Necrotizing ulcerative gingivitis & periodontits, Post operative complications of periodontal surgery, No public clipboards found for this slide. Stomatitis means a sore mouth. Periodontal Disorders Periodontitis. See our User Agreement and Privacy Policy. Disease or Syndrome T The patient reported that he had taken some medicines such as antiviral treatment acyclovir and anti-inflammatory drugs diclofenac. • Necrotizing ulcerative gingivitis (NUG) , necrotizing ulcerative all the characteristic clinical features of necrotizing ulcerative gingivitis are seen, i.e. Choose from 15 different sets of acute necrotizing ulcerative gingivitis (ANUG) flashcards on Quizlet. This destroys the ligaments which anchor teeth in their sockets. 2. Oral toileting and debridement: use of hydrogen peroxide mouthwashes or most importantly warm saline mouthwash as many times as possible in a day for many days. Get the plugin now https://www.slideshare.net/drjaffarraza/027necrotizing-ulcerative-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. long-standing cases, can extend to the deeper periodontal structures resulting in deep, crater-like osseous 4. Acute Necrotising Ulcerative Gingivitis (ANUG) is an acute or recurrent gingivitis of young and middle-aged adults characterised clinically by gingival erythema and pain, fetid odour, necrosis and sloughing of interdental papillae and marginal gingiva which gives rise to a grey pseudomembrane; fever, regional lymphadenopathy, and other systemic manifestations may also be present. Periodontal abscesses (PA) are important because they represent common dental emergencies requiring immediate management and can result in rapid destruction of the peri-odontium with a negative impact on the prognosis of the affected tooth. Now customize the name of a clipboard to store your clips. Regarding necrotizing periodontal diseases, necrotizing ulcerative gingivitis (60%) was more prevalent than necrotizing ulcerative periodontitis (40%). iv. 1986 – Necrotizing ulcerative gingivoperiodontitis Objective and background: Relatively little is known about the epidemiology of necrotizing ulcerative gingival lesions (NUG) in adolescent populations. J Periodont Res 2003; 38:147- Periodontol 2000 1994; 6:116–124. Now customize the name of a clipboard to store your clips. interdental stimulation, water irrigation, and dental loss. lesions especially in interdental areas  NUP. Acute necrotizing ulcerative gingivitis is typically caused by excess bacteria in the mouth. Whilst Alpagot (2003) proposes that if left untreated ANUG can progress into Necrotizing Ulcerative Periodontitis (NUP), this involves severe damage to the gingiva, periodontal tissue and can cause bone damage; the likely outcome is the loss of teeth in the affected area, which can spread to the whole of the mouth. The often severe gingival pain that characterizes ANUG distinguishes it from the more common chronic periodontitis which is rarely painful. 3 It was changed from the 1986 term necrotizing ulcerative gingivoperiodontitis, which represented the condition of recurrent NUG that progresses to a chronic form of periodontitis that includes attachment and bone loss. Necrotizing ulcerative periodontitis NUP is where the infection leads to attachment loss, and involves only the gingiva, periodontal ligament and alveolar ligament. Acute necrotizing ulcerative gingivitis is now rare, but minor gum infections involving just a few teeth probably occur relatively commonly. [en.wikipedia.org] Four patients presented to four practitioners for treatment of severe gingival pain, each eventually being diagnosed with NUG. Regarding necrotizing periodontal diseases, necrotizing ulcerative gingivitis (60%) was more prevalent than necrotizing ulcerative periodontitis (40%). Acute necrotizing ulcerative gingivitis (ANUG) refers to the clinical onset of NUG. However, it only involves the gingiva, periodontal ligament and alveolar ligament. Treatment is gentle debridement, improved oral hygiene, mouth rinses, supportive care, and, if debridement must be delayed, antibiotics. Necrotizing Ulcerative Periodontitis Radiographs. Batista EL Jr, Novaes AB Jr, Calvano LM, do Prado EA, Goudouris ES, Batista FC J Clin Periodontol 1999 Aug;26(8):499-504. Hunter describes the clinical features of ANUG in 1778, differentiating it from scurvy (avitaminosis C) and chronic periodontitis . The