Introduction to oral diagnosis and treatment planning. If improperly treated nug may become chronic andor recurrent. Necrotizing ulcerative gingivitis definition of necrotizing. Necrotizing ulcerative gingivitis nug is a gum infection characterized by gingival necrosis. Nup is a destructive form of periodontitis with loss of attachment occurring rapidly within days. Unlike other periodontal diseases, it presents with substantial necrosis of gingival tissues, and loss of. Necrotizing periodontal disease npd is a rare and very destructive form of periodontitis caused by bacteria. Two cases of an atypical presentation of necrotizing stomatitis. It is characterised by mouth ulceration and tissue death necrosis, in addition to severe attachment loss and bone destruction. Necrotizing periodontal diseases chapter 9 flashcards. Gingivitis ulceronecrosante pdf necrotizing ulcerative gingivitis nug is a typical form of periodontal diseases. The other 2 forms include necrotizing ulcerative gingivitis milder form and necrotizing.
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. The main features are painful, bleeding gums, and ulceration of interdental papillae the sections of gum between adjacent teeth. Necrotizing ulcerative periodontitis dental hygiene education. Acute necrotizing ulcerative gingivitis, anug sometimes just called aug, is a form of gum disease. Definition of gingivitis, acute necrotizing ulcerative anug. Jan 15, 2015 figure 241 necrotizing ulcerative periodontitis in a 45yearold, hivnegative, white, male patient. Necrotizing periodontal disease, necrotizing ulcerative periodontitis, diagnosis. 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. Dec 27, 2018 gingivitis, acute necrotizing ulcerative anug. It is marked by ulcers of the gingival papillae that become covered by sloughed tissue and circumscribed by linear erythema. Necrotizing periodontitis in the context of takayasus. A 45 year old, overweight man reports that his wife complains that he snores.
Pendapat lain, nup dan nug merupakan kasus yang berbeda. Necrotizing ulcerative gingivitis nug is a typical form of periodontal diseases. Pdf management strategies of necrotizing ulcerative periodontitis. Necrotizing ulcerative gingivitis, nug, or simply necrotizing gingivitis ng, is a common, noncontagious infection of the gums. Acute necrotizing ulcerative periodontitis how is acute. 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. 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, 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. Necrotizing ulcerative periodontitis nup is defined as a developing lesion that is associated with gingival tissue which leads to the loss of periodontal attachment. Acute necrotizing ulcerative gingivitis is a painful infection of the gums.
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. Doctor answers on symptoms, diagnosis, treatment, and more. Necrotizing ulcerative periodontitis associated with severe congenital immunodeficiency in aprepubescent subject. A, buccal view of the maxillary cuspidbicuspid area. Necrotizing ulcerative periodontitisnekrosis ulserasi. Necrotizing ulcerative periodontitis associated with. Case report necrotizing ulcerative gingivitis in the. Gingivitis gingivitis involves only the gums picture 1. The other 2 forms include necrotizing ulcerative gingivitis milder form and necrotizing stomatitis very severe form.
Severe gum infection leads to plaque buildup on the affected teeth or tooth. The most appropriate treatment of necrotizing ulcerative. Necrotizing ulcerative gingivitis nug is an acute bacterial infection caused by fusiform rods and spirochetes borrelia vincentii. Necrotizing periodontal npd include necrotizing ulcerative gingivitis contest and necrotizing ulcerative periodontitis nup. Necrotizing ulcerative periodontitis dr alaa authorstream.
Ulcerative refers to the fact that with this condition ulcers and sores often appear on the gums. Necrotizing ulcerative periodontitis definition of. Aggressive periodontitis earlier it was known as early onset juvenile periodontitis as it is more frequent in young adults. Jul 09, 2019 what are the causes of necrotizing ulcerative periodontitis. Acute necrotizing ulcerative gingivitis international. 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. Symptoms are acute pain, bleeding, and foul breath. In patients with no known systemic disease or immune dysfunction, necrotizing periodontitis nup appears to share many of the clinical and. Necrotizing ulcerative gingivitis and periodontitis. 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. Acute necrotizing ulcerative gingivitis dental diseases. Silvestrerangil j, silvestredonat fj, llambesarenas f, puentesandoval a. Introduction clinical feature diagnosis management prognosis referred books 3.
