Necrotizing ulcerative gingivitis & periodontits, Post operative complications of periodontal surgery, No public clipboards found for this slide. Diagnosis is clinically determined. Local irritants should be eliminated to foster normal metabolic and reparative processes in the gingival. Necrotising periodontal diseases 1. Necrotising periodontal diseases, Necrotising periodontal diseases as a manifestation of systemic diseases. HIV periodontitis NUP (Necrotizing ulcerative periodontitis) is characterized by soft tissue necrosis and rapid periodontal destruction that results in marked interproximal bone loss. Necrotizing ulcerative periodontitis (NUP) Necrotizing ulcerative periodontitis (NUP) is characterized by soft tissue necrosis, rapid periodontal destruction, and interproximal bone loss. The Adobe Flash plugin is needed to view this content. 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. periodontium and necrotizing periodontal diseases); and on endo-periodontal lesions that can occur in acute or chronic forms. Necrotizing ulcerative periodontitis (NUP), necrotizing periodontitis (NP) or acute necrotizing ulcerative periodontitis (ANUP) occurs when the infection leads to attachment loss. ANUG or Acute Necrotizing Ulcerative Gingivitis is a severe and painful inflammation of the gums, which causes deep ulcerations of the gingival tissues. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Symptoms are acute pain, bleeding, and foul breath. 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. CLASSIFICATION-MANSON(1995) TRAUMATIC -Physical injury -Chemical burn -Thermal burn BACTERIAL -Acute necrotizing … 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. Periodontitis As A Manifestation Of Systemic Diseases PPT. The condition is caused by poor oral hygiene combined with poor nutrition and weak immune system. Batista EL Jr, Novaes AB Jr, Calvano LM, do Prado EA, Goudouris ES, Batista FC J Clin Periodontol 1999 Aug;26(8):499-504. It is generally characterised by mouth ulceration and tissue death (necrosis), in addition to attachment loss and bone destruction. However, it only involves the gingiva, periodontal ligament and alveolar ligament. 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. Necrotizing ulcerative gingivitis is a periodontal disease commonly called trench mouth or Vincent angina. The Adobe Flash plugin is needed to view this content. See our User Agreement and Privacy Policy. • Introduction: Non-AIDS Type 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. There are three major forms: Necrotising (ulcerative) gingivitis – affects only the gums Necrotizing Ulcerative Periodontitis 30. Peri-Implant Diseases and Conditions . 1995). Necrotizing ulcerative gingival lesions are common in developing countries because of poor nutritional status, poor oral hygiene and debilitating … Necrotizing gingivitis is part of a spectrum of disease termed necrotizing periodontal diseases. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. lesions especially in interdental areas  NUP. 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. Persistent or recurrent Necrotizing ulcerative Inflammation is a local conditioning factor that impairs the nutrition of the gingiva regardless of the systemic nutritional status. See our Privacy Policy and User Agreement for details. 1. bacteria. If you continue browsing the site, you agree to the use of cookies on this website. Periodontal Examination and Diagnosis 33. 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. Periodontitis. There are many predisposing factors, including immunosuppression, stress and smoking. The condition has a sudden onset and is more common in HIV-infected individuals and malnourished children Necrotizing ulcerative gingivitis, sometimes observed in young children, may lead to necrotizing stomatitis and noma. Herrera D, Alonso B, De Arriba L, et al. [en.wikipedia.org] Four patients presented to four practitioners for treatment of severe gingival pain, each eventually being diagnosed with NUG. Now customize the name of a clipboard to store your clips. The term necrotizing ulcerative periodontitis was first adopted at the 1989 World Workshop in Clinical Periodontics. Necrotizing ulcerative gingivitis (NUG) is a gum infection characterized by gingival necrosis. The main features are painful, bleeding gums, and ulceration of inter-dental papillae (the sections of gum between adjacent teeth). J Periodont Res 2003; 38:147- Periodontol 2000 1994; 6:116–124. PPT – Pathogenesis and Management of Acute Necrotising Ulcerative Gingivitis PowerPoint presentation | free to download - id: 3eb91f-YTQxM. See our User Agreement and Privacy Policy. If left untreated, the infection can lead to the necrosis of gum tissues and may spread to other areas of the body. i. Ulceration and necrosis of gingival margin, which gets covered by a pseudomembranous slough. severe inflammatory periodontal disorders caused by plaque Three specific clinical features must be present to diagnose NUG: pain, inter-dental necrosis and bleeding ( Fig. Any orthodontic treatment, including duration and approximate date of termination, should be noted. Most studies have comprised special target groups, such as military recruits, HIV patients, or severely malnourished subjects. Periodontology 2000;65:149–77. Pathology and Management of Periodontal Problems in Patients with Human Immunodeficiency Virus Infection. Objective and background: Relatively little is known about the epidemiology of necrotizing ulcerative gingival lesions (NUG) in adolescent populations. Clipping is a handy way to collect important slides you want to go back to later. Stomatitis means a sore mouth. Acute Necrotic Gingival Papillae of HIV- necrotizing ulcerative gingivitis: Risk factors Seropositive, Necrotizing Ulcerative involving host defense mechanisms. PMID: 10450809. The lesions are extremely painful and bleed spontaneously. Chemotherapy: metronidazole 200mg thrice daily for 5 days. 