Necrotizing ulcerative gingivitis nug whew that is quite a mouthful isnt it. Purpose and problems of periodontal disease classification. When this plaque spreads below the gums, the toxins released by the bacteria irritate the gums. Necrotizing ulcerative periodontitis dr alaa authorstream. One of two or more different genes that may occupy the same locus on a specific chromosome. This report describes two cases of an atypical presentation of necrotizing stomatitis, the most extensive form, associated with workrelated stress in one case and with alcohol and tobacco abuse and lack of sleep in the other, which are all traditional risk factors for necrotizing disease because of the resulting downregulation of the host. The other 2 forms include necrotizing ulcerative gingivitis milder form and necrotizing stomatitis very severe form. Necrotizing ulcerative periodontitis nup may be an extension of necrotizing ulcerative gingivitis nug into the periodontal structures that leads to periodontal attachment and bone loss. Necrotizing ulcerative gingivitis nug and necrotizing ulcerative periodontitis nup, classified as necrotizing periodontal diseases in aap 1999 international workshop for classification of. Nup and nug may be different diseases many authors suggested that the nug is precursor to nup.
Oral lesions may include necrotizing ulcerative gingivitis nug, necrotizing ulcerative periodontitis nup, linear gingival erythema lge, candidiasis, hairy leukoplakia, herpes simplex, and rapidly progressive periodontitis. Necrotizing periodontal diseases is one of the seven categories of periodontitis as defined by. The most appropriate treatment of necrotizing ulcerative. Necrotizing ulcerative gingival lesions are common in developing countries because of poor nutritional.
Today there is enough evidence to establish whether necrotizing ulcerative necrotizing ulcerative gingivitis and periodontitis two unique diseases or different stages of the same disease that progresses from the results of the contest on the stump. Therefore, the effective management in the first days of infection is. Unlike other periodontal diseases, it presents substantial necrosis of gingival tissues, and loss of periodontal ligament and alveolar bone. What are the treatment options for necrotizing periodontitis. The merck manual for health care professionals provides information on acute necrotizing ulcerative gingivitis. Usually this spectrum of diseases result in loss of attachment, and. Necrotizing ulcerative gingivitis in the setting of vitamin b12 deficiency. Pdf necrotizing gingivitis ng or necrotising ulcerative gingivitis nug is considered to be an acute opportunistic gingival infection caused by. Management strategies of necrotizing ulcerative periodontitis. This disease, along with necrotizing ulcerative periodontitis np or nup is classified as. Pdf necrotizing ulcerative gingivitis researchgate.
Necrotizing periodontal diseases in a semirural district. Today there is enough evidence to establish whether necrotizing ulcerative necrotizing ulcerative gingivitis and periodontitistwo unique diseases or different stages of the same disease that progresses from the results of the contest on the stump. Pdf necrotizing ulcerative gingivitis nug is a typical form of periodontal diseases. Dr jaffar raza syed page 1 necrotizing ulcerative periodontitis extension of nug into the periodontal structures, leading to loss of attachment and bone loss two types nonaids type nup aidsassociated nup nonaids type nup all the characteristic clinical features of necrotizing ulcerative gingivitis are seen, i. It has an acute clinical presentation with the distinctive. The bacteria form plaque, a film that enables them to attach to the surface of your teeth.
If you are diagnosed with the disease, your dentist or periodontist a dental specialist who works on gum disease will scale or plane your teeth, removing plaque. Start studying necrotizing periodontal diseases chapter 9. In malnourished, immunocompromized patients, particularly in children, and in the absence of treatment, nug may lead to necrotizing ulcerative periodontitis and even spread as necrotizing stomatitis or noma 8, 9. Usually this spectrum of diseases result in loss of. Unlike other periodontal diseases, it presents with substantial necrosis of gingival tissues, and loss of. Necrotizing ulcerative periodontitis nup, or simply necrotizing periodontitis, np or acute. In patients with no known systemic disease or immune dysfunction, necrotizing periodontitis nup appears to share many of the clinical and etiologic characteristics of necrotizing ulcerative gingivitis nug except that patients with nup demonstrate loss of clinical attachment and alveolar bone at affected sites. 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. Acute necrotizing ulcerative gingivitis anug occurs most frequently in smokers and debilitated patients who are under stress. Acute necrotizing ulcerative gingivitis genetic and rare.
