Monday, August 14, 2017

Acute necrotizing periodontal disease

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What causes acute necrotizing ulcerative gingivitis? Necrotizing ulcerative gingivitis , (NUG), or simply necrotizing gingivitis (NG), is a common, non-contagious infection of the gums.

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 ). Unlike other periodontal diseases , it presents substantial necrosis of gingival tissues, and loss of periodontal ligament and alveolar bone. Necrotizing periodontal disease is a painful infection in the first place, with the participation of interdental and marginal gums. Necrotising periodontal disease is the term used to describe a group of relatively rare infections affecting the mouth in which ulceration with necrosis is the common feature. Necrosis is the term used to describe death of tissue. There are three major forms: Necrotising (ulcerative) gingivitis – affects only the gums.


The main features are painful, bleeding gums, and ulceration of inter-dental papillae (the sections of gum between adjacent teeth). Management of the periodontal component of these diseases is very challenging. Some of these lesions may cause a rapid and severe destruction of the periodontal tissues and loss of teeth.

Symptoms are acute pain, bleeding, and foul breath. Diagnosis is based on clinical findings. The condition is caused by poor oral hygiene combined with poor nutrition and weak immune system.


This disease , along with necrotizing (ulcerative). The Monarch Initiative brings together data about this condition from humans and other species to help physicians and biomedical researchers. Monarch’s tools are designed to make it easier to compare the signs and symptoms (phenotypes) of different diseases and discover common features. They’re classified as periodontitis, stomatitis or necrotizing gingivitis, and appear to represent different stages of similar disease.


The main cause of Necrotizing Periodontal Disease is longstanding infection of the gum, teeth, and surrounding tissue that also involves the jawbones, as a result of poor dental hygiene. Severe gum infection leads to plaque buildup on the affected teeth (or tooth). According to the American Academy of Periodontology, acute periodontal diseases are rapid‐onset clinical conditions that involve the periodontium or associated structures and may be characterized by pain or discomfort, tissue destruction, and infection. Among these conditions, the following diseases have been listed: gingival abscess, periodontal abscess, necrotizing periodontal diseases, herpetic gingivostomatitis, pericoronal abscess, or pericoronitis, and combined periodontal.


ANUG is characterized by marginal gingival necrosis, gingival bleeding and painful ulceration of the gingival surface ( , ). ANUG is the result of soft tissue invasion by ubiquitous organisms and is not believed to be contagious. Treatment should include the alleviation ol the acute symptoms and the correction ol the underlying chronic gingival disease. It is characterized by re inflamed and painful gums. Bleeding occurs during brushing and even with slight contact. Gingivitis is the mildest form of gum disease.


This is a reversible condition that can be done with the help of proper brushing and flossing techniques.

Medical diagnosis is based upon medical findings. See also Introduction to Periodontal Diseases. If the normal bacteria in the mouth overgrow, the gums can become infected.


It appears more frequently in undernurished children and young adults as well as patients with immunodeficiency. In addition to the historic association of fusiform and spirochete microbes. Trench mouth, also known as necrotizing ulcerative gingivitis (NUG), is a severe form of gingivitis that causes painful, infecte bleeding gums and ulcerations.

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