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Necrotising Ulcerative Gingivitis - Etiology, Clinical features and Treatment
Necrotising Ulcerative Gingivitis - Etiology, Clinical features and Treatment
Published: 2017/02/24
Channel: Hack Dentistry
Periodontitis ANUG Acute Necrotizing ulcerative gingivitis: Trichomonas
Periodontitis ANUG Acute Necrotizing ulcerative gingivitis: Trichomonas
Published: 2013/04/30
Channel: Mark Bonner
Periodontal disease symptoms, Necrotizing Periodontal Diseas
Periodontal disease symptoms, Necrotizing Periodontal Diseas
Published: 2010/07/24
Channel: goldlmine007
Treatment of Advanced Gum (Periodontal) Disease.
Treatment of Advanced Gum (Periodontal) Disease.
Published: 2015/09/05
Channel: Dr Kuljeet Mehta-Periodontist
How Do You Get Periodontal Disease?
How Do You Get Periodontal Disease?
Published: 2017/09/03
Channel: Beyond Question
How Do You Get Periodontal Disease
How Do You Get Periodontal Disease
Published: 2017/10/06
Channel: PinPin Pin
Aggressive Periodentitis
Aggressive Periodentitis
Published: 2013/12/11
Channel: DSSM
ANUG - severe gingivitis
ANUG - severe gingivitis
Published: 2011/09/18
Channel: DrER.tv
How Do You Get Periodontal Disease?
How Do You Get Periodontal Disease?
Published: 2017/08/19
Channel: Uco Uco
Acute Necrotizing Encephalopathy
Acute Necrotizing Encephalopathy
Published: 2017/05/18
Channel: ANE International
Periodontal surgery Patient
Periodontal surgery Patient
Published: 2013/11/14
Channel: Hilary Dalton
Periodontal Disease & Treatment
Periodontal Disease & Treatment
Published: 2009/08/11
Channel: MilesMadisonDDS
What Is Periodontal Disease And What Causes It?
What Is Periodontal Disease And What Causes It?
Published: 2017/11/13
Channel: Ilenty Ieud
gingival & periodontal diseases part 2 lecture
gingival & periodontal diseases part 2 lecture
Published: 2016/05/19
Channel: Dr. Barun Sarkar
Periodontal Disease and Diabetes - Berkeley, CA - Dr. Chertok
Periodontal Disease and Diabetes - Berkeley, CA - Dr. Chertok
Published: 2012/11/26
Channel: Keith R. Chertok, DDS
Periodontal disease, how to find parasites in dental plaque biofilm with Dr Mark Bonner
Periodontal disease, how to find parasites in dental plaque biofilm with Dr Mark Bonner
Published: 2013/05/24
Channel: Mark Bonner
Periodontitis Disease And Its Types
Periodontitis Disease And Its Types
Published: 2014/09/17
Channel: Denver Landry
Periodontal Disease Gingivitis - Roseville Dentist
Periodontal Disease Gingivitis - Roseville Dentist
Published: 2011/08/15
Channel: Sunrise Family Dentistry
Definition Of Acute necrotizing ulcerative gingivitis ANUG (Medical Dictionary Online)
Definition Of Acute necrotizing ulcerative gingivitis ANUG (Medical Dictionary Online)
Published: 2014/09/06
Channel: Medical Dictionary Online
Periodontal Therapist Gives Warning Signs of Periodontal Disease
Periodontal Therapist Gives Warning Signs of Periodontal Disease
Published: 2011/05/05
Channel: TLC4GUMS
necrotizing gingivitis,acute necrotizing gingivitis
necrotizing gingivitis,acute necrotizing gingivitis
Published: 2008/11/08
Channel: goldlmine007
Acute necrotizing gingivitis.
Acute necrotizing gingivitis.
Published: 2008/11/22
Channel: implantdrdm
Do Antibiotics Help Gingivitis?
Do Antibiotics Help Gingivitis?
Published: 2017/09/13
Channel: Question Box
Gum Disease: Silent And Dangerous Health Threat
Gum Disease: Silent And Dangerous Health Threat
Published: 2013/12/20
Channel: Ryan Davies
Aggressive periodontitis
Aggressive periodontitis
Published: 2016/12/15
Channel: dental notes
Periodontal disease
Periodontal disease
Published: 2010/04/07
Channel: 36renew
How Do You Get Rid Of A Gum Infection?