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. The term necrotizing ulcerative periodontitis was first adopted at the 1989 World Workshop in Clinical Periodontics. Presentation Summary : Oral ulcerations, severe gingivitis, rapid periodontal breakdown and alveolar bone loss. 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. 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* ! You can change your ad preferences anytime. 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. Get the plugin now ADDITIONAL CONTENT Test your knowledge. Therefore, its interception is a necessity and a challenge for the paediatric practitioners. The aim of this report is to present a rare case of severe necrotizing ulcerative periodontitis treated non‐surgically. Looks like you’ve clipped this slide to already. Cocaine-associated rapid gingival recession and dental erosion. It is characterized by painful, erythematous, bleeding gums, malodorous breath, and necrosis and ulceration of connective gum tissue. NG/NP is a disease with distinctive clinical manifestations that respond to an uncomplicated regime of treatment. Acute necrotizing ulcerative gingivitis ANUG ; colloquially known as … Extension of NUG into the periodontal structures, leading to loss of attachment and bone loss Get the plugin now Dr Jaffar Raza Syed Page 1 Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Unlike other periodontal diseases, it presents substantial necrosis of gingival tissues, and loss of periodontal ligament and alveolar bone. When NUG progresses and results in attachment loss, it is referred to as necrotizing ulcerative periodontitis (NUP). It can also spread to the tonsils and pharynx. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. It is severely painful at … The main features are painful, bleeding gums, and ulceration of inter-dental papillae (the sections of gum between adjacent teeth). Risk Factors. Acute Necrotizing Ulcerative Gingivitis is a much more severe condition than normal gingivitis, which can finally lead the death of gum tissue. INTRODUCTION Common periodontal diseases- in chronic form Acute- sudden, severe, of short duration Course- either self remission, or sub acute or chronic form. Clerehugh et al. 2. All Resources; Chemicals & Bioassays. acutely painful necrotizing ulcerative stomatitis has been reported. Necrotizing ulcerative periodontitis associated with severe congenital immunodeficiency in a prepubescent subject: clinical findings and response to intravenous immunoglobulin treatment. 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. Causes . Ouhayoun JP, Goffaux JC, Sawaf MH, 12. PART 3: CLINICAL PERIODONTICS. necrotizing ulcerative periodontitis NUP,NUG. ANUG presents as an acute, painful, and destructive ulceration and inflammation of the interdental gum tissue. 1989 – NUP ( World workshop of Clinical Periodontics ) It is generally characterised by mouth ulceration and tissue death (necrosis), in addition to attachment loss and bone destruction. NCBI; Skip to main content; Skip to navigation; Resources. Periodontal Disorders Periodontitis. The severity, extent and recurrence of necrotizing periodontal disease in relation to HIV status and CD4+ T cell count. Necrotizing ulcerative periodontitis NUP is where the infection leads to attachment loss, and involves only the gingiva, periodontal ligament and alveolar ligament. In general, NP is a reactive, destructive inflammatory process in response to bacterial inflammation, and represents … Acute necrotising ulcerative gingivitis (ANUG) is an opportunistic, non-infectious necrotising periodontal condition. 1. Clipping is a handy way to collect important slides you want to go back to later. AIDS-associated NUP 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. 155. ANUG most often impacts people who are 35 years of age and younger. Necrotizing periodontal disease is characterized and ulcerative necrotic and gingival papilla field, pretending papillae and gums fields were "black" or "craters" (Fig. Now customize the name of a clipboard to store your clips. Necrotizing ulcerative gingivitis (NUG) is a typical form of periodontal diseases. Periodontitis As A Manifestation Of Systemic Diseases PPT. Necrosis is the term used to describe death of tissue. 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. Acute Necrotizing Ulcerative Gingivitis (ANUG) Gingival Hyperplasia. INTRODUCTION. 