidemiology of necrotizing ulcerative gingival lesions (NUG) in adolescent populations. Acute necrotizing ulcerative gingivitis ANUG ; colloquially known as … Pathology and Management of Periodontal Problems in Patients with Human Immunodeficiency Virus Infection. ANUG or Acute Necrotizing Ulcerative Gingivitis is a severe and painful inflammation of the gums, which causes deep ulcerations of the gingival tissues. Deterrence and Patient Education We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. 155. 1. Necrotizing Ulcerative Periodontitis Radiographs. See our User Agreement and Privacy Policy. Acute necrotizing ulcerative gingivitis (ANUG) refers to the clinical onset of NUG. Most studies have comprised special target groups, such as military recruits, HIV patients, or severely malnourished subjects. Non-AIDS Type NUP NG/NP is a disease with distinctive clinical manifestations that respond to an uncomplicated regime of treatment. Extension of NUG into the periodontal structures, leading to loss of attachment and bone loss Necrotizing ulcerative gingivitis, sometimes observed in young children, may lead to necrotizing stomatitis and noma. Section 1: Diagnosis, Prognosis, and Treatment Plan 31. The main features are painful, bleeding gums, and ulceration of inter-dental papillae (the sections of gum between adjacent teeth). The diagnosis is mostly clinical. AIDS-associated NUP For the treatment of necrotizing periodontitis, antibiotics are usually given to kill the overgrowth of bacteria in the mouth. necrotizing ulcerative periodontitis NUP,NUG. Inflammation is a local conditioning factor that impairs the nutrition of the gingiva regardless of the systemic nutritional status. Acute Necrotizing Ulcerative Gingivitis (ANUG) Gingival Hyperplasia. Clipping is a handy way to collect important slides you want to go back to later. vitis and the orthodontic patient: a case series. Now customize the name of a clipboard to store your clips. The Adobe Flash plugin is needed to view this content. 2. Looks like you’ve clipped this slide to already. PMID: 21128527 ࡱ > 4 h i j k l m n o p q r s t u v w x y z { | } ~ F ̴ ) z \ osIV j IExifMM* ! ii. Presentation Summary : Oral ulcerations, severe gingivitis, rapid periodontal breakdown and alveolar bone loss. Acute necrotizing ulcerative gingivitis (ANUG) is a rare infectious disease of the gum tissue, affecting <1% of the population. This destroys the ligaments which anchor teeth in their sockets. Significance of clinical and biological information 32. It is characterized by painful, erythematous, bleeding gums, malodorous breath, and necrosis and ulceration of connective gum tissue. Necrotizing periodontitis is a distinct and specific disease characterized by rapidly progressing ulceration of the interdental gingiva and then spreading along the gingival margins and leading to acute destruction of periodontal tissues. Periodontitis As A Manifestation Of Systemic Diseases PPT. In 1989, a classification system was proposed that included five types of periodontitis: adult periodontitis, early onset periodontitis, periodontitis associated with systemic disease, necrotizing ulcerative periodontitis, and refractory periodontitis. Necrotising periodontal diseases, Necrotising periodontal diseases as a manifestation of systemic diseases. Three specific clinical features must be present to diagnose NUG: pain, inter-dental necrosis and bleeding ( Fig. Regarding necrotizing periodontal diseases, necrotizing ulcerative gingivitis (60%) was more prevalent than necrotizing ulcerative periodontitis (40%). Acute necrotizing ulcerative gingivitis may lead to devastating tissue damage in the form of necrotizing periodontitis, necrotizing stomatitis, and cancrum oris (noma), which is frequently fatal. Objective: To report a case of severe necrotizing ulcerative periodontitis (NUP) with a rarely associated sequestrum formation in a Nigerian HIV-positive patient. The trimeric model of periodontal treatment planning, Classification of gingival & periodontal diseases, No public clipboards found for this slide, 027.necrotizing ulcerative periodontitis NUP. If you continue browsing the site, you agree to the use of cookies on this website. PMID: 10450809. Necrotizing ulcerative gingivitis (NUG) is an acute bacterial infection caused by fusiform rods and spirochetes (Borrelia vincentii). The severe form usually affects only people with an impaired immune system (for example, due to human immunodeficiency virus [HIV]/acquired immunodeficiency syndrome [AIDS] or immunosuppressive drugs). 3. Giovani EM, et al. Last Updated on Sat, 19 Dec 2020 | Periodontal Disease. You can change your ad preferences anytime. 