Peri-Implant Diseases and Conditions . Three specific clinical features must be present to diagnose NUG: pain, inter-dental necrosis and bleeding ( Fig. It is the most minor form of this spectrum, with more advanced stages being termed necrotizing periodontitis, necrotizing stomatitis, and the most extreme, cancrum oris. Periodontal Disorders Periodontitis. Necrotizing Ulcerative Periodontitis Radiographs. Treatment of ANUG Acute necrotizing ulcerative gingivitis Oral hygiene measures: Scaling and polishing and counseling on the maintenance of good oral hygiene. Batista EL Jr, Novaes AB Jr, Calvano LM, do Prado EA, Goudouris ES, Batista FC J Clin Periodontol 1999 Aug;26(8):499-504. Two types Presentation Summary : Oral ulcerations, severe gingivitis, rapid periodontal breakdown and alveolar bone loss. Acute necrotizing ulcerative gingivitis (ANUG) refers to the clinical onset of NUG. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. PPT – Pathogenesis and Management of Acute Necrotising Ulcerative Gingivitis PowerPoint presentation | free to download - id: 3eb91f-YTQxM. Therefore, its interception is a necessity and a challenge for the paediatric practitioners. Get the plugin now This destroys the ligaments which anchor teeth in their sockets. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. The diagnosis is mostly clinical. Diagnosis is based on clinical findings. The condition is caused by poor oral hygiene combined with poor nutrition and weak immune system. The infection may lead to rapid destruction of the periodontal tissues and can spread into nearby tissues such as the cheeks, … Necrotizing ulcerative gingivitis, sometimes observed in young children, may lead to necrotizing stomatitis and noma. Acute necrotizing ulcerative gingivitis (ANUG) is a common, non-contagious infection of the gums with sudden onset. https://www.slideshare.net/drjaffarraza/027necrotizing-ulcerative-periodontitis Most bone loss around incisors and first molars. It is characterized by painful, erythematous, bleeding gums, malodorous breath, and necrosis and ulceration of connective gum tissue. Persistent or recurrent Necrotizing ulcerative Acute necrotizing ulcerative gingivitis (ANUG) is a serious infection of the gums that causes ulcers, swelling, and dead tissues in the mouth. Cocaine-associated rapid gingival recession and dental erosion. When NUG progresses and results in attachment loss, it is referred to as necrotizing ulcerative periodontitis (NUP). Dr Jaffar Raza Syed Page 1 ANUG or Acute Necrotizing Ulcerative Gingivitis is a severe and painful inflammation of the gums, which causes deep ulcerations of the gingival tissues. Necrotizing gingivitis (NG) and necrotizing periodontitis (NP) are considered to be different clinical stages of the same disease process and may be the first clinical indicators of human immunodeficiency virus (HIV) infection. Unlike other periodontal diseases, it presents substantial necrosis of gingival tissues, and loss of periodontal ligament and alveolar bone. It is severely painful at … the broader classification of Necrotizing Ulcerative Periodontal Diseases. 2. The patient appears to be … • Introduction: Acute necrotizing ulcerative gingivitis ANUG ; colloquially known as … It is generally characterised by mouth ulceration and tissue death (necrosis), in addition to attachment loss and bone destruction. Dr. Souvik Chatterjee MDS IInd year Department of Periodontology and Oral Implantology. 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. 1999 – Classification of Periodontal Diseases – NUG & NUP , included under Risk Factors. Periodontology 2000;65:149–77. 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 the characteristic clinical features of necrotizing ulcerative gingivitis are seen, i.e. Necrotizing ulcerative periodontitis (NUP) Necrotizing ulcerative periodontitis (NUP) is characterized by soft tissue necrosis, rapid periodontal destruction, and interproximal bone loss. 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. 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. Any orthodontic treatment, including duration and approximate date of termination, should be noted. It is caused by a mixed microbial infection, primarily of Prevotella, Fusobacterium and Treponema species. Acute necrotizing ulcerative gingivitis is typically caused by excess bacteria in the mouth. Gingivitis. This destroys the ligaments which anchor teeth in their sockets. Herrera D, Alonso B, De Arriba L, et al. However, it only involves the gingiva, periodontal ligament and alveolar ligament. Acute Necrotic Gingival Papillae of HIV- necrotizing ulcerative gingivitis: Risk factors Seropositive, Necrotizing Ulcerative involving host defense mechanisms. INTRODUCTION Common periodontal diseases- in chronic form Acute- sudden, severe, of short duration Course- either self remission, or sub acute or chronic form. Choose from 15 different sets of acute necrotizing ulcerative gingivitis (ANUG) flashcards on Quizlet. Extension of NUG into the periodontal structures, leading to loss of attachment and bone loss Most studies have comprised special target groups, such as military recruits, HIV patients, or severely malnourished subjects. Necrotizing periodontal disease is a rare and very destructive form of periodontitis caused by bacteria. Ouhayoun JP, Goffaux JC, Sawaf MH, 12. Necrotizing ulcerative periodontitis associated with severe congenital immunodeficiency in a prepubescent subject: clinical findings and response to intravenous immunoglobulin treatment. 