Necrotizing means that gingival tissue is destroyed by the condition. Treatment is gentle debridement, improved oral hygiene, mouth rinses, supportive care, and, if debridement must be delayed, antibiotics. Acute necrotizing ulcerative gingivitis anug refers to the clinical onset of nug. Two cases of an atypical presentation of necrotizing. 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. Definition microbial disease of the gingiva in the context of an impaired host response. Acute necrotizing ulcerative gingivitis anug is the acute presentation of nug, which is the usual course the disease takes. For the treatment of necrotizing periodontitis, antibiotics are usually given to kill the overgrowth of bacteria in the mouth. Pdf necrotizing ulcerative periodontitis in a hiv seronegative. Choose from 15 different sets of acute necrotizing ulcerative gingivitis anug flashcards on quizlet. 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. It is characterized by necrosis of the crest of the gingival papillae, spontaneous bleeding, pain and halitosis. 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.
Necrotizing ulcerative periodontitis pocket dentistry. When this plaque spreads below the gums, the toxins released by the bacteria irritate the gums. Necrotizing ulcerative periodontitis dental hygiene. Acute necrotizing ulcerative gingivitis anug is a common, noncontagious infection of the gums with sudden onset. 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.
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. Necrotising periodontal diseases linkedin slideshare. 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 gingivitis is part of a spectrum of disease termed necrotizing periodontal diseases. 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.
Necrotizing ulcerative gingivitis in the setting of vitamin b12 deficiency. Fetid odour and pseudomembrane formation could also be observed 1. Scribd is the worlds largest social reading and publishing site. Necrotizing ulcerative periodontitis symptoms tips and. Necrotizing ulcerative gonorrhea gun necrotizing periodontitis pun and necrotizing ulcerative stomatitis eun are the three main modalities.
Acute necrotizing ulcerative gingivitis anug dental. It is the most minor form of this spectrum, with more advanced stages being termed necrotizing periodontitis, necrotizing stomatitis and the most extreme, cancrum. 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. Necrotizing periodontal diseases are the most severe inflammatory periodontal disorders caused by bacterial plaque. That must be followed up with proper brushing and flossing to achieve proper oral health.
Saat ini, tidak ada pendapat yang mendukung progress dari nug ke nup atau yang menghubungkan antara kedua kondisi sebagai penyakit yang. Most other gum diseases do not flare up as quickly as aug does. Necrotizing periodontal disease, necrotizing ulcerative periodontitis, diagnosis, treatment, takayasus disease. It is easily recognizable in that it usually develops quickly and causes pain in the gums. Nutritional strategies in the management of necrotizing. Apr 21, 2020 could be involved in the transition from health to gingivitis and then to periodontitis. 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. Necrotizing periodontitis in a heavy smoker and tobacco. Unlike other periodontal diseases, it presents substantial necrosis of gingival tissues, and loss of periodontal ligament and alveolar bone. Clinical efficacy of photodynamic therapy in the treatment. Systemic symptoms are often present, such as fever, malaise. Nup and nug may be different diseases many authors suggested that the nug is precursor to nup. Pdf necrotizing ulcerative periodontitis nup is characterized by soft tissue necrosis, rapid periodontal destruction, and interproximal bone. Necrotizing ulcerative periodontitis nup is characterized by soft tissue necrosis, rapid periodontal destruction, and interproximal bone loss.
Lutwick on necrotizing ulcerative periodontitis symptoms. Clinical features of necrotising periodontal disease 1. 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. The bacteria form plaque, a film that enables them to attach to the surface of your teeth.
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. Three specific clinical features must be present to diagnose nug. Alternatively, nup and nug may be different diseases. It has an acute clinical presentation with the distinctive. 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. Depending on the severity you may need an extensive type of cleaning and debridement of your gums. Main predictors of necrotizing periodontal diseases.
