How is necrotizing periodontitis treated?

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.

How do you treat necrotizing ulcerative periodontitis?


  1. Perform debridement under local anesthesia, including gentle scaling.
  2. Remove pseudomembrane, using cotton pellet dipped in 0.12% chlorhexidine.
  3. Provide the patient with oral hygiene instructions and prescribe antibacterial mouthwash (0.12% chlorhexidine, b.i.d.) or peroxide hydroxyl mouth rinse (b.i.d.).

How do you treat necrotizing gingivitis and periodontitis?

Treatment is gentle debridement, improved oral hygiene, mouth rinses, supportive care, and, if debridement must be delayed, antibiotics. Acute necrotizing ulcerative gingivitis (ANUG) occurs most frequently in smokers and debilitated patients who are under stress.

How is gingival necrosis treated?

Treatment. Treatment includes irrigation and debridement of necrotic areas (areas of dead and/or dying gum tissue), oral hygiene instruction and the uses of mouth rinses and pain medication. If there is systemic involvement, then oral antibiotics may be given, such as metronidazole.

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What antibiotics treat necrotizing ulcerative gingivitis?

Treatment. For any signs of systemic involvement, the recommended antibiotics are: Amoxicillin, 250 mg 3 x daily for 7 days and/or. Metronidazole, 250 mg 3 x daily for 7 days.

Which disease is associated with necrotizing ulcerative periodontitis?

Necrotizing periodontitis is a rapidly destructive subcategory within necrotizing periodontal diseases. The most commonly noted predisposing factor of necrotizing ulcerative periodontitis (NUP) is an immunocompromised state, such as that found in patients with HIV.

What causes necrotizing periodontal disease?

Necrotizing periodontal diseases are a type of inflammatory periodontal or gum disease which are caused by bacteria. Most notably, the bacteria is of the fusobacteria and spirochaete species. The diseases often represent various levels of severity or stages of the same disease process, though this is not certain.

How do necrotising diseases differ from periodontitis?

Necrotising (ulcerative) periodontitis – involves loss of the specialised tissue that surrounds and attaches the teeth. Necrotising stomatitis – in which more extensive mucosal and bone loss occurs beyond the gums and tissue surrounding and supporting the teeth.

How long does acute gingivitis take to heal?

In most cases, gingivitis usually clears up within 10 to 14 days. If your gingivitis is more serious, it could take longer to treat.

Which of the following is the primary cause of periodontal disease?

It’s typically caused by poor brushing and flossing habits that allow plaque—a sticky film of bacteria—to build up on the teeth and harden. In advanced stages, periodontal disease can lead to sore, bleeding gums; painful chewing problems; and even tooth loss.

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What does dying gums look like?

A dying tooth may appear yellow, light brown, gray, or even black. It may look almost as if the tooth is bruised. The discoloration will increase over time as the tooth continues to decay and the nerve dies. Pain is another possible symptom.

What is trenchmouth?

Trench mouth is an infection that causes swelling (inflammation) and ulcers in the gums (gingivae). The term trench mouth comes from World War I, when this infection was common among soldiers “in the trenches.” The appearance of normal teeth varies, especially the molars.

What are symptoms of ANUG?

Usually, ANUG begins abruptly with painful and bleeding gums, excessive saliva production, and sometimes extremely foul-smelling breath. People may also have a fever and feel ill. The tips of the gums between the teeth appear punched-out and become sores (ulcers) covered with a gray layer of dead tissue.

Can gums grow back?

Once the gums have receded, they cannot grow back. However, some treatments can reattach and restore gum tissue around the teeth. Maintaining good oral hygiene and attending regular dental checkups can help prevent, slow, or stop gum recession.

What is aggressive periodontitis?

Aggressive periodontitis is a destructive disease characterized by the following: the involvement of multiple teeth with a distinctive pattern of periodontal tissue loss; a high rate of disease progression; an early age of onset; and the absence of systemic diseases.

What is necrosis of the gums?

Necrotizing ulcerative gingivitis (NUG) is a typical form of periodontal diseases. It has an acute clinical presentation with the distinctive characteristics of rapid onset of interdental gingival necrosis, gingival pain, bleeding, and halitosis.

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