Phiri R, Feller L, Blignaut E J Int Acad Periodontol 2010 Oct;12(4):98-103. Sangani I, Watt E, Cross D. Necrotizing ulcerative gingi- Princ Pract 2011;20:374–6. Dr. Souvik Chatterjee MDS IInd year Department of Periodontology and Oral Implantology. The infection may lead to rapid destruction of the periodontal tissues and can spread into nearby tissues such as the cheeks, … Treatment of ANUG Acute necrotizing ulcerative gingivitis Oral hygiene measures: Scaling and polishing and counseling on the maintenance of good oral hygiene. 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. Symptoms are acute pain, bleeding, and foul breath. Stomatitis means a sore mouth. 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. It is based on expert opinion in a review article which recommends pain control and suggests ibuprofen and paracetamol as options [ … The main features are painful, bleeding gums, and ulceration of inter-dental papillae (the sections of gum between adjacent teeth). 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 Radiographs. • They are rapidly destructive & debilitating & represents 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). Its identification and treatment is a challenge, but a necessity, for adult and pediatric practitioners alike. Necrotizing ulcerative gingivitis is a periodontal disease commonly called trench mouth or Vincent angina. If left untreated, the infection can lead to the necrosis of gum tissues and may spread to other areas of the body. Learn acute necrotizing ulcerative gingivitis (ANUG) with free interactive flashcards. long-standing cases, can extend to the deeper periodontal structures resulting in deep, crater-like osseous Gingivitis. The trimeric model of periodontal treatment planning, Classification of gingival & periodontal diseases, No public clipboards found for this slide, 027.necrotizing ulcerative periodontitis NUP. PMID: 21128527 The often severe gingival pain that characterizes ANUG distinguishes it from the more common chronic periodontitis which is rarely painful. Local irritants should be eliminated to foster normal metabolic and reparative processes in the gingival. This destroys the ligaments which anchor teeth in their sockets. Necrotizing ulcerative periodontitis (NUP), necrotizing periodontitis (NP) or acute necrotizing ulcerative periodontitis (ANUP) occurs when the infection leads to attachment loss. Non-AIDS Type NUP PPT – Pathogenesis and Management of Acute Necrotising Ulcerative Gingivitis PowerPoint presentation | free to download - id: 3eb91f-YTQxM. Disease or Syndrome T The patient reported that he had taken some medicines such as antiviral treatment acyclovir and anti-inflammatory drugs diclofenac. Acute necrotizing ulcerative gingivitis (ANUG) refers to the clinical onset of NUG. i. Ulceration and necrosis of gingival margin, which gets covered by a pseudomembranous slough. 1995). Diagnosis is clinically determined. 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. J Periodont Res 2003; 38:147- Periodontol 2000 1994; 6:116–124. 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 (ANUG; colloquially known as trench mouth) Is a common, non-contagious infection of the gums with sudden onset. 3. periodontitis(NUP), necrotizing stomatitis (NS) are the most Giovani EM, et al. Clipping is a handy way to collect important slides you want to go back to later. Acute Necrotizing Ulcerative Gingivitis is a much more severe condition than normal gingivitis, which can finally lead the death of gum tissue. PMID: 10450809. It is generally characterised by mouth ulceration and tissue death (necrosis), in addition to attachment loss and bone destruction. 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. Fever, malaise and Necrotizing ulcerative gingival lesions are common in developing countries because of poor nutritional status, poor oral hygiene and debilitating … Hunter describes the clinical features of ANUG in 1778, differentiating it from scurvy (avitaminosis C) and chronic periodontitis . • Introduction: Necrotizing ulcerative periodontitis (NUP) Necrotizing ulcerative periodontitis (NUP) is characterized by soft tissue necrosis, rapid periodontal destruction, and interproximal bone loss. Regarding necrotizing periodontal diseases, necrotizing ulcerative gingivitis (60%) was more prevalent than necrotizing ulcerative periodontitis (40%). Causes . 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. 1. If you continue browsing the site, you agree to the use of cookies on this website. HIV periodontitis NUP (Necrotizing ulcerative periodontitis) is characterized by soft tissue necrosis and rapid periodontal destruction that results in marked interproximal bone loss. 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. Now customize the name of a clipboard to store your clips. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. If you continue browsing the site, you agree to the use of cookies on this website. The Adobe Flash plugin is needed to view this content. Necrotizing ulcerative gingivitis (NUG) is an acute bacterial infection caused by fusiform rods and spirochetes (Borrelia vincentii). Pathology and Management of Periodontal Problems in Patients with Human Immunodeficiency Virus Infection. Acute necrotizing ulcerative gingivitis occurs more frequently in smokers. See our User Agreement and Privacy Policy. Periodontitis As A Manifestation Of Systemic Diseases PPT. When NUG progresses and results in attachment loss, it is referred to as necrotizing ulcerative periodontitis (NUP). The ulcerated margins are surrounded by an erythematous halo. In the 1999 classification, necrotizing ulcerative gingivitis (NUG) and necrotizing ulcerative periodontitis (NUP) were included among NDPs. Periodontal Examination and Diagnosis 33. Acute necrotising ulcerative gingivitis (ANUG) is an opportunistic, non-infectious necrotising periodontal condition. See our Privacy Policy and User Agreement for details. Destructive form of periodontal diseases characterized by gingival necrosis presentation Summary: Oral ulcerations, severe gingivitis, which finally. Eliminated to foster normal metabolic and reparative processes in the mouth a periodontal is. 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