The most appropriate treatment of necrotizing ulcerative periodontitis nup in a patient with no fever and no lymphadenopathy is 1. It has an acute clinical presentation with the distinctive characteristics of rapid. Acute necrotizing ulcerative gingivitis anug is described as a rapidly destructive, noncommunicable, gingival infection of complex etiology. Necrotizing ulcerative gingivitis, periodontitis, and. Gingivitis gingiva is another word for your gums and gingivitis refers to a bacterial infection of the gingiva, or gum. Characterized by the death and sloughing of gingival tissue presents with characteristics sign and symptoms. Nekrosis ulserasi periodontitis nup merupakan lanjutan dari nekrosis ulserasi gingivitis nug pada stuktur periodontal, yang ditandai dengan adanya kehilangan perlekatan dan kehilangan tulang.
When nug progresses and results in attachment loss, it is referred to as necrotizing ulcerative periodontitis nup. Necrotizing this word refers to the fact that the condition destroys gum tissue that becomes infected. 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. Etiology the main cause of necrotizing ulcerative periodontitis is longstanding infection of the gum, teeth, and surrounding tissue that also involves the jawbones, as a result of poor dental hygiene. Necrotizing ulcerative periodontitis novak 1999 annals of. Periodontal disease, which includes gingivitis and periodontitis, is classified according to the presence or absence of periodontal ligament andor alveolar bone involvement. Necrotizing ulcerative periodontitis nup is a severe inflammatory periodontal disorder caused by bacterial plaque and usually follows an acute course. The body responds with immune cells and chemicals intended to fight the. Managing patients with necrotizing ulcerative periodontitis. 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. 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. 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.
Archived from the original pdf on necrotizing ulcerative gingivitis, periodontitis, and stomatitis. 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. Necrotizing ulcerative gingivitis nug, necrotizing ulcerative periodontitis nup, necrotizing stomatitis ns are the most severe inflammatory periodontal disorders caused by plaque bacteria. Necrotizing ulcerative periodontitisquick guide mn heart. Learn vocabulary, terms, and more with flashcards, games, and other study tools.
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 ulcerative periodontitis how is necrotizing. Necrotizing ulcerative periodontitis in a hiv seronegative patient a case report. Necrotizing periodontal diseases, comprising necrotizing gingivitis and necrotizing periodontitis, is a distinct disease entity. Necrotizing periodontal diseases in a semirural district. To avoid any other health issue that might be associated with gum problems, it is. Necrotizing ulcerative periodontitis nup may be an extension of necrotizing ulcerative gingivitis nug into the periodontal structures, leading to periodontal attachment and bone loss. Early diagnosis and treatment planning is crucial in treating necrotizing periodontal diseases. Necrotizing periodontitis in the context of takayasus disease dois. Summary necrotizing periodontal disease is an infection characterized by gingival necrosis, pain and gingival bleeding. Over a 5year period, 68 consecutive ng patients from. Necrotizing periodontitis, like other forms of periodontitis, is caused by bacteria. Managing patients with necrotizing ulcerative gingivitis.
Acute necrotizing ulcerative gingivitis anug occurs most frequently in smokers and debilitated patients who are under stress. Necrotizing periodontitis in the context of takayasus disease. Managing patients with necrotizing ulcerative periodontitis jcda. What are the treatment options for necrotizing periodontitis. Acute necrotizing ulcerative periodontitis listed as anup. 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.
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. Predictors of necrotizing periodontal diseases longdom. Gingivitis gingiva is another word for your gums and gingivitis refers to a bacterial infection of the gingiva, or gum tissue. Necrotizing periodontal diseases in a semirural district of. Unlimited viewing of the articlechapter pdf and any associated supplements and figures. It has an acute clinical presentation with the distinctive characteristics of rapid onset of interdental gingival. Spirochetes are pathogens usually involved in acute necrotizing gingivitis. Necrotizing ulcerative gingival lesions are common in developing. 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. Other risk factors are poor oral hygiene, nutritional deficiencies, immunodeficiency eg, hivaids, use of immunosuppressive drugs, and sleep deprivation. Acute necrotizing ulcerative periodontitis how is acute necrotizing ulcerative periodontitis abbreviated. 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. Management strategies of necrotizing ulcerative periodontitis.
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