Necrotizing ulcerative periodontitis dental hygiene education. Acute necrotizing ulcerative gingivitisperiodontitis. Anug and aggressive periodontitis authorstream presentation. Pdf necrotizing ulcerative periodontitis nup is characterized by soft tissue necrosis, rapid periodontal destruction.
Acute necrotizing ulcerative gingivitis anug refers to the clinical onset of nug. Monarchs tools are designed to make it easier to compare the signs and symptoms. Necrotizing ulcerative gingivitis article about necrotizing. Periodontal attachment loss is uncommon in both lge and nug. Necrotizing ulcerative periodontitis nup necrotizing ulcerative periodontitis nup is characterized by soft tissue necrosis, rapid periodontal destruction, and interproximal bone loss. Necrotizing ulcerative periodontitis in a hiv seronegative patient a case report article pdf available june 2014 with 1,265 reads how we measure reads. Necrotizing ulcerative gingivitis free download as powerpoint presentation. Necrotizing ulcerative gingivitis, periodontitis, and. Gingivitis, necrotizing ulcerative gingivitis, h ydrogen peroxide.
However, most hivpositive patients with cd4 counts of this level do not develop necrotising periodontal disease. Necrotizing ulcerative gingivitis nug is a type of necrotizing periodontal disease in which the necrosis is limited to the. Necrotizing periodontitis np is a destructive periodontal disease mostly. Necrotizing gingivitis is part of a spectrum of disease termed necrotizing periodontal diseases. Know the causes, symptoms, treatment, prognosis, and home remedies for necrotizing ulcerative gingivitis or trench mouth. 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. Nup is a destructive form of periodontitis with loss of attachment occurring rapidly within days. Necrotizing periodontitis in the context of takayasus. Necrotizing ulcerative periodontitis dr alaa authorstream. It may be a consequence of necrotizing ulcerative gingivitis or as a history of previous occurring np 11,12. The prevalence rate of necrotizing ulcerative periodontitis nup was calculated for the entire population and specific to race, gender, and hiv transmission category. Necrotizing periodontitis, like other forms of periodontitis, is caused by bacteria.
Some of the main features of necrotizing ulcerative gingivitis or trench mouth include painful and bleeding gums, and gum ulcers. Treatment is gentle debridement, improved oral hygiene, mouth rinses, supportive care, and, if debridement must be delayed. Necrotizing ulcerative gingivitis nug is a more severe condition, presenting with painful ulceration and necrosis of one or more dental papilla. Periodontal diseases comprise a wide range of inflammatory conditions that affect the supporting structures of the teeth the gingiva, bone and periodontal ligament. An increased incidence of acute necrotizing ulcerative gingivitis anug. The most appropriate treatment of necrotizing ulcerative periodontitis nup in a patient with no fever and no lymphadenopathy is 1. In malnourished, immunocompromized patients, particularly in children, and in the absence of treatment, nug may lead to necrotizing ulcerative periodontitis and even spread as necrotizing stomatitis or noma 8, 9. 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. Nup and nug may be different diseases many authors suggested that the nug is precursor to nup. Periodontal diseases mostly gingivitis and periodontitis are common conditions that affect the dental supporting structures including the gingiva, cementum, periodontal ligament, and the alveolar bone. The commonly associated periodontal disease in hivinfected patients include a rapidly progressive form of periodontitis named aidsvirus associated periodontitis or hivassociated periodontitis hivp, clinically resembling acute necrotizing ulcerative gingivitis. Necrotizing ulcerative periodontitis in a hiv seronegative patient a case report. The most appropriate treatment of necrotizing ulcerative. 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.
Symptoms are acute pain, bleeding, and foul breath. Acute necrotizing ulcerative gingivitis an overview. Jul 11, 2017 necrotizing ulcerative gingivitis or trench mouth in a nutshell, is a noncontagious bacterial infection of the gums with sudden onset. 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. 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. Request pdf on jun 1, 2018, david herrera and others published acute periodontal lesions periodontal abscesses and necrotizing periodontal diseases and endo. Necrotizing ulcerative gingivitis health sciences wellness. Introduction necrotizing periodontitis np is a destructive periodontal disorder found in the context of diseases that are little understood, or which are characterized by host immune deficiency.
Necrotizing periodontal npd include necrotizing ulcerative gingivitis contest and necrotizing ulcerative periodontitis nup. 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 may be an extension of necrotizing ulcerative gingivitis nug into the periodontal structures, leading to periodontal attachment and bone loss. The monarch initiative brings together data about this condition from humans and other species to help physicians and biomedical researchers. Necrotizing ulcerative periodontitis associated with severe. Therefore, the effective management in the first days of infection is imperative.
