What is acute necrotizing ulcerative gingivitis?
Acute necrotizing ulcerative gingivitis (ANUG) is a rapidly destructive, non-communicable microbial disease of the gingiva in the context of an impaired host immune response. It is characterized by the sudden onset of inflammation, pain, and the presence of “punched-out” crater-like lesions of the papillary gingiva.
What is acute necrotizing ulcerative periodontitis?
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 …
How is acute necrotizing ulcerative gingivitis diagnosed?
Acute necrotizing ulcerative gingivitis is a painful infection of the gums. Symptoms are acute pain, bleeding, and foul breath. Diagnosis is based on clinical findings. Treatment is gentle debridement, improved oral hygiene, mouth rinses, supportive care, and, if debridement must be delayed, antibiotics.
What is another name for acute necrotizing ulcerative gingivitis?
Acute necrotizing ulcerative gingivitis (ANUG) used to be called trench mouth, a term that comes from World War I, when many soldiers in the trenches developed the infection.
How do you prevent ANUG?
Prevention. The risk of ANUG may be lowered by: Practicing good oral hygiene. Eating a healthful diet.
What antibiotics are used to treat ANUG?
Treatment. For any signs of systemic involvement, the recommended antibiotics are: Amoxicillin, 250 mg 3 x daily for 7 days and/or. Metronidazole, 250 mg 3 x daily for 7 days.
What bacteria causes acute necrotizing ulcerative gingivitis?
melaninogenicus ssp., intermedius and Fusobacterium sp. for at least 2 to 3 months following treatment. Thus, the same anaerobic species which were numerically associated with the ANUG lesion were also selectively reduced in the plaque flora following resolution of the infection.
What causes necrotizing ulcerative periodontitis?
Necrotizing periodontal diseases are a type of inflammatory periodontal or gum disease which are caused by bacteria. Most notably, the bacteria is of the fusobacteria and spirochaete species. The diseases often represent various levels of severity or stages of the same disease process, though this is not certain.
What causes necrotizing ulcerative gingivitis?
Acute necrotizing ulcerative gingivitis (ANUG; ‘trench mouth’) is a fairly common oral disease of complex cause that occurs in normal individuals. Contributing factors include the fusospirochetal oral flora, reduced host resistance, malnutrition, poor oral hygiene, smoking, and psychologic stress.
Why do people get ANUG?
Acute necrotizing ulcerative gingivitis (ANUG) occurs most frequently in smokers and debilitated patients who are under stress. Other risk factors are poor oral hygiene, nutritional deficiencies, immunodeficiency (eg, HIV/AIDS, use of immunosuppressive drugs), and sleep deprivation.
How is necrotizing gingivitis treated?
Treatment
- Perform debridement under local anesthesia.
- Remove pseudomembrane using cotton pellet dipped in chlorhexidine.
- Provide patient with specific oral hygiene instructions to use a prescription antibacterial mouthwash: chlorhexidine 0.12% twice daily.
- Control pain with analgesics: ibuprofen 400-600 mg 3 times daily.
How do you manage necrotizing ulcerative gingivitis?
Treatment is gentle debridement, improved oral hygiene, mouth rinses, supportive care, and, if debridement must be delayed, antibiotics. Acute necrotizing ulcerative gingivitis (ANUG) occurs most frequently in smokers and debilitated patients who are under stress.
Can ANUG be cured?
ANUG is very treatable and completely reversible if caught early. Most importantly, contact your dentist or a periodontist (a dentist specializing in the diagnosis and treatment of gum diseases), to confirm that this is indeed what you have.
What is necrotizing ulcerative gingivitis caused by?
Acute necrotizing ulcerative gingivitis, otherwise known as Vincent’s angina or trench mouth, is caused by an imbalance in the normal flora of the gingival sulcus with predominant presence of the spirochete Borrelia vincentii and the gram-negative bacillus Fusiformis fusiform.