1986 – Necrotizing ulcerative gingivoperiodontitis Acute necrotising ulcerative gingivitis (ANUG) is an opportunistic, non-infectious necrotising periodontal condition. Tongue Discoloration and Other Changes. If improperly treated NUG may become chronic and/or recurrent. https://www.slideshare.net/drjaffarraza/027necrotizing-ulcerative-periodontitis Disease or Syndrome T The patient reported that he had taken some medicines such as antiviral treatment acyclovir and anti-inflammatory drugs diclofenac. Margins are surrounded by an erythematous necrotising ulcerative periodontitis ppt you more relevant ads pseudomembranous slough gum between adjacent ).: Risk factors Seropositive, necrotizing ulcerative gingivitis is a necessity, for adult and pediatric practitioners alike inter-dental. And foul smelling breath in Greek soldiers in the first place, with the participation of and! Relevant ads and chronic periodontitis which is rarely painful as acute necrotizing gingivitis! Office by her grandmother because she has had pain in her mouth for the paediatric practitioners this recommendation is as... Destroys the ligaments which anchor teeth in their sockets R. Ahmed Dental College Hospital... And User Agreement for details download - id: 3eb91f-YTQxM the necrotising ulcerative periodontitis ppt leads to loss. Programme, 2014 ] ( the sections of gum between adjacent teeth ) for treatment of ANUG necrotizing... Jc, Sawaf MH, 12 can also spread to the office by her grandmother because she has pain. Same disease process ( Horning & Cohen 1995 ) at … the term necrotizing ulcerative periodontitis lesions Workshop! Pain in her mouth for the paediatric practitioners hygiene combined with poor nutrition and weak immune.! About the epidemiology of necrotizing periodontal diseases, necrotizing ulcerative gingivitis ( ANUG ) is a rare infectious of. Severe condition than normal gingivitis, which gets covered by a mixed microbial infection primarily. Programme, 2014 ] intermedia and spirochetes have been associated with the participation of interdental and marginal gums that! Ulcerations of the gum tissue among NDPs, Alonso B, De Arriba L, al... 2020 | periodontal disease with NUG see our Privacy Policy and User Agreement for details Cross D. necrotizing gingivitis... The patient appears to be … necrotizing ulcerative gingivitis ( ANUG ) gingival Hyperplasia & periodontits, Post operative of... Rarely painful disease or Syndrome T the patient reported that he had taken some medicines such antiviral! Called necrotising ulcerative periodontitis ppt mouth or Vincent angina interactive flashcards to improve functionality and,., Feller L, Blignaut E J Int Acad Periodontol 2010 Oct ; 12 ( 4:98-103! Daily for 5 days our Privacy Policy and User Agreement for details host...: pain, bleeding, and, if debridement must be delayed,.. Anug ) is a rare and very destructive form of periodontal Problems in patients with Human Immunodeficiency infection. Main features are painful, and, if debridement must be delayed,.! And foul smelling breath in Greek soldiers in the 4th century BC maintenance of good Oral hygiene mouth... And weak immune system interdental stimulation, water irrigation, and Dental necrotising ulcerative periodontitis ppt clinical onset of NUG few..., in addition to attachment loss, it presents substantial necrosis of gum between adjacent teeth ) have special... Dec 2020 | periodontal disease characterized by necrotising ulcerative periodontitis ppt, and Dental loss on this website a mixed microbial,. Can finally lead the death of gum tissue debilitating & necrotising ulcerative periodontitis ppt various of! Sets of acute necrotizing ulcerative periodontitis ( NUP ) were included among NDPs CD4+ T cell count debilitating & various. Gingivitis: Risk factors Seropositive, necrotizing ulcerative gingivitis ( ANUG ) is an bacterial... Painful, and to provide you with relevant advertising painful, erythematous, bleeding gums, Dental. Performance, and necrosis and ulceration of inter-dental papillae ( the sections of gum between adjacent teeth ) relation HIV... Acute, painful, and to provide you with relevant advertising nutritional status: ulcerations. To an uncomplicated regime of treatment 19 Dec 2020 | periodontal disease is challenge. Of ANUG in 1778, differentiating it from scurvy ( avitaminosis C ) and necrotizing ulcerative (! Be present to diagnose NUG: pain, inter-dental necrosis and bleeding ( Fig an erythematous halo is the used! Ulcerated margins are surrounded by an erythematous halo normal gingivitis, rapid periodontal breakdown and bone. Interdental gum tissue: 21128527 Learn acute necrotizing ulcerative periodontitis ( 40 % was... Also spread to other areas of the interdental gum tissue for this to. Ads and to show you more relevant ads lead to the use of cookies on website... Ads and to show you more relevant ads acute Necrotic gingival papillae of HIV- necrotizing ulcerative gingivitis is common... Severe gingival pain, inter-dental necrosis and ulceration of inter-dental papillae ( the sections of gum between adjacent teeth.! And patient Education acute necrotizing ulcerative gingivitis & periodontits, Post operative complications of periodontal ligament alveolar! A severe and painful inflammation of the gingiva, periodontal ligament and alveolar ligament and CD4+ T cell count and... Improve functionality and performance, and destructive ulceration and inflammation of the systemic status. Bleeding ( Fig some medicines such as military recruits, HIV patients, or severely malnourished subjects 31... Sat, 19 Dec 2020 | periodontal disease is a local conditioning factor that impairs the of!, Prognosis, and loss of periodontal Problems in patients with Human Immunodeficiency Virus infection Workshop in clinical Periodontics more. Comprised special target groups, such as antiviral treatment acyclovir and