Which disease is associated with necrotizing ulcerative periodontitis?

NUP has been associated with HIV-positive and AIDS patients. Obtain a dental history: previous history of NUG and/or periodontal disease, foul metallic taste, pasty saliva, intense excruciating pain.

Which of the following is associated with necrotizing ulcerative periodontitis?

Necrotizing Ulcerative Gingivitis/Periodontitis

Malnutrition, viral infections, stress, lack of sleep, and smoking have been reported as predisposing factors. Necrotizing ulcerative gingivitis/periodontitis is associated with high levels of spirochetes and Prevotella intermedia.

What bacteria causes necrotizing ulcerative gingivitis?

Causes. Necrotizing periodontal disease is caused by a mixed bacterial infection that includes anaerobes such as P. intermedia and Fusobacterium as well as spirochetes, such as Treponema. ANUG may also be associated with diseases in which the immune system is compromised, including HIV/AIDS.

What causes necrotizing periodontal disease?

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.

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What is 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 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.).

What are common predisposing factors of necrotizing periodontitis?

Well recognised host factors known to predispose to necrotising periodontal disease include:

  • Immunodeficiency – HIV infection, leukaemia, neutropenia/agranulocytosis, diabetes mellitus, immunosuppressant medications.
  • Malnutrition.
  • Psychological and physical stress.

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.

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.

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.

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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 necrosis in the mouth?

Pulp necrosis refers to a condition where the pulp inside your teeth die. This is often the last stage of chronic pulpitis. It can lead to other problems with your teeth. The innermost part of each tooth has tissues called pulp. The pulp extends from the root to the crown.

What is aggressive periodontitis?

Aggressive periodontitis, as the name implies is a type of periodontitis where there is rapid destruction of periodontal ligament and alveolar bone which occurs in otherwise systemically healthy individuals generally of a younger age group but patients may be older [1, 2].

What is the best antibiotic for periodontal disease?

Metronidazole (Flagyl): This antibiotic may be prescribed to those patients suffering from severe periodontitis. Metronidazole works best when used in a combination with amoxicillin or tetracycline.

What is the best mouthwash to use for periodontal disease?

Crest Gum Care Mouthwash is an excellent option for gingivitis prevention—it helps reverse early signs of gum disease, reduce gum inflammation, and kill bad breath germs, without the burn of alcohol.

What are some of the early warning signs of periodontal disease?


  • Swollen or puffy gums.
  • Bright red, dusky red or purplish gums.
  • Gums that feel tender when touched.
  • Gums that bleed easily.
  • Pink-tinged toothbrush after brushing.
  • Spitting out blood when brushing or flossing your teeth.
  • Bad breath.
  • Pus between your teeth and gums.
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