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Acute Necrotizing Ulcerative Gingivitis (ANUG)
Acute Necrotizing Ulcerative Gingivitis (ANUG)

Acute Necrotizing Ulcerative Gingivitis (ANUG)

Introduction

It is a severe form of gingivitis and is characterized by rapid destruction of gingival tissue, particularly in the area of the interdental papilla. Patients usually present with soreness and bleeding of the gums and foul smell test (fetor-ex ore/halitosis). Acute Necrotizing Ulcerative Gingivitis (ANUG) is also called Vincent’s gingivitis or Vincent’s gingivostomatitis. It is common in malnourished children and immunocompromised individuals especially patients with diabetes and HIV/AIDS.

Pathophysiology

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Signs and symptoms

• Painful and easily bleeding gingival swelling and erythema of the gingival margins
• Yellowish-white ulceration of the gingival
• Fever, malaise and regional lymphadenitis
• In some patients (especially malnourished children), ANUG may presents with extensive destruction of the face and jaws in the severe form known as Cancrum Oris or noma

Diagnostic criteria

• Painful and easily bleeding gingival swelling and erythema of the gingival margins
• Yellowish-white ulceration of the gingival
• Fever, malaise and regional lymphadenitis
• In some patients (especially malnourished children), ANUG may presents with extensive destruction of the face and jaws in the severe form known as Cancrum Oris or noma

Investigation

Treatment

Non-pharmacological

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Pharmacological

    Professional cleaning with Hydrogen Peroxide 3% (under local anesthesia)

    • Metronidazole 400 mg (PO) 8 hourly for 5 days

    AND

    • Amoxicillin 500mg (PO) 8 hourly for 5 days

Prevention

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Updated on,

4 Novemba 2020 06:11:05

References

1.STG

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