other relatively milder forms include necrotizing ulcerative gingivitis (mildest form) and necrotizing ulcerative periodontitis; Necrotizing periodontal disease is a rare and very destructive form of periodontitis caused by bacteria. Necrotizing gingivitis is part of a spectrum of disease termed necrotizing periodontal diseases. Necrotizing periodontitis (NP) is an atypical and painful form of periodontal disease, it is described by a promptly progress of ulceration and destruction of periodontal tissues; the NP is commonly linked to HIV‐positive patients. Giovani EM, et al. Non-AIDS Type NUP In 1989, a classification system was proposed that included five types of periodontitis: adult periodontitis, early onset periodontitis, periodontitis associated with systemic disease, necrotizing ulcerative periodontitis, and refractory periodontitis. INTRODUCTION Common periodontal diseases- in chronic form Acute- sudden, severe, of short duration Course- either self remission, or sub acute or chronic form. necrotizing ulcerative periodontitis NUP,NUG. The diagnosis is mostly clinical. ࡱ > 4 h i j k l m n o p q r s t u v w x y z { | } ~ F ̴ ) z \ osIV j IExifMM* ! See our Privacy Policy and User Agreement for details. The aim of this report is to present a rare case of severe necrotizing ulcerative periodontitis treated non‐surgically. Periodontitis. There are three major forms: Necrotising (ulcerative) gingivitis – affects only the gums 3. Necrotizing ulcerative gingivitis (NUG) is a typical form of periodontal diseases. Necrotizing ulcerative gingivitis has been observed for centuries. i. Ulceration and necrosis of gingival margin, which gets covered by a pseudomembranous slough. Case Presentation. 155. Necrotizing ulcerative gingival lesions are common in developing countries because of poor nutritional status, poor oral hygiene and debilitating … 1995). 2. Dr Jaffar Raza Syed Page 1 Any orthodontic treatment, including duration and approximate date of termination, should be noted. Prevotella intermedia and spirochetes have been associated with the gingival lesions. the broader classification of Necrotizing Ulcerative Periodontal Diseases. 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. All Resources; Chemicals & Bioassays. … Necrotizing periodontal disease (NPD) is an infection characterized by gingival necrosis presenting as "punched-out" papillae, with gingival bleeding, and pain. ANUG or Acute Necrotizing Ulcerative Gingivitis is a severe and painful inflammation of the gums, which causes deep ulcerations of the gingival tissues. Pathology and Management of Periodontal Problems in Patients with Human Immunodeficiency Virus Infection. Periodontal Examination and Diagnosis 33. You can change your ad preferences anytime. The condition has a sudden onset and is more common in HIV-infected individuals and malnourished children If left untreated, the infection can lead to the necrosis of gum tissues and may spread to other areas of the body. • Introduction: Tongue Discoloration and Other Changes. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. The patient appears to be … It is generally characterised by mouth ulceration and tissue death (necrosis), in addition to attachment loss and bone destruction. This destroys the ligaments which anchor teeth in their sockets. Persistent or recurrent Necrotizing ulcerative 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. Unlike other periodontal diseases, it presents substantial necrosis of gingival tissues, and loss of periodontal ligament and alveolar bone. Necrotizing periodontal disease is characterized and ulcerative necrotic and gingival papilla field, pretending papillae and gums fields were "black" or "craters" (Fig. Clipping is a handy way to collect important slides you want to go back to later. It is based on expert opinion in a review article which recommends pain control and suggests ibuprofen and paracetamol as options [ … If you continue browsing the site, you agree to the use of cookies on this website. Looks like you’ve clipped this slide to already. Chemotherapy: metronidazole 200mg thrice daily for 5 days. If improperly treated NUG may become chronic and/or recurrent. Localized lymphadenopathy, fever and malaise ANUG most often impacts people who are 35 years of age and younger. 1. Periodontology 2000;65:149–77. Cocaine-associated rapid gingival recession and dental erosion. 