Choose from 15 different sets of acute necrotizing ulcerative gingivitis anug flashcards on quizlet. Learn acute necrotizing ulcerative gingivitis anug with free interactive flashcards. Summary necrotizing periodontal disease is an infection characterized by gingival necrosis, pain and gingival bleeding. Necrotizing periodontal diseases chapter 9 flashcards. Symptoms are acute pain, bleeding, and foul breath. Necrotizing means that gingival tissue is destroyed by the condition. Other risk factors are poor oral hygiene, nutritional deficiencies, immunodeficiency eg, hivaids, use of immunosuppressive drugs, and sleep deprivation. Necrotizing periodontal disease npd is a rare and very destructive form of periodontitis caused by bacteria. Depending on the severity you may need an extensive type of cleaning and debridement of your gums. Aggressive periodontitis earlier it was known as early onset juvenile periodontitis as it is more frequent in young adults. Dec 27, 2018 gingivitis, acute necrotizing ulcerative anug. Necrotizing ulcerative periodontitis symptoms tips and. The most appropriate treatment of necrotizing ulcerative periodontitis nup in a patient with no fever and no lymphadenopathy is 1. Systemic symptoms are often present, such as fever, malaise.
Acute necrotizing ulcerative gingivitis anug is described as a rapidly destructive, noncommunicable, gingival infection of complex etiology. Bacteroides fragilis tannerella forsythia capnocytophaga canimorsus porphyromonas gingivalis prevotella intermedia. Acute necrotizing ulcerative periodontitis listed as anup. It is marked by ulcers of the gingival papillae that become covered by sloughed tissue and circumscribed by linear erythema.
Alternatively, nup and nug may be different diseases. Necrotizing periodontal diseases in a semirural district of. Acute necrotizing ulcerative gingivitis anug refers to the clinical onset of nug. Acute necrotizing ulcerative gingivitis is a painful infection of the gums. Necrotizing periodontitis, like other forms of periodontitis, is caused by bacteria.
The clinical diagnosis of acute necrotizing ulcerative gingivitis was established in a young patient, although microscopic microbiological analysis of scrapings from the lesion did not confirm the diagnosis. Spirochetes are pathogens usually involved in acute necrotizing gingivitis. Unlimited viewing of the articlechapter pdf and any associated supplements and figures. Necrotizing ulcerative periodontitis in a hiv seronegative patient a case report.
Scribd is the worlds largest social reading and publishing site. Treatment is gentle debridement, improved oral hygiene, mouth rinses, supportive care, and, if debridement must be delayed, antibiotics. Necrotizing ulcerative gingivitis nug is an acute bacterial infection caused by fusiform rods and spirochetes borrelia vincentii. Managing patients with necrotizing ulcerative periodontitis. Acute necrotizing ulcerative gingivitis anug is the acute presentation of nug, which is the usual course the disease takes. They are classified according to their extent, as necrotizing ulcerative gingivitis, periodontitis, or stomatitis, the most extensive and rare form, in which the affected area extends beyond the mucogingival junction to other parts of the oral cavity, such as the. Local sources of mouth odors are mainly the tongue and the gingival sulcus and include retention of odoriferous food particles on and between the teeth, coated tongue, necrotizing ulcerative gingivitis nug, dehydration states, caries, artificial. Necrotizing periodontal disease, necrotizing ulcerative periodontitis, diagnosis.
Necrotizing ulcerative gingivitis nug, necrotizing ulcerative periodontitis nup, necrotizing stomatitis ns are the most severe inflammatory periodontal disorders caused by plaque bacteria. The most appropriate treatment of necrotizing ulcerative. Necrotizing ulcerative periodontitis associated with severe congenital immunodeficiency in aprepubescent subject. Unlike other periodontal diseases, it presents substantial necrosis of gingival tissues, and loss of periodontal ligament and alveolar bone. Untreated, the infection may lead to rapid destruction of the periodontium necrotizing ulcerative periodontitis and can even spread, as necrotizing stomatitis or noma, into neighbouring tissues in the cheeks, lips or the bones of the jaw. Pendapat lain, nup dan nug merupakan kasus yang berbeda. Necrotizing periodontal diseases in a semirural district. Case report necrotizing ulcerative gingivitis in the. Main predictors of necrotizing periodontal diseases. Pdf management strategies of necrotizing ulcerative periodontitis. Lutwick on necrotizing ulcerative periodontitis symptoms. Gingivitis gingivitis involves only the gums picture 1.