Learn vocabulary, terms, and more with flashcards, games, and other study tools. Necrotizing ulcerative periodontitis pocket dentistry. The full text of this article hosted at is unavailable due to technical difficulties. Oral inflammatory and ulcerative disease in small animals. Periodontal disease is broadly classified as either gingivitis or periodontitis. Necrotizing ulcerative gingivostomatitis, ulceromembranous stomatitis, necrotizing ulcerative stomatitis, vincent. Necrotizing ulcerative periodontitis nup may be an extension of necrotizing ulcerative gingivitis nug into the periodontal structures, leading to periodontal attachment and bone loss. What links here related changes upload file special pages permanent link. Managing patients with necrotizing ulcerative periodontitis. This disease, along with necrotizing periodontitis is classified as a necrotizing periodontal disease, one of the seven general types of gum disease caused by inflammation of the gums.
Purpose and problems of periodontal disease classi. In patients with no known systemic disease or immune dysfunction, necrotizing periodontitis nup appears to share many of the clinical and etiologic characteristics of necrotizing ulcerative gingivitis nug except that patients with nup demonstrate loss of. The other 2 forms include necrotizing ulcerative gingivitis milder form and necrotizing stomatitis. The other relatively milder forms include necrotizing ulcerative gingivitis mildest form and necrotizing ulcerative periodontitis. Necrotizing ulcerative periodontitis nekrosis ulserasi periodontitis nup nekrosis ulserasi periodontitis nup merupakan lanjutan dari nekrosis ulserasi gingivitis nug pada stuktur periodontal, yang ditandai dengan adanya kehilangan perlekatan dan kehilangan tulang. Periodontal disease, including gingivitis and periodontitis, is the most common oral problem in small animals. Necrotizing ulcerative periodontitis definition of.
Necrotizing periodontitis, like other forms of periodontitis, is caused by bacteria. Necrotizing periodontal lesions can hinder periodontal probing and the mechanical removal of plaque in some cases due to the extreme pain suffered by the patients. The most appropriate treatment of necrotizing ulcerative periodontitis nup in a patient with no fever and no lymphadenopathy is 1. Necrotizing ulcerative gingivitis necrotizing ulcerative gingivitis has long been recog nized as a form of periodontal disease 52, 118, 3. Necrotizing periodontal npd include necrotizing ulcerative gingivitis contest and necrotizing ulcerative periodontitis nup. Alternatively, nup and nug may be different diseases. It has an acute clinical presentation with the distinctive characteristics of rapid onset of interdental gingival. It is characterized by necrosis of the crest of the gingival papillae, spontaneous bleeding, pain and halitosis.
Ulcerated gingival margins and papillae, the latter resulting in a punchedout appearance interdentally, inflammation and pain, are presenting signs. Acute necrotizing ulcerative gingivitis international. Two cases of an atypical presentation of necrotizing. Necrotizing periodontal disease, necrotizing ulcerative periodontitis, diagnosis, treatment, taka. We present a noninvasive treatment approach that can manage these situations effectively. Sounds like a pretty serious and scary health condition so lets take a look at what it is, how to prevent it and what treatments are offered for this oral health condition.
