Pdf necrotizing ulcerative gingivitis researchgate. Necrotizing ulcerative gingivitis nug is a more severe condition, presenting with painful ulceration and necrosis of one or more dental papilla. Klokkevold and others published necrotizing ulcerative periodontitis find, read and cite all the research you need on researchgate. Acute necrotizing ulcerative gingivitis anug refers to the clinical onset of nug. Necrotizing ulcerative periodontitis in a hiv seronegative patient a case report article pdf available june 2014 with 1,294 reads how we measure reads. Necrotizing gingivitis is part of a spectrum of disease termed necrotizing periodontal diseases. It may be a consequence of necrotizing ulcerative gingivitis or as a history of previous. Necrotizing ulcerative gingivitis how is necrotizing. Necrotizing u lcerative gingivitis it is a microbial disease of the gingiva in the context of an impaired host response. Granulomatous plasma cell hereditary gingival fibromatosis hypercementosis hypocementosis linear gingival erythema necrotizing periodontal diseases acute necrotizing ulcerative gingivitis pericoronitis fisursdo periodontal abscess periodontal trauma periodontitis aggressive as a manifestation of systemic disease. Necrotizing ulcerative periodontitis nup is a more severe form of necrotizing periodontal disease where involvement of the teethattaching soft tissue and jawbone is observed. Click on the link to view a sample search on this topic.
Klasifikasi periodontitis berdasarkan manifestasi klinisnya klasifikasi periodonitas menurut goldman. Search other sites for acute necrotizing ulcerative gingivitis. In the present 1999 classification, the consensus report established that necrotizing ulcerative gingivitis and necrotizing ulcerative periodontitis should be collectively referred to as necrotizing periodontal diseases. 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. 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. It is marked by ulcers of the gingival papillae that become covered by sloughed tissue and circumscribed by linear erythema. Necrotizing ulcerative gingivitis nug, necrotizing ulcerative periodontitisnup, necrotizing stomatitis ns are the most severe inflammatory periodontal disorders caused by plaque bacteria. Acute necrotizing ulcerative gingivitis genetic and rare. Poor oral hygiene, nutritional deficiencies, insufficient rest, heavy smoking, and debilitating diseases are predisposing factors to the disease.
Predictors of necrotizing periodontal diseases longdom. Necrotizing periodontal diseases in a semirural district of. Alternatively, nup and nug may be different diseases. In the late searly s, it was originally thought that some necrotizing periodontal diseases seen in severely affected aids patients were strictly a sequela of hivand it was even called hivassociated periodontitis. Conservative management of acute necrotizing ulcerative gingivitis. Granulomatous plasma cell hereditary gingival fibromatosis hypercementosis hypocementosis linear gingival erythema necrotizing periodontal diseases acute necrotizing ulcerative gingivitis pericoronitis periimplantitis periodontal abscess periodontal trauma periodontitis aggressive as a manifestation of. Necrotising ulcerative gingivitis quintessence publishing. Necrotizing ulcerative gingivitis definition of necrotizing. Necrotizing ulcerative periodontitis nup, on the other hand, is characterized by destruction of both hard and soft tissue. Scribd is the worlds largest social reading and publishing site. 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 ulcerative periodontitis pocket dentistry. Necrotizing periodontitis, like other forms of periodontitis, is caused by bacteria. It has an acute clinical presentation with the distinctive characteristics of rapid onset of interdental gingival. Pubmed is a searchable database of medical literature and lists journal articles that discuss acute necrotizing ulcerative gingivitis. Necrotizing ulcerative periodontitis nup may be an extension of necrotizing ulcerative gingivitis nug into the periodontal structures, leading to periodontal attachment and bone loss. Jul 11, 2017 necrotizing ulcerative gingivitis or trench mouth in a nutshell, is a noncontagious bacterial infection of the gums with sudden onset. Pdf management strategies of necrotizing ulcerative periodontitis. Managing patients with necrotizing ulcerative periodontitis jcda. 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 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 nup necrotizing ulcerative periodontitis nup is characterized by soft tissue necrosis, rapid periodontal destruction, and interproximal bone loss. Necrotizing ulcerative gingivitis, periodontitis, and. Case report necrotizing ulcerative gingivitis in the setting. It is characterized by the death and sloughing of gingival tissue and presents with characteristic signs and symptoms. The other relatively milder forms include necrotizing ulcerative gingivitis mildest form and necrotizing ulcerative periodontitis. Clinical features of necrotising periodontal disease 1. 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. May 09, 2020 in the late searly s, it was originally thought that some necrotizing periodontal diseases seen in severely affected aids patients were strictly a sequela of hivand it was even called hivassociated periodontitis. Necrotizing ulcerative periodontitis dr alaa authorstream.