How Do You Get Rid Of A Gum Infection?
Published: 2017/11/13
Channel: Ilenty Ieud
Periodontal Disease, Oral Cancer, Dental Disease a Silent Killer
Periodontal Disease, Oral Cancer, Dental Disease a Silent Killer
Published: 2013/04/02
Channel: Pankaj Singh, DDS
How Do You Get Periodontal Disease?
How Do You Get Periodontal Disease?
Published: 2017/06/25
Channel: SS Wealthy Health
How Do You Get Periodontal Disease?
How Do You Get Periodontal Disease?
Published: 2017/06/10
Channel: SS Health Facts
Treatment For Periodontal  Disease. Treat Gingivitis and Periodontist Diseases! SupHerb Toothgel.
Treatment For Periodontal Disease. Treat Gingivitis and Periodontist Diseases! SupHerb Toothgel.
Published: 2013/12/15
Channel: LibertyHouseCompany
How Painful Is Gingivitis?
How Painful Is Gingivitis?
Published: 2017/06/25
Channel: SS Wealthy Health
Dr Trevor Lyons Audio and Pictures Periodontitis : Oral Amoebiasis
Dr Trevor Lyons Audio and Pictures Periodontitis : Oral Amoebiasis
Published: 2013/01/17
Channel: Mark Bonner
What Are The Causes Of Trench Mouth?
What Are The Causes Of Trench Mouth?
Published: 2017/09/13
Channel: Question Box
periodontitis Agressive localised, 35 years old
periodontitis Agressive localised, 35 years old
Published: 2015/04/30
Channel: Mark Bonner
periodontitis Oral trichomoniasis . Trichomonas tenax. Dr Mark Bonner
periodontitis Oral trichomoniasis . Trichomonas tenax. Dr Mark Bonner
Published: 2016/03/13
Channel: Mark Bonner
What Is Periodontal Disease And What Causes It?
What Is Periodontal Disease And What Causes It?
Published: 2017/06/21
Channel: SS Health Well
Symptoms Periodontal Disease
Symptoms Periodontal Disease
Published: 2012/12/29
Channel: Sung Lee
How Do You Get Rid Of A Gum Infection?
How Do You Get Rid Of A Gum Infection?
Published: 2017/06/21
Channel: SS Health Well
Description of Periodontal Disease
Description of Periodontal Disease
Published: 2012/07/12
Channel: GetLocalDentist
severe progressive periodontal disease
severe progressive periodontal disease
Published: 2011/07/18
Channel: Craig S. Kohler, DDS, MBA, MAGD
Advanced Periodontal (gum) Disease - Microscopic Analysis at Van Slooten Family Dentistry
Advanced Periodontal (gum) Disease - Microscopic Analysis at Van Slooten Family Dentistry
Published: 2012/12/31
Channel: VanSlootenDentistry
Periodontitis gum disease parasite specific infection. Dr Mark Bonner
Periodontitis gum disease parasite specific infection. Dr Mark Bonner
Published: 2012/06/12
Channel: Mark Bonner
What is Pulpitis
What is Pulpitis
Published: 2013/11/27
Channel: Dentist Vienna
Periodontitis gum disease amiba vampirising leucocytes: exonucleophagy
Periodontitis gum disease amiba vampirising leucocytes: exonucleophagy
Published: 2012/06/12
Channel: Mark Bonner
Acute necrotizing ulcerative gingivitis (Medical Condition)
Acute necrotizing ulcerative gingivitis (Medical Condition)
Published: 2015/04/11
Channel: Medical Condition Information
Periodontal Disease 20100923
Periodontal Disease 20100923
Published: 2010/09/23
Channel: Nashua Family Dentistry
Periodontal (Gum) Disease: Causes, Symptoms And Treatment
Periodontal (Gum) Disease: Causes, Symptoms And Treatment
Published: 2015/04/10
Channel: Pragya T
★ Gingivitis Diagnosis | Learn How I Cured My Gingivitus Permanently Without Surgery!
★ Gingivitis Diagnosis | Learn How I Cured My Gingivitus Permanently Without Surgery!
Published: 2017/04/02
Channel: Penny Stocks
What Is The Definition Of Gingivitis, acute necrotizing ulcerative ANUG
What Is The Definition Of Gingivitis, acute necrotizing ulcerative ANUG
Published: 2014/10/06
Channel: Medical Dictionary Online
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WIKIPEDIA ARTICLE