1989 – NUP ( World workshop of Clinical Periodontics ) Acute necrotizing ulcerative gingivitis (ANUG) is a rare infectious disease of the gum tissue, affecting <1% of the population. 17-8). • They are rapidly destructive & debilitating & represents If you continue browsing the site, you agree to the use of cookies on this website. Presentation Summary : Oral ulcerations, severe gingivitis, rapid periodontal breakdown and alveolar bone loss. Acute periodontal Severe presentation of necrotizing ulcerative periodontitis lesions. in a Nigerian HIV-positive patient: a case report. PMID: 21128527 PART 3: CLINICAL PERIODONTICS. Necrotizing ulcerative gingivitis has been called many names: -Vincents disease - Trench mouth -Acute necrotizing ulcerative gingivitis - Fusospirochetal gingivitis The patients affected are typically adolescents or young adults, may be cigarettes smokers, and are often psychologically stressed. The infection may lead to rapid destruction of the periodontal tissues and can spread into nearby tissues such as the cheeks, … PPT – Pathogenesis and Management of Acute Necrotising Ulcerative Gingivitis PowerPoint presentation | free to download - id: 3eb91f-YTQxM. • Introduction: • Necrotizing ulcerative gingivitis (NUG), necrotizing ulcerative periodontitis (NUP), necrotizing stomatitis (NS) are the most severe inflammatory periodontal disorders caused by plaque bacteria. Med 19. Necrotizing periodontitis (NP), previously referred to as necrotizing ulcerative periodontitis, is a specific subset of necrotizing periodontal diseases (NPD). Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. See our User Agreement and Privacy Policy. Necrotizing ulcerative periodontitis (NUP), necrotizing periodontitis (NP) or acute necrotizing ulcerative periodontitis (ANUP) occurs when the infection leads to attachment loss. NG/NP is a disease with distinctive clinical manifestations that respond to an uncomplicated regime of treatment. It is generally characterised by mouth ulceration and tissue death (necrosis), in addition to attachment loss and bone destruction. Significance of clinical and biological information 32. 1999 – Classification of Periodontal Diseases – NUG & NUP , included under Acute necrotizing ulcerative gingivitis is a painful infection of the gums. Necrotizing ulcerative periodontitis associated with severe congenital immunodeficiency in a prepubescent subject: clinical findings and response to intravenous immunoglobulin treatment. First, this article aims to propose a systematic review of recent literature on the use of local antiseptic and antibiotic prescription in this particular periodontal condition. Acute Necrotizing Ulcerative Gingivitis is a much more severe condition than normal gingivitis, which can finally lead the death of gum tissue. You can change your ad preferences anytime. Periodontitis As A Manifestation Of Systemic Diseases PPT. Necrotizing ulcerative gingivitis (NUG) is an acute bacterial infection caused by fusiform rods and spirochetes (Borrelia vincentii). PMID: 10450809. bacteria. Causes . Peri-Implant Diseases and Conditions . severe inflammatory periodontal disorders caused by plaque The infection may lead to rapid destruction of the periodontal tissues and can spread into nearby tissues such as the cheeks, lips or jawbone (developing into necrotizing stomatitis). Most studies have comprised special target groups, such as military recruits, HIV patients, or severely malnourished subjects. Symptoms are acute pain, bleeding, and foul breath. 1. Pain relief is an important aspect of treatment for this gum disease because the infection makes the gums and lymph nodes under the jaw line so painful that individuals cannot brush and floss their teeth or eat a healthy diet. Non-AIDS type NUP This recommendation is pragmatic as acute necrotizing ulcerative gingivitis is a very painful condition [ Scottish Dental Clinical Effectiveness Programme, 2014 ]. Sangani I, Watt E, Cross D. Necrotizing ulcerative gingi- Princ Pract 2011;20:374–6. A 12-year-old girl is brought to the office by her grandmother because she has had pain in her mouth for the past week. Two types It is severely painful at … Last Updated on Sat, 19 Dec 2020 | Periodontal Disease. Three specific clinical features must be present to diagnose NUG: pain, inter-dental necrosis and bleeding ( Fig. Learn acute necrotizing ulcerative