Necrotizing ulcerative gingivitis is restricted to the gingival. Necrotizing ulcerative gingivitis how is necrotizing. Necrotizing ulcerative periodontitis definition of. Pdf necrotizing ulcerative gingivitis researchgate. The body responds with immune cells and chemicals intended to fight the. Other risk factors are poor oral hygiene, nutritional deficiencies, immunodeficiency eg, hivaids, use of immunosuppressive drugs, and sleep deprivation. Necrotizing periodontitis in the context of takayasus disease. The full text of this article hosted at is unavailable due to technical difficulties. Acute necrotizing ulcerative gingivitis anug dental. The other 2 forms include necrotizing ulcerative gingivitis milder form and necrotizing stomatitis very severe form.
Acute necrotizing ulcerative gingivitis genetic and rare. The main difference between necrotizing ulcerative gingivitis nug and necrotizing ulcerative periodontitis nup is that in the former only the gingivitis is involved where as in the latter case. It has an acute clinical presentation with the distinctive characteristics of rapid onset of interdental gingival. Necrotizing ulcerative stomatitis as initial presentation of. Necrotizing periodontitis is characterized by gingival necrosis with bleeding and pain, and alveolar bone atta. A marker for immune deterioration and a predictor for the diagnosis of aids. Pdf clinical diagnosis and treatment of necrotizing ulcerative. Necrotizing ulcerative gingivitis nug and necrotizing ulcerative periodontitis nup, classified as necrotizing periodontal diseases in aap 1999 international workshop for classification of. Necrotizing ulcerative gingival lesions are common in developing countries because of poor. Acute necrotizing ulcerative gingivitis is a painful infection of the gums.
Necrotizing ulcerative periodontitis nup, on the other hand, is characterized by destruction of both hard and soft tissue. 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 periodontitis is a rapidly progressing form of gum disease that attacks the bones that support teeth. When this plaque spreads below the gums, the toxins released by the bacteria irritate the gums. The necrosis progresses to the periodontal ligament and alveolar bone, thus. Sounds like a pretty serious and scary health condition so lets take a look at what it is, how to prevent it and what treatments are offered for this oral health condition.
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. What are the treatment options for necrotizing periodontitis. Acute periodontal lesions periodontal abscesses and. Acute necrotizing ulcerative gingivitis is a much more severe condition than normal gingivitis, which can finally lead the death of gum tissue. Clinical diagnosis and treatment of necrotizing ulcerative.
Necrotizing ulcerative gingivitiscausessymptomstreatment. Scribd is the worlds largest social reading and publishing site. If you are diagnosed with the disease, your dentist or periodontist a dental specialist who works on gum disease will scale or plane your teeth, removing plaque and other elements of gum disease. Acute necrotizing ulcerative gingivitis an overview sciencedirect. Jan 15, 2015 the term necrotizing ulcerative periodontitis was first adopted at the 1989 world workshop in clinical periodontics. Necrotizing ulcerative gingivitis nug is one of the. Necrotizing ulcerative periodontitis in a hiv seronegative patient a. 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. Clinical features nug can occur in any age, mostly occur in young and middle aged adults between the ages of 15 and 35 years. Patients entered the study when they first applied for care and were followed at regular intervals unless death occurred before the conclusion of the study. Pdf clinical treatment of necrotizing ulcerative gingivitis. Necrotizing ulcerative gingivitis nug is a typical form of periodontal diseases. Jul 09, 2019 necrotizing ulcerative periodontitis nup is a more severe form of necrotizing periodontal disease where involvement of the teethattaching soft tissue and jawbone is observed.
Necrotizing periodontal disease, necrotizing ulcerative periodontitis, diagnosis, treatment, taka. Necrotizing ulcerative gingivitis nug is a type of necrotizing periodontal disease in which the necrosis is limited to the gingival tissues and necrotizing ulcerative periodontitis nup includes clinical attachment loss and involvement of the alveolar bone. Gingivitis, necrotizing ulcerative gingivitis, hydrogen peroxide. A 21yearold female patient under going orthodontic treatment for six months, diagnosed with necrotizing ulcerative gingivitis due to acute pain in the gingival tissue, spontaneous bleeding, halitosis. Acute necrotizing ulcerative gingivitis anug occurs most frequently in smokers and debilitated patients who are under stress. Necrotizing periodontal diseases wikipedia republished.
It is characterized by the death and sloughing of gingival tissue and presents with characteristic signs and symptoms. 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. The merck manual for health care professionals provides information on acute necrotizing ulcerative gingivitis. Managing patients with necrotizing ulcerative periodontitis. Necrotizing ulcerative periodontitis nup is a more severe form of necrotizing periodontal disease where involvement of the teethattaching soft tissue and jawbone is observed. Necrotizing ulcerative gingivitis necrotizing ulcerative periodontitis definition a microbial disease of the gingiva in the context of an impaired host response. The bacteria form plaque, a film that enables them to attach to the surface of your teeth.
Necrotizing ulcerative gingivitis nug whew that is quite a mouthful isnt it. Pdf management strategies of necrotizing ulcerative periodontitis. Necrotizing periodontitis in a heavy smoker and tobacco chewer a. Acute necrotizing ulcerative gingivitis periodontitis anug nup is a relatively uncommon periodontal disease characterized by gingival necrosis and ulceration, pain, and bleeding.
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