From Wikipedia, the free encyclopedia
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Necrotizing periodontal diseases are a type of inflammatory periodontal (gum) disease caused by bacteria (notably fusobacteria and spirochaete species). The diseases appear to represent different severities or stages of the same disease process, although this is not completely certain. These diseases usually have a sudden onset, and so the term acute is often added to the diagnosis. The mildest on the spectrum is necrotizing ulcerative gingivitis (NUG), followed by the successively more severe conditions necrotizing ulcerative periodontitis (NUP), necrotizing stomatitis and finally cancrum oris (noma), which is frequently fatal.

Necrotizing ulcerative gingivitis[edit]

Acute necrotizing ulcerative gingivitis: painful, bleeding, sloughing ulceration and loss of the interdental papillae (usually of the lower front teeth).

Necrotizing ulcerative gingivitis, (NUG), or simply necrotizing gingivitis (NG), is a common, non-contagious infection of the gums. Acute necrotizing ulcerative gingivitis (ANUG) is the acute presentation of NUG, which is the usual course the disease takes. If improperly treated NUG may become chronic and/or recurrent. In developed countries, ANUG occurs mostly in young adults with predisposing factors such as psychological stress, sleep deprivation, poor oral hygiene, smoking, immunosuppression and/or malnutrition. In developing countries, ANUG occurs mostly in malnourished children. Due to shared predisposing factors in a population (e.g. students during a period of examinations, armed forces recruits) ANUG is known to occur in epidemic-type patterns. This has led to the popular belief that ANUG is contagious, but this is not the case. The main features of NUG are painful, bleeding gums and ulceration and necrosis of the interdental papilla. There may also be intra-oral halitosis, cervical lymphadenitis (swollen lymph nodes in the neck) and malaise. Treatment of the acute disease is by debridement and antibiotics, usually metronidazole. Poor oral hygiene and other predisposing factors may need to be corrected to prevent recurrence. ANUG is also known as trench mouth, as it was observed to occur in the mouths of front line soldiers during World War I.

Necrotizing ulcerative periodontitis[edit]

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. Usually this spectrum of diseases result in loss of attachment, and therefore many ANUG diagnoses may be technically termed NUP, although ANUG is the term in most common use. NUP may be an extension of NUG into the periodontal ligaments, although this is not completely proven. In the mean time, NUG and NUP are classified together under the term necrotizing peridontal diseases.

Necrotizing stomatitis[edit]

Progression of NUP into tissue beyond the mucogingival junction characterizes necrotizing stomatitis, which has many features in similar with cancrum oris.

Cancrum oris[edit]

Cancrum oris (noma) in an adult male. Note destruction of orofacial tissues.

Cancrum oris (also termed noma) is a necrotizing and destructive infection of the mouth and face, and therefore not strictly speaking a periodontal disease. In modern times, this condition usually occurs in malnourished children in developing countries. It may be disfiguring and is frequently fatal. It has been suggested that all cases of cancrum oris develop from pre-existing NUG, but this is not confirmed. Furthermore, the vast majority of cases of NUG and NUP will not progress to the more severe forms, even without treatment.

References[edit]

J Lindhe, NP Lang, T Karring (editors) (2008) "Clinical periodontology and implant dentistry" 5th edition, Blackwell Munksgaard, pp. 413,459

MG Newman, HH. Takei, PR Klokkevold, FA Carranza (editors) (2012) "Carranza's clinical periodontology" 11th edition, Elsevier/Saunders, p. 165

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