3. Med 19. interdental stimulation, water irrigation, and dental loss. PPT – Pathogenesis and Management of Acute Necrotising Ulcerative Gingivitis PowerPoint presentation | free to download - id: 3eb91f-YTQxM. It is caused by a mixed microbial infection, primarily of Prevotella, Fusobacterium and Treponema species. The infection may lead to rapid destruction of the periodontal tissues and can spread into nearby tissues such as the cheeks, … • Introduction: • Necrotizing ulcerative gingivitis (NUG), necrotizing ulcerative periodontitis (NUP), necrotizing stomatitis (NS) are the most severe inflammatory periodontal disorders caused by plaque bacteria. Hunter describes the clinical features of ANUG in 1778, differentiating it from scurvy (avitaminosis C) and chronic periodontitis . Fever, malaise and Significance of clinical and biological information 32. 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. Learn acute necrotizing ulcerative gingivitis (ANUG) with free interactive flashcards. 1999 – Classification of Periodontal Diseases – NUG & NUP , included under The patient appears to be … See our Privacy Policy and User Agreement for details. 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 periodontal disease is a painful infection in the first place, with the participation of interdental and marginal gums. For the treatment of necrotizing periodontitis, antibiotics are usually given to kill the overgrowth of bacteria in the mouth. Necrotizing periodontal disease (NPD) is an infection characterized by gingival necrosis presenting as "punched-out" papillae, with gingival bleeding, and pain. Deterrence and Patient Education 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. Looks like you’ve clipped this slide to already. If you continue browsing the site, you agree to the use of cookies on this website. Necrotizing ulcerative periodontitis (NUP), necrotizing periodontitis (NP) or acute necrotizing ulcerative periodontitis (ANUP) occurs when the infection leads to attachment loss. all the characteristic clinical features of necrotizing ulcerative gingivitis are seen, i.e. This recommendation is pragmatic as acute necrotizing ulcerative gingivitis is a very painful condition [ Scottish Dental Clinical Effectiveness Programme, 2014 ]. 1986 – Necrotizing ulcerative gingivoperiodontitis Necrotizing ulcerative periodontitis Acute necrotizing ulcerative gingivitis (ANUG) is a serious infection of the gums that causes ulcers, swelling, and dead tissues in the mouth. Section 1: Diagnosis, Prognosis, and Treatment Plan 31. Most bone loss around incisors and first molars. 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. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. If improperly treated NUG may become chronic and/or recurrent. Acute necrotizing ulcerative gingivitis (ANUG) is a common, non-contagious infection of the gums with sudden onset. 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 ♦ Acute necrotizing ulcerative gingivitis (ANUG; colloquially known as trench mouth) Is a common, non-contagious infection of the gums with sudden onset. Localized lymphadenopathy, fever and malaise In the 1999 classification, necrotizing ulcerative gingivitis (NUG) and necrotizing ulcerative periodontitis (NUP) were included among NDPs. Dr. Souvik Chatterjee MDS IInd year Department of Periodontology and Oral Implantology. Acute necrotizing ulcerative gingivitis (ANUG) is a rare infectious disease of the gum tissue, affecting <1% of the population. By Dr. Ritam Kundu, MDS PGT, Dr. R. Ahmed Dental College & Hospital, Kolkata, India. Acute necrotizing ulcerative gingivitis is a painful infection of the gums. Its identification and treatment is a challenge, but a necessity, for adult and pediatric practitioners alike. This destroys the ligaments which anchor teeth in their sockets. 4. Necrotizing Ulcerative Gingivitis. treatment of necrotizing ulcerative gingivitis. Necrotizing Ulcerative Periodontitis Radiographs. 17-8). Acute Necrotizing Ulcerative Gingivitis is a much more severe condition than normal gingivitis, which can finally lead the death of gum tissue. Fever, malaise and Case Presentation. Acute periodontal Severe presentation of necrotizing ulcerative periodontitis lesions. 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. Treatment of ANUG Acute necrotizing ulcerative gingivitis Oral hygiene measures: Scaling and polishing and counseling on the maintenance of good oral hygiene. Necrotizing periodontitis (NP), previously referred to as necrotizing ulcerative periodontitis, is a specific subset of necrotizing periodontal diseases (NPD). 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. 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Appears to be … necrotizing ulcerative periodontitis treated non‐surgically a case report ulcerative gingivitis ( ANUG ) with interactive! Uncomplicated regime of treatment a local conditioning factor that impairs the nutrition of the interdental gum.... In adolescent populations mouth ulceration and necrosis and ulceration of inter-dental papillae the... ; 6:116–124 to an uncomplicated regime of treatment challenge for the past.... About the epidemiology of necrotizing ulcerative gingi- Princ Pract 2011 ; 20:374–6 of periodontitis by! By her grandmother because she has had pain in her mouth for the week!