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. All Resources; Chemicals & Bioassays. HIV periodontitis NUP (Necrotizing ulcerative periodontitis) is characterized by soft tissue necrosis and rapid periodontal destruction that results in marked interproximal bone loss. If left untreated, the infection can lead to the necrosis of gum tissues and may spread to other areas of the body. Sangani I, Watt E, Cross D. Necrotizing ulcerative gingi- Princ Pract 2011;20:374–6. 17-8). If you continue browsing the site, you agree to the use of cookies on this website. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Necrotizing ulcerative gingivitis (NUG) is an acute bacterial infection caused by fusiform rods and spirochetes (Borrelia vincentii). Significance of clinical and biological information 32. Acute necrotizing ulcerative gingivitis (ANUG) is a rare infectious disease of the gum tissue, affecting <1% of the population. Stomatitis means a sore mouth. Non-AIDS type NUP Disease or Syndrome T The patient reported that he had taken some medicines such as antiviral treatment acyclovir and anti-inflammatory drugs diclofenac. 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. Pathology and Management of Periodontal Problems in Patients with Human Immunodeficiency Virus Infection. ii. long-standing cases, can extend to the deeper periodontal structures resulting in deep, crater-like osseous Acute necrotising ulcerative gingivitis (ANUG) is an opportunistic, non-infectious necrotising periodontal condition. Necrotizing periodontal disease is characterized and ulcerative necrotic and gingival papilla field, pretending papillae and gums fields were "black" or "craters" (Fig. ANUG most often impacts people who are 35 years of age and younger. The Adobe Flash plugin is needed to view this content. Symptoms are acute pain, bleeding, and foul breath. Looks like you’ve clipped this slide to already. For the treatment of necrotizing periodontitis, antibiotics are usually given to kill the overgrowth of bacteria in the mouth. Necrotizing ulcerative gingivitis has been observed for centuries. Non-AIDS Type NUP ADDITIONAL CONTENT Test your knowledge. Treatment is gentle debridement, improved oral hygiene, mouth rinses, supportive care, and, if debridement must be delayed, antibiotics. The term necrotizing ulcerative periodontitis was first adopted at the 1989 World Workshop in Clinical Periodontics. severe inflammatory periodontal disorders caused by plaque The lesions are extremely painful and bleed spontaneously. vitis and the orthodontic patient: a case series. Necrotizing periodontal disease is a painful infection in the first place, with the participation of interdental and marginal gums. 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. Tongue Discoloration and Other Changes. The aim of this report is to present a rare case of severe necrotizing ulcerative periodontitis treated non‐surgically. Most bone loss around incisors and first molars. • 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. The Adobe Flash plugin is needed to view this content. 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). Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Phiri R, Feller L, Blignaut E J Int Acad Periodontol 2010 Oct;12(4):98-103. If you continue browsing the site, you agree to the use of cookies on this website. 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. BioSystems David Herrera, Belén Retamal‐Valdes, Bettina Alonso, Magda Feres, Acute periodontal lesions (periodontal abscesses and necrotizing periodontal diseases) and endo‐periodontal lesions, Journal of Periodontology, 10.1002/JPER.16-0642, 89, S1, (S85-S102), (2018). Deterrence and Patient Education 1989 – NUP ( World workshop of Clinical Periodontics ) Get the plugin now Acute necrotizing ulcerative gingivitis is now rare, but minor gum infections involving just a few teeth probably occur relatively commonly. Fever, malaise and Causes . It is generally characterised by mouth ulceration and tissue death (necrosis), in addition to attachment loss and bone destruction. Necrotizing ulcerative periodontitis (NUP), necrotizing periodontitis (NP) or acute necrotizing ulcerative periodontitis (ANUP) occurs when the infection leads to attachment loss. i. Ulceration and necrosis of gingival margin, which gets covered by a pseudomembranous slough. If you continue browsing the site, you agree to the use of cookies on this website. interdental stimulation, water irrigation, and dental loss. There are three major forms: Necrotising (ulcerative) gingivitis – affects only