gingivitis (ANUG) with free interactive flashcards. CLASSIFICATION-MANSON(1995) TRAUMATIC -Physical injury -Chemical burn -Thermal burn BACTERIAL -Acute necrotizing … The ulcerated margins are surrounded by an erythematous halo. INTRODUCTION. In general, NP is a reactive, destructive inflammatory process in response to bacterial inflammation, and represents … However, it only involves the gingiva, periodontal ligament and alveolar ligament. There are many predisposing factors, including immunosuppression, stress and smoking. Acute Necrotic Gingival Papillae of HIV- necrotizing ulcerative gingivitis: Risk factors Seropositive, Necrotizing Ulcerative involving host defense mechanisms. Diagnosis is clinically determined. It is characterized by painful, erythematous, bleeding gums, malodorous breath, and necrosis and ulceration of connective gum tissue. If you continue browsing the site, you agree to the use of cookies on this website. If you continue browsing the site, you agree to the use of cookies on this website. Acute necrotizing ulcerative gingivitis may lead to devastating tissue damage in the form of necrotizing periodontitis, necrotizing stomatitis, and cancrum oris (noma), which is frequently fatal. It is caused by a mixed microbial infection, primarily of Prevotella, Fusobacterium and Treponema species. Most bone loss around incisors and first molars. Presentation Summary : Oral ulcerations, severe gingivitis, rapid periodontal breakdown and alveolar bone loss. Local irritants should be eliminated to foster normal metabolic and reparative processes in the gingival. Necrotising periodontal diseases 1. J Orthod 30. Necrotizing ulcerative periodontitis (NUP), necrotizing periodontitis (NP) or acute necrotizing ulcerative periodontitis (ANUP) occurs when the infection leads to attachment loss. Acute necrotizing ulcerative gingivitis (ANUG) is a common, non-contagious infection of the gums with sudden onset. Xenophon observes sore mouth and foul smelling breath in Greek soldiers in the 4th century BC. The severe form usually affects only people with an impaired immune system (for example, due to human immunodeficiency virus [HIV]/acquired immunodeficiency syndrome [AIDS] or immunosuppressive drugs). Necrotizing Ulcerative Periodontitis 30. Necrosis is the term used to describe death of tissue. 3 It was changed from the 1986 term necrotizing ulcerative gingivoperiodontitis, which represented the condition of recurrent NUG that progresses to a chronic form of periodontitis that includes attachment and bone loss. Necrotizing periodontal disease is a rare and very destructive form of periodontitis caused by bacteria. acutely painful necrotizing ulcerative stomatitis has been reported. ♦ Acute necrotizing ulcerative gingivitis (ANUG; colloquially known as trench mouth) Is a common, non-contagious infection of the gums with sudden onset. Extension of NUG into the periodontal structures, leading to loss of attachment and bone loss Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Diagnosis is based on clinical findings. Inflammation is a local conditioning factor that impairs the nutrition of the gingiva regardless of the systemic nutritional status. The trimeric model of periodontal treatment planning, Classification of gingival & periodontal diseases, No public clipboards found for this slide, 027.necrotizing ulcerative periodontitis NUP. Phiri R, Feller L, Blignaut E J Int Acad Periodontol 2010 Oct;12(4):98-103. The severity, extent and recurrence of necrotizing periodontal disease in relation to HIV status and CD4+ T cell count. Necrotizing ulcerative gingivitis (NUG) is a gum infection characterized by gingival necrosis. For the treatment of necrotizing periodontitis, antibiotics are usually given to kill the overgrowth of bacteria in the mouth. ADDITIONAL CONTENT Test your knowledge. Get the plugin now In the 1999 classification, necrotizing ulcerative gingivitis (NUG) and necrotizing ulcerative periodontitis (NUP) were included among NDPs. , including duration and approximate date of termination, should be eliminated to foster normal metabolic and reparative processes the., Necrotising periodontal diseases, it is generally characterised by mouth ulceration and tissue death ( )! Very painful condition [ Scottish Dental clinical Effectiveness Programme, 2014 ] presentation | to! 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