Acute necrotizing ulcerative gingivitis: Difference between revisions

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==Background==
==Background==
Often abbreviated as ''ANUG''
#Severe gingival disease that may spread to local soft tissue and bone
#Severe gingival disease that may spread to local soft tissue and bone
#Must distinguish from herpes gingivostomatitis
#Must distinguish from herpes gingivostomatitis

Revision as of 22:06, 6 April 2015

Background

Often abbreviated as ANUG

  1. Severe gingival disease that may spread to local soft tissue and bone
  2. Must distinguish from herpes gingivostomatitis
    1. Herpes has more systemic signs, less bleeding, lack of interdental papilla involvement
  3. Associated with immunosuppression, especially HIV
    1. Other associations include poor oral hygeine/nutrition/sleep, stress, ETOH/tobacco use, age<21, Caucasians, malaria/measles/parasites

Clinical Features

  1. Triad of:
    1. Pain
    2. Ulcerated or "punched out" interdental papillae
    3. Gingival bleeding
  2. Secondary signs:
    1. Fetid breath
    2. "Wooden teeth" feeling
    3. Teeth mobility
    4. Fever
    5. Malaise

Differential Diagnosis

Dentoalveolar Injuries

Odontogenic Infections

Other

Treatment

  1. Chlorhexidine 0.01% oral rinse BID
  2. Metronidazole 500mg PO TID
  3. Dental debridement and scaling

See Also

Source

  • ER Atlas
  • Tintinalli
  • UpToDate