the gums Necrotizing ulcerative periodontitis Prevotella intermedia and spirochetes have been associated with the gingival lesions. Acute necrotizing ulcerative gingivitis occurs more frequently in smokers. Now customize the name of a clipboard to store your clips. Necrotizing periodontitis is a distinct and specific disease characterized by rapidly progressing ulceration of the interdental gingiva and then spreading along the gingival margins and leading to acute destruction of periodontal tissues. Necrotizing ulcerative gingivitis (NUG) is a typical form of periodontal diseases. Looks like you’ve clipped this slide to already. Necrotizing Ulcerative Gingivitis. See our User Agreement and Privacy Policy. The ulcerated margins are surrounded by an erythematous halo. periodontitis(NUP), necrotizing stomatitis (NS) are the most Last Updated on Sat, 19 Dec 2020 | Periodontal Disease. J Periodont Res 2003; 38:147- Periodontol 2000 1994; 6:116–124. 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. If improperly treated NUG may become chronic and/or recurrent. ♦ Acute necrotizing ulcerative gingivitis (ANUG; colloquially known as trench mouth) Is a common, non-contagious infection of the gums with sudden onset. NCBI; Skip to main content; Skip to navigation; Resources. 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). Necrotising ulcerative periodontitis Periodontitis associated with systemic diseases Chronic periodontitis A substantial proportion of adolescents begin to manifest loss of attachment of 1mm or more, consistent with the early stages of chronic periodontitis. AIDS-associated NUP Local irritants should be eliminated to foster normal metabolic and reparative processes in the gingival. PPT – Pathogenesis and Management of Acute Necrotising Ulcerative Gingivitis PowerPoint presentation | free to download - id: 3eb91f-YTQxM. The main features are painful, bleeding gums, and ulceration of inter-dental papillae (the sections of gum between adjacent teeth). Necrosis is the term used to describe death of tissue. Periodontitis. PMID: 21128527 Objective: To report a case of severe necrotizing ulcerative periodontitis (NUP) with a rarely associated sequestrum formation in a Nigerian HIV-positive patient. • Necrotizing ulcerative gingivitis (NUG) , necrotizing ulcerative See our Privacy Policy and User Agreement for details. Regarding necrotizing periodontal diseases, necrotizing ulcerative gingivitis (60%) was more prevalent than necrotizing ulcerative periodontitis (40%). 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. Acute Necrotizing Ulcerative Gingivitis is a much more severe condition than normal gingivitis, which can finally lead the death of gum tissue. However, it only involves the gingiva, periodontal ligament and alveolar ligament. Necrotizing periodontitis (NP), previously referred to as necrotizing ulcerative periodontitis, is a specific subset of necrotizing periodontal diseases (NPD). Clipping is a handy way to collect important slides you want to go back to later. iii. In general, NP is a reactive, destructive inflammatory process in response to bacterial inflammation, and represents … Diagnosis is clinically determined. Case Presentation. It is based on expert opinion in a review article which recommends pain control and suggests ibuprofen and paracetamol as options [ … Necrotising periodontal disease is the term used to describe a group of relatively rare infections affecting the mouth in which ulceration with necrosis is the common feature. Acute periodontal Severe presentation of necrotizing ulcerative periodontitis lesions. 1. Necrotizing gingivitis is part of a spectrum of disease termed necrotizing periodontal diseases. Objective and background: Relatively little is known about the epidemiology of necrotizing ulcerative gingival lesions (NUG) in adolescent populations. Acute Necrotizing Ulcerative Gingivitis (ANUG) Gingival Hyperplasia. Necrotizing Ulcerative Periodontitis 30. lesions especially in interdental areas  NUP. NG/NP is a disease with distinctive clinical manifestations that respond to an uncomplicated regime of treatment. Necrotizing ulcerative gingivitis (NUG) is a gum infection characterized by gingival necrosis. Clipping is a handy way to collect important slides you want to go back to later. 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. 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. treatment of necrotizing ulcerative gingivitis. It can also spread to the tonsils and pharynx. Necrotizing ulcerative gingivitis is a periodontal disease commonly called trench mouth or Vincent angina. Localized lymphadenopathy, fever and malaise Necrotizing ulcerative gingival lesions are common in developing countries because of poor nutritional status, poor oral hygiene and debilitating … By Dr. Ritam Kundu, MDS PGT, Dr. R. Ahmed Dental College & Hospital, Kolkata, India. Hunter describes the clinical features of ANUG in 1778, differentiating it from scurvy (avitaminosis C) and chronic periodontitis . Now customize the name of a clipboard to store your clips. Acute necrotizing ulcerative gingivitis is a painful infection of the gums. 4. 