Necrotizing ulcerative gingivitis (NUG) is a typical form of periodontal diseases. [en.wikipedia.org] Four patients presented to four practitioners for treatment of severe gingival pain, each eventually being diagnosed with NUG. Acute Necrotizing Ulcerative Gingivitis is a much more severe condition than normal gingivitis, which can finally lead the death of gum 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. Necrosis is the term used to describe death of tissue. Herrera D, Alonso B, De Arriba L, et al. Acute necrotizing ulcerative gingivitis (ANUG) is a serious infection of the gums that causes ulcers, swelling, and dead tissues in the mouth. The term necrotizing ulcerative periodontitis was first adopted at the 1989 World Workshop in Clinical Periodontics. The term necrotizing ulcerative periodontitis was first adopted at the 1989 World Workshop in Clinical Periodontics. Necrotizing ulcerative periodontitis Necrotizing ulcerative gingivitis & periodontits, Post operative complications of periodontal surgery, No public clipboards found for this slide. By Dr. Ritam Kundu, MDS PGT, Dr. R. Ahmed Dental College & Hospital, Kolkata, India. Acute periodontal Severe presentation of necrotizing ulcerative periodontitis lesions. Significance of clinical and biological information 32. See our Privacy Policy and User Agreement for details. The Adobe Flash plugin is needed to view this content. The ulcerated margins are surrounded by an erythematous halo. 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. Pathology and Management of Periodontal Problems in Patients with Human Immunodeficiency Virus Infection. When NUG progresses and results in attachment loss, it is referred to as necrotizing ulcerative periodontitis (NUP). all the characteristic clinical features of necrotizing ulcerative gingivitis are seen, i.e. Clerehugh et al. The condition has a sudden onset and is more common in HIV-infected individuals and malnourished children 4. Presentation Summary : Oral ulcerations, severe gingivitis, rapid periodontal breakdown and alveolar bone loss. J Periodont Res 2003; 38:147- Periodontol 2000 1994; 6:116–124. Fever, malaise and Tongue Discoloration and Other Changes. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. 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. 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. PPT – Pathogenesis and Management of Acute Necrotising Ulcerative Gingivitis PowerPoint presentation | free to download - id: 3eb91f-YTQxM. PMID: 10450809. The diagnosis is mostly clinical. 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 is typically caused by excess bacteria in the mouth. INTRODUCTION Common periodontal diseases- in chronic form Acute- sudden, severe, of short duration Course- either self remission, or sub acute or chronic form. It is generally characterised by mouth ulceration and tissue death (necrosis), in addition to attachment loss and bone destruction. severe inflammatory periodontal disorders caused by plaque iii. Periodontal Disorders Periodontitis. Learn acute necrotizing ulcerative gingivitis (ANUG) with free interactive flashcards. Acute necrotizing ulcerative gingivitis occurs more frequently in smokers. Get the plugin now It is severely painful at … Last Updated on Sat, 19 Dec 2020 | Periodontal Disease. 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. Necrotizing ulcerative periodontitis (NUP), necrotizing periodontitis (NP) or acute necrotizing ulcerative periodontitis (ANUP) occurs when the infection leads to attachment loss. Necrotizing Ulcerative Periodontitis Radiographs. Unlike other periodontal diseases, it presents substantial necrosis of gingival tissues, and loss of periodontal ligament and alveolar bone. 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* ! Batista EL Jr, Novaes AB Jr, Calvano LM, do Prado EA, Goudouris ES, Batista FC J Clin Periodontol 1999 Aug;26(8):499-504. • Introduction: • Necrotizing ulcerative gingivitis (NUG), necrotizing ulcerative periodontitis (NUP), necrotizing stomatitis (NS) are the most severe inflammatory periodontal disorders caused by plaque bacteria. Giovani EM, et al. This recommendation is pragmatic as acute necrotizing ulcerative gingivitis is a very painful condition [ Scottish Dental Clinical Effectiveness Programme, 2014 ]. Acute necrotizing ulcerative gingivitis (ANUG) is a common, non-contagious infection of the gums with sudden onset. Necrotizing periodontal disease is characterized and ulcerative necrotic and gingival papilla field, pretending papillae and gums fields were "black" or "craters" (Fig. Most studies have comprised special target groups, such as military recruits, HIV patients, or severely malnourished subjects. 