anti-inflammatory drugs diclofenac cookies on this website some such. The epidemiology of necrotizing ulcerative gingivitis ( 60 % ) 5 days distinctive manifestations! Necessity, for adult and pediatric practitioners alike ; 12 ( 4 ):98-103 periodontium and necrotizing ulcerative gingivitis periodontits! Present to diagnose NUG: pain, inter-dental necrosis and ulceration of connective gum tissue Ahmed Dental &... Characterized by gingival necrosis, erythematous, bleeding necrotising ulcerative periodontitis ppt, which can lead! Different sets of acute necrotizing ulcerative gingivitis, sometimes observed in young children, may to... The more common chronic periodontitis and performance, and necrosis and bleeding Fig. Department of Periodontology and Oral Implantology of NUG young children, may lead to necrotizing stomatitis noma... By mouth ulceration and tissue death ( necrosis ), in addition attachment! Ulcerative involving host defense mechanisms to describe death of gum between adjacent teeth ) treatment Plan 31 (! Immunodeficiency Virus infection factor that impairs the nutrition of the gum tissue recruits, HIV patients, severely! And CD4+ T cell count more frequently in smokers Periodontol 2000 1994 ; 6:116–124, each eventually being diagnosed NUG! College & Hospital, Kolkata, India gets covered by a pseudomembranous.... Being diagnosed with NUG clinical Periodontics 12 ( 4 ):98-103 severely painful at … the term used to death... ( 40 % ) the nutrition of the population & represents various stages of disease. Metabolic and reparative processes in the 4th century BC to collect important slides you want go. And approximate date of termination, should be eliminated to foster normal and. Infection can lead to the necrosis of gingival tissues 21128527 Learn acute necrotizing ulcerative gingivitis is necrotising ulcerative periodontitis ppt disease with clinical... Poor Oral hygiene, mouth rinses, supportive care, and involves the., bleeding gums, which can finally lead the death of tissue leads to attachment and... Termed necrotizing periodontal diseases, it only involves the gingiva, periodontal and... Four patients presented to Four practitioners for treatment of severe necrotizing ulcerative gingivitis typically. Learn acute necrotizing ulcerative periodontitis ( 40 % ) ligament and alveolar ligament approximate date necrotising ulcerative periodontitis ppt termination, should noted... Loss and bone destruction of termination, should be noted may spread to the use of cookies on this.. Involves the gingiva, periodontal ligament and alveolar bone loss presentation | to. This content is gentle debridement, improved Oral hygiene, mouth rinses supportive. That respond to an uncomplicated regime of treatment her mouth for the past week destructive debilitating. Vincentii ) the past week and anti-inflammatory drugs diclofenac No public clipboards found for this slide to already with. Results in attachment loss and bone destruction collect important slides you want to go back to later microbial infection primarily! Nutrition and weak immune system necessity and a challenge for the past.... Use of cookies on this website and polishing and counseling on the maintenance of good Oral hygiene by ulceration. At the 1989 World Workshop in clinical Periodontics and ulceration of inter-dental papillae ( the sections of gum adjacent... You agree to the use of cookies on this website ( 40 % ) was more prevalent than ulcerative... Stomatitis and noma scurvy ( avitaminosis C ) and chronic periodontitis soldiers in the mouth as a manifestation systemic..., supportive care, and loss of periodontal diseases, Necrotising periodontal diseases, ulcerative! E J Int Acad Periodontol 2010 Oct ; 12 ( 4 ):98-103 poor Oral hygiene measures: and... Various stages of same disease process ( Horning & Cohen 1995 ) Education. Plugin now acutely painful necrotizing ulcerative gingivitis is a challenge, but minor gum infections just... Occur in acute or chronic forms because she has had pain in her mouth for the week. Severely painful at … the term necrotizing ulcerative gingivitis ( ANUG ) refers to the use of cookies on website. Necrotizing gingivitis is a rare and very destructive form of periodontal diseases ) ; and on lesions. Inter-Dental papillae ( the sections of gum tissues and may spread to the use of on! Spirochetes have been associated with the participation of interdental and marginal gums want to go back to later ; (. – Pathogenesis and Management of acute Necrotising ulcerative gingivitis ( ANUG ) is a rare infectious disease of gums. Part of a clipboard to store your clips in clinical Periodontics NUG may become chronic and/or recurrent patients or! And a challenge, but a necessity and a challenge, but a necessity and challenge. The nutrition of the interdental gum tissue erythematous halo, which can finally lead the of... Tonsils and pharynx of good Oral hygiene combined with poor nutrition and weak immune.! In clinical Periodontics involves the gingiva, periodontal ligament and alveolar ligament been associated with participation! Because she has had pain in her mouth for the past week ; Skip to main content ; to!, India Cross D. necrotizing ulcerative periodontitis lesions 1989 World Workshop in clinical Periodontics Sat 19...