Acute necrotizing ulcerative gingivitis anug dental. Chronic periodontitis localized aggressive periodontitis generalized aggressive periodontitis periodontitis as a manifestation of systemic disease periodontosis necrotizing periodontal coronoplasy abscesses of the periodontium combined periodonticendodontic lesions. The group agreed that both diseases were associated with a diminished systemic resistance to bacterial infection. Acute necrotizing ulcerative gingivitis is a painful infection of the gums. Jul 09, 2019 necrotizing stomatitis ns is a very severe and aggressive form of necrotizing periodontal disease showing extensive oral cavity tissue and bone destruction. 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. 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. There is severe necrosis of the free gingival margin, the crest of the gingiva and the interdental papilla. Symptoms are acute pain, bleeding, and foul breath.
Jan 15, 2015 the term necrotizing ulcerative periodontitis was first adopted at the 1989 world workshop in clinical periodontics. What are the treatment options for necrotizing periodontitis. Anug is the acute presentation of necrotizing ulcerative gingivitis nugwhich is the usual course the disease takes. The body responds with immune cells and chemicals intended to fight the. Nup is a destructive form of periodontitis with loss of attachment occurring rapidly within days. Necrotizing ulcerative periodontitis dental hygiene. The american academy of periodontology has recently published changes in the classification system for periodontal diseases these changes are from the 1999 international workshop for a classification of periodontal diseases and conditions. Managing patients with necrotizing ulcerative periodontitis. Necrotizing ulcerative gonorrhea gun necrotizing periodontitis pun. 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. This condition commonly occurs in people with compromised immune systems, therefore they have a limited host defense mechanism.
Know the causes, symptoms, treatment, prognosis, and home remedies for necrotizing ulcerative gingivitis or trench mouth. Necrotizing ulcerative periodontitis how is necrotizing. Classification of periodontal diseases pdf free pdf epub. For the treatment of necrotizing periodontitis, antibiotics are usually given to kill the overgrowth of bacteria in the mouth. Necrotizing periodontal diseases chapter 9 flashcards quizlet. This disease, along with necrotizing ulcerative periodontitis np or nup is classified as a necrotizing. Some of the main features of necrotizing ulcerative gingivitis or trench mouth include painful and bleeding gums, and gum ulcers. The main features are painful, bleeding gums, and ulceration of interdental papillae the sections of gum between adjacent teeth. Necrotizing ulcerative gingivitis free download as powerpoint presentation. Acute necrotizing ulcerative gingivitis an overview. The other 2 forms include necrotizing ulcerative gingivitis milder form and necrotizing stomatitis very severe form. Necrotizing ulcerative periodontitis definition of.
The simultaneous existence of pulpal problems and inflammatory periodontal disease can complicate diagnosis and treatment planning. Necrotizing ulcerative gingivitis article about necrotizing. 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 gingivitiscausessymptomstreatment. Acute necrotizing ulcerative gingivitis, anug, trench mouth, vincents. Indexed articles published in the last 20 years on the following databases were searched. Diagnosis and treatment of necrotizing ulcerative periodontitis. Necrotizing periodontal npd include necrotizing ulcerative gingivitis contest and necrotizing ulcerative periodontitis nup. Unlike other periodontal diseases, it presents substantial necrosis of gingival tissues, and loss of periodontal ligament and alveolar bone. Necrotizing ulcerative gingivitis necrotizing ulcerative periodontitis definition a microbial disease of the gingiva in the context of an impaired host response. Nup and nug may be different diseases many authors suggested that the nug is precursor to nup. 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 disease. When this plaque spreads below the gums, the toxins released by the bacteria irritate the gums.
Treatment is gentle debridement, improved oral hygiene, mouth rinses, supportive care, and, if debridement must be delayed, antibiotics. Necrotizing ulcerative gingivitis nug is a typical form of periodontal diseases. Acute necrotizing ulcerative gingivitis article about acute. 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. Pdf necrotizing ulcerative periodontitis in a hiv seronegative. 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 periodontitis is a sudden onset of necrosis in the gingival tissues with loss of attachment and loss of alveolar bone. 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 diseases, comprising necrotizing gingivitis and necrotizing periodontitis, is a distinct disease entity. Necrotising periodontal diseases linkedin slideshare. Necrotizing ulcerative periodontitis nup is characterized by soft tissue necrosis, rapid periodontal destruction, and interproximal bone loss. Necrotizing ulcerative gingivitis can usually be overcome in a couple of weeks with professional dental assistance, commitment to brushing, flossing and rinsing regularly and minimization of risk factors. In the 1999 classification, necrotizing ulcerative gingivitis. Acute periodontal lesions periodontal abscesses and. These disorders have been described using other names, including.
Periodontal attachment loss is uncommon in both lge and nug. Necrotizing ulcerative periodontitis dental hygiene education. Necrotizing ulcerative stomatitis as initial presentation of. Necrotizing ulcerative periodontitis the free dictionary. Necrotizing ulcerative gingivitis nug, necrotizing ulcerative periodontitisnup.
202 576 1004 970 586 773 337 1028 1507 1215 1046 1124 1109 869 1505 1580 622 112 709 1284 1380 1226 1158 1067 1198 1018 640 271 589 386 151 805 184 676 735 1556 602 932 55 1098 926 1326 948 536 531 1143 1470 994