The main features are painful, bleeding gums, and ulceration of interdental papillae. The category includes necrotizing ulcerative gingivitis. Necrotizing ulcerative periodontitis nup necrotizing ulcerative periodontitis nup is characterized by soft tissue necrosis, rapid periodontal destruction, and interproximal bone loss. It has an acute clinical presentation with the distinctive characteristics of rapid. Monarchs tools are designed to make it easier to compare the signs and symptoms. Clinical features of necrotising periodontal disease 1. Necrotizing ulcerative periodontitis nup is a severe inflammatory periodontal disorder caused by bacterial plaque and usually follows an acute course. Donos, prevalence and treatment of necrotizing ulcerative gingivitis nug in the british armed forces. Necrotising gingivitis is defined as an infection of the gums in which the tips of the gums seen between the teeth gingival papillae are lost with associated bleeding and pain. Acute periodontal lesions periodontal abscesses and necrotizing periodontal diseases and endo. Acute necrotizing ulcerative gingivitis is a common, noncontagious infection of the gums with sudden onset. A 45 year old, overweight man reports that his wife complains that he snores. It is characterized by the death and sloughing of gingival tissue and presents with characteristic signs and symptoms. Necrotizing ulcerative gingivitis nug is a typical form of periodontal diseases.
Necrotizing periodontitis in a heavy smoker and tobacco. Necrotizing ulcerative periodontitis nup is a more severe form of necrotizing periodontal disease where involvement of the teethattaching soft tissue and jawbone is observed. Acute necrotizing ulcerative gingivitis anug dental. Necrotizing ulcerative periodontitis dental hygiene. Necrotizing periodontitis is a rapidly progressing form of gum disease that attacks the bones that support teeth. Necrotizing stomatitis ns is a very severe and aggressive form of necrotizing periodontal disease showing extensive oral cavity tissue and bone destruction. Necrotizing periodontitis is characterized by gingival necrosis with bleeding and pain, and alveolar bone atta. Gingivitis is a gingival inflammatory response to the presence of bacterial plaque on an adjacent tooth surface.
Necrotizing ulcerative periodontitis nup is characterized by soft tissue necrosis, rapid periodontal destruction, and interproximal bone loss. Gingivitis ulceronecrosante pdf necrotizing ulcerative gingivitis nug is a typical form of periodontal diseases. The monarch initiative brings together data about this condition from humans and other species to help physicians and biomedical researchers. 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. Necrotizing ulcerative periodontitis is a sudden onset of necrosis in the gingival tissues with loss of attachment and loss of alveolar bone. Ulcerative circulating file edgar cayce readings 1971, 19932015 by the edgar cayce foundation 2 circulating files are collections of verbatim quotes of what edgar cayce said during his readings on a given subject or, in some cases everything. Pendapat lain, nup dan nug merupakan kasus yang berbeda. A case report matthew a loeb1, michael reid1, william buchanan 2, jennifer bain2 1advanced general dentistry, university of mississippi medical center, school of dentistry, usa, 2periodontics and preventive sciences university of mississippi medical center, school of dentistry, usa. What links here related changes upload file special pages permanent link page. Acute necrotizing ulcerative gingivitis anug is described as a rapidly destructive, noncommunicable, gingival infection of complex etiology. Necrotizing ulcerative periodontitis in a hiv seronegative patient a case report. Local sources of mouth odors are mainly the tongue and the gingival sulcus and include retention of odoriferous food particles on and between the teeth, coated tongue, necrotizing ulcerative gingivitis nug, dehydration states, caries, artificial dentures, smokers breath, and healing surgical or extraction wounds. Acute necrotizing ulcerative gingivitis anug is a common, noncontagious infection of the. Other risk factors are poor oral hygiene, nutritional deficiencies, immunodeficiency eg, hivaids, use of immunosuppressive drugs, and sleep deprivation.
Necrotizing periodontal diseases chapter 9 flashcards. Necrotizing periodontitis in the context of takayasus disease. In this paper the terms necrotizing gingivitis ng and necrotizing periodontitis np are used in preference to the usual terms necrotizing ulcerative gingivitis and necrotizing ulcerative periodontitis. Case report necrotizing ulcerative gingivitis in the. The periodontal disease classification system of the. Nup is a destructive form of periodontitis with loss of attachment occurring rapidly within days. Periodontal or gum disease is a common condition affecting the tissues that comprise the dental supporting structure.