1. ANUG or Acute Necrotizing Ulcerative Gingivitis is a severe and painful inflammation of the gums, which causes deep ulcerations of the gingival tissues. BioSystems The condition is caused by poor oral hygiene combined with poor nutrition and weak immune system. PPT – Pathogenesis and Management of Acute Necrotising Ulcerative Gingivitis PowerPoint presentation | free to download - id: 3eb91f-YTQxM. Now customize the name of a clipboard to store your clips. Case Presentation. Acute Necrotic Gingival Papillae of HIV- necrotizing ulcerative gingivitis: Risk factors Seropositive, Necrotizing Ulcerative involving host defense mechanisms. Get the plugin now Symptoms are acute pain, bleeding, and foul breath. Necrotizing gingivitis is part of a spectrum of disease termed necrotizing periodontal diseases. Periodontal Examination and Diagnosis 33. 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. Prevotella intermedia and spirochetes have been associated with the gingival lesions. It is based on expert opinion in a review article which recommends pain control and suggests ibuprofen and paracetamol as options [ … Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Fever, malaise and 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 periodontitis associated with severe congenital immunodeficiency in a prepubescent subject: clinical findings and response to intravenous immunoglobulin treatment. Section 1: Diagnosis, Prognosis, and Treatment Plan 31. Periodontitis. Choose from 15 different sets of acute necrotizing ulcerative gingivitis (ANUG) flashcards on Quizlet. 1999 – Classification of Periodontal Diseases – NUG & NUP , included under The lesions are extremely painful and bleed spontaneously. ii. The often severe gingival pain that characterizes ANUG distinguishes it from the more common chronic periodontitis which is rarely painful. There are many predisposing factors, including immunosuppression, stress and smoking. Necrotising periodontal diseases, Necrotising periodontal diseases as a manifestation of systemic diseases. Therefore, its interception is a necessity and a challenge for the paediatric practitioners. 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. Ouhayoun JP, Goffaux JC, Sawaf MH, 12. The aim of this report is to present a rare case of severe necrotizing ulcerative periodontitis treated non‐surgically. Any orthodontic treatment, including duration and approximate date of termination, should be noted. 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. Xenophon observes sore mouth and foul smelling breath in Greek soldiers in the 4th century BC. 1. Necrotizing Ulcerative Periodontitis 30. vitis and the orthodontic patient: a case series. Hunter describes the clinical features of ANUG in 1778, differentiating it from scurvy (avitaminosis C) and chronic periodontitis . acutely painful necrotizing ulcerative stomatitis has been reported. … Treatment is gentle debridement, improved oral hygiene, mouth rinses, supportive care, and, if debridement must be delayed, antibiotics. • Necrotizing ulcerative gingivitis (NUG) , necrotizing ulcerative ADDITIONAL CONTENT Test your knowledge. Looks like you’ve clipped this slide to already. You can change your ad preferences anytime. Acute Necrotizing Ulcerative Gingivitis is a much more severe condition than normal gingivitis, which can finally lead the death of gum tissue. Periodontitis As A Manifestation Of Systemic Diseases PPT. HIV periodontitis NUP (Necrotizing ulcerative periodontitis) is characterized by soft tissue necrosis and rapid periodontal destruction that results in marked interproximal bone loss. Acute necrotizing ulcerative gingivitis ANUG ; colloquially known as … Now customize the name of a clipboard to store your clips. various stages of same disease process (Horning & Cohen long-standing cases, can extend to the deeper periodontal structures resulting in deep, crater-like osseous INTRODUCTION. 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. Localized lymphadenopathy, fever and malaise i. Ulceration and necrosis of gingival margin, which gets covered by a pseudomembranous slough. Three specific clinical features must be present to diagnose NUG: pain, inter-dental necrosis and bleeding ( Fig. The trimeric model of periodontal treatment planning, Classification of gingival & periodontal diseases, No public clipboards found for this slide, 027.necrotizing ulcerative periodontitis NUP. 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. 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. J Orthod 30. Sangani I, Watt E, Cross D. Necrotizing ulcerative gingi- Princ Pract 2011;20:374–6. Acute necrotizing ulcerative gingivitis (ANUG) is a rare infectious disease of the gum tissue, affecting <1% of the population. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Persistent or recurrent Necrotizing ulcerative lesions especially in interdental areas  NUP. Acute necrotizing ulcerative gingivitis is a painful infection of the gums. 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). Regarding necrotizing periodontal diseases, necrotizing ulcerative gingivitis (60%) was more prevalent than necrotizing ulcerative periodontitis (40%). Clipping is a handy way to collect important slides you want to go back to later. This destroys the ligaments which anchor teeth in their sockets. If left untreated, the infection can lead to the necrosis of gum tissues and may spread to other areas of the body. in a Nigerian HIV-positive patient: a case report. Clipping is a handy way to collect important slides you want to go back to later. Most bone loss around incisors and first molars. periodontium and necrotizing periodontal diseases); and on endo-periodontal lesions that can occur in acute or chronic forms. 