Necrotizing ulcerative periodontitis nup is a more severe form of necrotizing periodontal disease where involvement of the teethattaching soft tissue and jawbone is observed. Doctor answers on symptoms, diagnosis, treatment, and more. Periodontal disease, which includes gingivitis and periodontitis, is classified according to the presence or absence of periodontal ligament andor alveolar bone involvement. 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 periodontitis in the context of takayasus disease dois. Introduction to oral diagnosis and treatment planning. Unlike other periodontal diseases, it presents with substantial necrosis of gingival tissues, and loss of. Necrotizing ulcerative periodontitis is a sudden onset of necrosis in the gingival tissues with loss of attachment and loss of alveolar bone. Necrotizing ulcerative periodontitis nup is characterized by soft tissue necrosis, rapid periodontal destruction, and interproximal bone loss. Necrotizing ulcerative periodontitis dental hygiene education. Three specific clinical features must be present to diagnose nug.
Necrotizing this word refers to the fact that the condition destroys gum tissue that becomes infected. The main features are painful, bleeding gums, and ulceration of interdental papillae the sections of gum between adjacent teeth. Characterized by the death and sloughing of gingival tissue presents with characteristics sign and symptoms. Nug whichnecrotizing periodontal diseases is characterized by small, gray, ulcerative lesions that begin at the tips of the interdental papillae and spread to the gingival margin to form punched out created lesions. A case report matthew a loeb1, michael reid1, william buchanan 2, jennifer bain2 1advanced general dentistry, university of mississippi medical center, school of dentistry, usa, 2periodontics and preventive sciences university of mississippi medical center, school of dentistry, usa. In this paper the terms necrotizing gingivitis ng and necrotizing periodontitis np are used in preference to the usual terms necrotizing ulcerative gingivitis and necrotizing ulcerative periodontitis. Jan 15, 2015 figure 241 necrotizing ulcerative periodontitis in a 45yearold, hivnegative, white, male patient. 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. Necrotizing ulcerative gingivitis, nug, or simply necrotizing gingivitis ng, is a common, noncontagious infection of the gums. Necrotizing ulcerative gingivitis definition of necrotizing. Acute necrotizing ulcerative gingivitis dental diseases.
It is the most minor form of this spectrum, with more advanced stages being termed necrotizing periodontitis, necrotizing stomatitis and the most extreme, cancrum. Necrotizing ulcerative gingivitis nug is a typical form of periodontal diseases. Necrotizing ulcerative periodontitis nup may be an extension of necrotizing ulcerative gingivitis nug into the periodontal structures that leads to periodontal attachment and bone loss. Today there is enough evidence to establish whether necrotizing ulcerative necrotizing ulcerative gingivitis and periodontitis two unique diseases or different stages of the same disease that progresses from the results of the contest on the stump. Necrotizing periodontal disease, necrotizing ulcerative periodontitis, diagnosis, treatment, takayasus disease. Necrotizing periodontitis in a heavy smoker and tobacco. Learn vocabulary, terms, and more with flashcards, games, and other study tools.
When this plaque spreads below the gums, the toxins released by the bacteria irritate the gums. Necrotizing ulcerative periodontitis definition of. Necrotizing ulcerative periodontitis nup is a severe inflammatory periodontal disorder caused by bacterial plaque and usually follows an acute course. It has an acute clinical presentation with the distinctive characteristics of rapid. The clinical features are characterized by loss of soft tissue due to necrosis and rapid destruction of the interproximal bone and cratering, resulting in teeth mobility 6, 7. The body responds with immune cells and chemicals intended to fight the. Apr 21, 2020 could be involved in the transition from health to gingivitis and then to periodontitis. Gingivitis gingiva is another word for your gums and gingivitis refers to a bacterial infection of the gingiva, or gum tissue.
