What is an Acute Necrotizing Ulcerative Gingivitis?

March 22 23:13 2019 Print This Article

It is defined as a disorder in which there is an infection of the gum disease. It is also known as the necrotizing periodontal disease. If the acute infection of gingival does not involve the periodontium and is limited up to the gingival tissue it is known as the necrotizing ulcerative gingivitis. It is also referred as NUG. If the acute infection of gingival does involve the periodontium and is not limited up to the gingival tissue it is known as the necrotizing ulcerative periodontitis. It is also referred as NUP.

What is the terminology of Acute necrotizing ulcerative gingivitis?

The necrotizing ulcerative gingivitis or necrotizing ulcerative periodontitis were known by a number of names like plaut Vincent angina or Vincent’s stomatitis or Vincent’s angina or Vincent’s infection and trench mouth. The trench mouth refers to the situation in the World War I in which many soldiers suffered from this condition. There are number of theories to the origin of particular name. It was known as the Vincent angina after the French physician J H Vincent who lived from the year 1862 to 1950.

What are the signs and symptoms of Acute necrotizing ulcerative gingivitis?

It includes the necrosis and ulceration of the inter dental papillae or gingival margin. The papillae are punched out and there is a formation of pseudo membrane. There are multiple, painful and bright red marginal gingival which bleed on gentle manipulation. One can also observe the halitosis. The other factors can be heavy smoking and poor nutrition among those people who are already suffering from necrotizing ulcerative periodontitis.

What is the etiology of Acute necrotizing ulcerative gingivitis?

It is caused due to the bacterial infection which involves the anaerobes like P. intermedia and Fuso bacterium. It also involves the spirochetes and species like borrelia and treponeme. In the late nineties this disease was considered to be a sequel of AIDS and was known as the HIV associated periodontitis. Its association with the HIV or AIDS was due to the immune compromised status of patients and its high prevalence is associated with the other diseases like in which the immune system is compromised.

What is the prognosis of acute necrotizing ulcerative gingivitis?

It is poor if it is not treated it can lead to the rapid destruction of the periodontium and can spread as a necrotizing stomatitis into the surrounding tissues. It may involve the cheek, lips and bones of the jaw. It can occur and is quite dangerous in the people who have a weakened immune system.

What is the treatment of Acute necrotizing ulcerative gingivitis?

It includes the irrigation and debridement of the necrotic tissue. These are dead or dying gum tissues. One must do oral hygiene instructions and use mouth rinses along with the painful medications. These are mainly associated with the systemic medical issues along with the proper management of the systemic disorders.

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