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. This destroys the ligaments which anchor teeth in their sockets. The patient appears to be … 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 gingivitis (NUG) is a gum infection characterized by gingival necrosis. 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. Peri-Implant Diseases and Conditions . Necrotizing ulcerative gingival lesions are common in developing countries because of poor nutritional status, poor oral hygiene and debilitating … PART 3: CLINICAL PERIODONTICS. Stomatitis means a sore mouth. 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. bacteria. • They are rapidly destructive & debilitating & represents 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. interdental stimulation, water irrigation, and dental loss. Necrotizing ulcerative periodontitis (NUP) Necrotizing ulcerative periodontitis (NUP) is characterized by soft tissue necrosis, rapid periodontal destruction, and interproximal bone loss. Necrotizing ulcerative gingivitis, sometimes observed in young children, may lead to necrotizing stomatitis and noma. The infection may lead to rapid destruction of the periodontal tissues and can spread into nearby tissues such as the cheeks, … Risk Factors. If you continue browsing the site, you agree to the use of cookies on this website. Necrotizing ulcerative gingivitis (NUG) is an acute bacterial infection caused by fusiform rods and spirochetes (Borrelia vincentii). Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Acute necrotizing ulcerative gingivitis (ANUG) refers to the clinical onset of NUG. iv. 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. 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. 155. 2. Looks like you’ve clipped this slide to already. 1995). Two types Disease or Syndrome T The patient reported that he had taken some medicines such as antiviral treatment acyclovir and anti-inflammatory drugs diclofenac. The main features are painful, bleeding gums, and ulceration of inter-dental papillae (the sections of gum between adjacent teeth). Necrotizing periodontal disease is a painful infection in the first place, with the participation of interdental and marginal gums. Necrotizing periodontitis (NP), previously referred to as necrotizing ulcerative periodontitis, is a specific subset of necrotizing periodontal diseases (NPD). Objective and background: Relatively little is known about the epidemiology of necrotizing ulcerative gingival lesions (NUG) in adolescent populations. Cocaine-associated rapid gingival recession and dental erosion. Necrotizing ulcerative gingivitis has been observed for centuries. In general, NP is a reactive, destructive inflammatory process in response to bacterial inflammation, and represents … 3. Phiri R, Feller L, Blignaut E J Int Acad Periodontol 2010 Oct;12(4):98-103. 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. Dr Jaffar Raza Syed Page 1 Dr. Souvik Chatterjee MDS IInd year Department of Periodontology and Oral Implantology. Presentation Summary : Oral ulcerations, severe gingivitis, rapid periodontal breakdown and alveolar bone loss. 1986 – Necrotizing ulcerative gingivoperiodontitis Necrotizing periodontal disease is a rare and very destructive form of periodontitis caused by bacteria. 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. It is generally characterised by mouth ulceration and tissue death (necrosis), in addition to attachment loss and bone destruction. Acute necrotising ulcerative gingivitis (ANUG) is an opportunistic, non-infectious necrotising periodontal condition. However, it only involves the gingiva, periodontal ligament and alveolar ligament. 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). 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. Non-AIDS Type NUP 17-8). Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. necrotizing ulcerative periodontitis NUP,NUG. Extension of NUG into the periodontal structures, leading to loss of attachment and bone loss Mixed microbial infection, primarily of Prevotella, Fusobacterium and Treponema species ( 40 % ) was more prevalent necrotizing. A typical form of periodontitis caused by excess bacteria in the gingival tissues interdental stimulation, water irrigation, to..., De Arriba L, et al Prevotella, Fusobacterium and Treponema species ulceration and inflammation of systemic. Just a few teeth probably occur relatively commonly, with the gingival lesions a painful! Painful inflammation of the population metabolic and reparative processes in the 1999 classification necrotizing! Infections involving just a few teeth probably occur relatively commonly chronic periodontitis which is rarely.! 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