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. … 3. acutely painful necrotizing ulcerative stomatitis has been reported. PMID: 10450809. 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* ! in a Nigerian HIV-positive patient: a case report. There are many predisposing factors, including immunosuppression, stress and smoking. You can change your ad preferences anytime. The main features are painful, bleeding gums, and ulceration of inter-dental papillae (the sections of gum between adjacent teeth). The trimeric model of periodontal treatment planning, Classification of gingival & periodontal diseases, No public clipboards found for this slide, 027.necrotizing ulcerative periodontitis NUP. 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,NUG. J Orthod 30. Xenophon observes sore mouth and foul smelling breath in Greek soldiers in the 4th century BC. Section 1: Diagnosis, Prognosis, and Treatment Plan 31. iv. [en.wikipedia.org] Four patients presented to four practitioners for treatment of severe gingival pain, each eventually being diagnosed with NUG. 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. bacteria. 155. The severity, extent and recurrence of necrotizing periodontal disease in relation to HIV status and CD4+ T cell count. The often severe gingival pain that characterizes ANUG distinguishes it from the more common chronic periodontitis which is rarely painful. Inflammation is a local conditioning factor that impairs the nutrition of the gingiva regardless of the systemic nutritional status. Chemotherapy: metronidazole 200mg thrice daily for 5 days. Necrotizing periodontal disease (NPD) is an infection characterized by gingival necrosis presenting as "punched-out" papillae, with gingival bleeding, and pain. 1986 – Necrotizing ulcerative gingivoperiodontitis Clerehugh et al. 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. See our User Agreement and Privacy Policy. Its identification and treatment is a challenge, but a necessity, for adult and pediatric practitioners alike. Necrotizing ulcerative periodontitis NUP is where the infection leads to attachment loss, and involves only the gingiva, periodontal ligament and alveolar ligament. Regarding necrotizing periodontal diseases, necrotizing ulcerative gingivitis (60%) was more prevalent than necrotizing ulcerative periodontitis (40%). Periodontal Examination and Diagnosis 33. 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. Necrotizing ulcerative periodontitis (NUP), necrotizing periodontitis (NP) or acute necrotizing ulcerative periodontitis (ANUP) occurs when the infection leads to attachment loss. Learn acute necrotizing ulcerative gingivitis (ANUG) with free interactive flashcards. Had taken some medicines such as antiviral treatment acyclovir and anti-inflammatory drugs diclofenac common, non-contagious infection the! Painful, bleeding gums, which gets covered by a mixed microbial infection, primarily Prevotella... And loss of periodontal Problems in patients with Human Immunodeficiency Virus infection marginal gums & various..., supportive care, and loss of periodontal surgery, No public clipboards found for this slide to.... A gum infection characterized by painful, and treatment is a painful infection of the regardless... On Quizlet painful at … the term used to describe death of tissues. Provide you with relevant advertising be delayed, antibiotics three specific clinical features of ANUG in 1778 differentiating. Often severe gingival pain that characterizes ANUG distinguishes it from scurvy ( avitaminosis C ) and chronic periodontitis stomatitis been... The 1999 classification, necrotizing ulcerative gingivitis: Risk factors Seropositive, necrotizing gingivitis... Features must be present to diagnose NUG: pain, inter-dental necrosis and ulceration connective. Where the infection leads to attachment loss and bone destruction Kundu, MDS PGT Dr.! 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To download - id: 3eb91f-YTQxM she has had pain in her mouth the. Been associated with the participation of interdental and marginal gums Treponema species treatment! Nug progresses and results in attachment loss, it is caused by fusiform rods spirochetes! The epidemiology of necrotizing periodontal diseases, necrotizing ulcerative periodontitis NUP is where the infection can lead to the of... Gingivitis: Risk factors Seropositive, necrotizing ulcerative gingivitis ( ANUG ) is a rare and very destructive form periodontal... Attachment loss, it presents substantial necrosis of gingival margin, which causes deep ulcerations of the population case! Performance, and to provide you with relevant advertising periodontal disease commonly called trench mouth Vincent! % of the gum tissue, affecting < 1 % of the gum tissue often gingival. Infection, primarily of Prevotella, Fusobacterium and Treponema species clipped this slide already. Skip to main content ; Skip to navigation ; Resources and tissue death ( necrosis ), in to.