It is characterized by necrosis of the crest of the gingival papillae, spontaneous bleeding, pain and halitosis. Necrotizing ulcerative gingivitis, periodontitis, and. Jul 09, 2019 what are the causes of necrotizing ulcerative periodontitis. Necrotising periodontal diseases linkedin slideshare. Managing patients with necrotizing ulcerative periodontitis jcda. Over a 5year period, 68 consecutive ng patients from. Two cases of an atypical presentation of necrotizing. Necrotizing ulcerative gingivitis nug, necrotizing ulcerative periodontitis nup, and necrotizing stomatitis ns, collectively termed necrotizing gingivostomatitis ng, represent a dramatic, but rare oral infection associated with diminished systemic resistance, including hiv infection. Necrotizing ulcerative periodontitis dr alaa authorstream.
Necrotizing ulcerative gingivitis and periodontitis. It has an acute clinical presentation with the distinctive. A, buccal view of the maxillary cuspidbicuspid area. Pdf necrotizing ulcerative periodontitis in a hiv seronegative. Clinical features of necrotising periodontal disease 1. Management strategies of necrotizing ulcerative periodontitis. Necrotizing periodontal npd include necrotizing ulcerative gingivitis contest and necrotizing ulcerative periodontitis nup. Necrotizing ulcerative periodontitis dental hygiene. Definition of gingivitis, acute necrotizing ulcerative anug. Acute necrotizing ulcerative gingivitis, anug sometimes just called aug, is a form of gum disease.
The other 2 forms include necrotizing ulcerative gingivitis milder form and necrotizing stomatitis very severe form. Necrotizing periodontal diseases are the most severe inflammatory periodontal disorders caused by bacterial plaque. Prognosisoutlook for necrotizing ulcerative gingivitis or trench mouth as with any existent disease in the world, the sooner you are diagnosed with necrotizing ulcerative gingivitis or trench mouth, the better your dental health prognosis outlook is prognosis nug responds very well to treatment and usually can be cured. Fetid odour and pseudomembrane formation could also be observed 1. Necrotizing ulcerative periodontitis pocket dentistry. Necrotizing ulcerative gingival lesions are common in developing. Nekrosis ulserasi periodontitis nup merupakan lanjutan dari nekrosis ulserasi gingivitis nug pada stuktur periodontal, yang ditandai dengan adanya kehilangan perlekatan dan kehilangan tulang. Necrotizing ulcerative periodontitis how is necrotizing. Acute necrotizing ulcerative periodontitis how is acute. Necrotizing ulcerative gingivitis nug is a gum infection characterized by gingival necrosis. To date, there is little evidence to support the progression of nug to nup or to establish a relationship between the two conditions as a single. Necrotizing gingivitis is part of a spectrum of disease termed necrotizing periodontal diseases. Severe gum infection leads to plaque buildup on the affected teeth or tooth. Acute necrotizing ulcerative periodontitis how is acute necrotizing ulcerative periodontitis abbreviated.
The bone height is within 2 millimeters of the cementoenamel junction cej the crestal bone is a continuation of the lamina dura of the teeth, and is continuous from tooth. Nutritional strategies in the management of necrotizing. It is easily recognizable in that it usually develops quickly and causes pain in the gums. Necrotizing ulcerative gonorrhea gun necrotizing periodontitis pun and necrotizing ulcerative stomatitis eun are the three main modalities. Necrotizing periodontitis in the context of takayasus. 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. If improperly treated nug may become chronic andor recurrent. Silvestrerangil j, silvestredonat fj, llambesarenas f, puentesandoval a. Nup is a destructive form of periodontitis with loss of attachment occurring rapidly within days. Dr jaffar raza syed page 1 necrotizing ulcerative periodontitis extension of nug into the periodontal structures, leading to loss of attachment and bone loss two types nonaids type nup aidsassociated nup nonaids type nup all the characteristic clinical features of necrotizing ulcerative gingivitis are seen, i. Necrotizing ulcerative periodontitis nup is defined as a developing lesion that is associated with gingival tissue which leads to the loss of periodontal attachment. Early diagnosis and treatment planning is crucial in treating necrotizing periodontal diseases. Acute necrotizing ulcerative gingivitis anug occurs most frequently in smokers and debilitated patients who are under stress. Necrotizing periodontal diseases, comprising necrotizing gingivitis and necrotizing periodontitis, is a distinct disease entity.
Definition microbial disease of the gingiva in the context of an impaired host response. Also known as a form of gum problem, necrotizing ulcerative periodontitis is a rare disease that is currently developing in many countries that may either lack dental health care or among people who havent been intentional with managing their dental hygiene. Two cases of an atypical presentation of necrotizing stomatitis. That must be followed up with proper brushing and flossing to achieve proper oral health. This is trench mouth, a progressive painful infection with ulceration, swelling and sloughing off of dead tissue from the mouth and throat due to the spread of infection from the gums. Ulcerative refers to the fact that with this condition ulcers and sores often appear on the gums. Acute necrotizing ulcerative gingivitis anug is a common, noncontagious infection of the gums with sudden onset. Necrotising gingivitis is defined as an infection of the gums in which the tips of the gums seen between the teeth gingival papillae are lost with associated bleeding and pain. To avoid any other health issue that might be associated with gum problems, it is. Necrotizing ulcerative periodontitis associated with. The other 2 forms include necrotizing ulcerative gingivitis milder form and necrotizing. Predictors of necrotizing periodontal diseases longdom.
Necrotizing ulcerative periodontitis novak 1999 annals of. Acute necrotizing ulcerative gingivitis, also referred by its acronym anug, is known with several other terms such as acute membranous gingivitis, fusospirochetal gingivitis, or by the names vincents stomatitis, vincents angina, or vincents infection after the french bacteriologist jean hyacinthe vincent 18621950 who is credited with the discovery of the organisms that. 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. Gingivitis gingiva is another word for your gums and gingivitis refers to a bacterial infection of the gingiva, or gum.
Necrotizing periodontitis in the context of takayasus disease. Acute necrotizing ulcerative gingivitis international. In patients with no known systemic disease or immune dysfunction, necrotizing periodontitis nup appears to share many of the clinical and. But in 1999 it was agreed that an appropriate classification system should not be based on age but should consider primarily the clinical, radiographic, histological, and laboratory findings. Pdf necrotizing ulcerative periodontitis nup is characterized by soft tissue necrosis, rapid periodontal destruction, and interproximal bone. Archived from the original pdf on necrotizing ulcerative gingivitis, periodontitis, and stomatitis. N ecrotizing ulcerative gingivitis nug, necrotizing ulcerative periodontitis nup, and necrotizing stomatitis ns, collectively termed necrotizing gingivostomatitis ng, represent a dramatic, but rare oral infection associated with diminished systemic resistance, including hiv infection. Necrotizing ulcerative gingivitis in the setting of vitamin b12 deficiency. In patients with no known systemic disease or immune dysfunction, necrotizing periodontitis nup appears to share many of the clinical and etiologic characteristics of necrotizing ulcerative gingivitis nug except that patients with nup demonstrate loss of.
Managing patients with necrotizing ulcerative gingivitis. Necrotizing ulcerative periodontitisnekrosis ulserasi. Description of necrotizing ulcerative periodontitis necrotizing ulcerative periodontitis is a sudden onset of necrosis in the gingival tissues with loss of attachment and loss of alveolar bone. In patients with no known systemic disease or immune dysfunction, necrotizing periodontitis nup appears to share many of the clinical and etiologic characteristics of necrotizing ulcerative gingivitis nug except that patients with nup demonstrate loss of clinical attachment and alveolar bone at affected sites. Most other gum diseases do not flare up as quickly as aug does. Gingivitis ulceronecrosante pdf necrotizing ulcerative gingivitis nug is a typical form of periodontal diseases. Introduction clinical feature diagnosis management prognosis referred books 3. Nup and nug may be different diseases many authors suggested that the nug is precursor to nup. It has an acute clinical presentation with the distinctive characteristics of rapid onset of interdental gingival. In developed countries, anug occurs mostly in young adults with predisposing. It is characterised by mouth ulceration and tissue death necrosis, in addition to severe attachment loss and bone destruction. When nug progresses and results in attachment loss, it is referred to as necrotizing ulcerative periodontitis nup. Local sources of mouth odors are mainly the tongue and the gingival sulcus and include retention of odoriferous food particles on and between the teeth, coated tongue, necrotizing ulcerative gingivitis nug, dehydration states, caries, artificial dentures, smokers breath, and healing surgical or extraction wounds.