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Necrotizing ulcerative gingivitis (NUG) is a typical form of periodontal diseases. It has an acute clinical presentation with the distinctive characteristics of rapid. MEDIDAS NO FARMACOLÓGICAS. Gingivitis ulcerativa necrosante o. Angina de Vincent (GUNA) en pacientes inmunodeprimidos,. VIH, leucemia, neutropenia. Aka: Acute Necrotizing Ulcerative Gingivitis, ANUG, Trench Mouth, Vincent’s . Gingivite ulcéreuse nécrosante, Maladie de Vincent, Gingivite ulcéro-nécrotique, .

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In the early stages some patients may complain of a feeling of tightness around the teeth. That might explain why the patient took antiviral drugs. Jean Hyacinthe Vincenta French physician working at the Paris Pasteur Institute describes a fusospirochetal infection of the pharynx and palatine tonsilscausing “ulcero-membranous pharyngitis and tonsillitis”, [5] which later became known as Vincent’s angina. These are superficial to deep the bacterial zone, the neutrophil rich zone, the necrotic zone and the spirochetal zone.

BMJ Case Rep Untreated, the infection may lead to rapid destruction of the periodontium and can spread, as necrotizing stomatitis or noma, into neighbouring tissues in the cheeks, lips or the bones of the jaw. Each ulceroneecrosante listed on the manuscript has significantly contributed and approved the submission of this version of the manuscript and takes full responsibility for the manuscript. The often gingivitiss gingival pain that characterizes ANUG distinguishes it from the more common chronic periodontitis which is rarely painful.

In the late s-early s, it was originally thought that some necrotizing periodontal diseases seen in severely affected AIDS patients were strictly a sequela of HIVand it was even called HIV-associated periodontitis. Eagle syndrome Hemifacial hypertrophy Facial hemiatrophy Yingivitis manifestations of systemic disease.

This case report describes the diagnosis approach and the conservative management with a good outcome of NUG in a year-old male patient with no systemic disease and gingicitis mechanism of pathogenesis of two predisposing factors involved. Temporomandibular hlceronecrosantemuscles of mastication and malocclusions — Jaw joints, chewing muscles and bite abnormalities Bruxism Condylar resorption Mandibular dislocation Malocclusion Crossbite Open bite Overbite Overeruption Overjet Prognathia Retrognathia Scissor bite Maxillary hypoplasia Temporomandibular joint dysfunction.


The patient compliance was a positive factor in the favorable evolution of the clinical outcome. He had also a stressful job; he worked as a model and was under a severe diet. Although the condition has a rapid onset and is debilitating, it usually resolves quickly and ulceroncerosante no serious harm. Moreover, finally, maintenance phase that allows stable outcomes.

Acute necrotizing ulcerative gingivitis – Wikipedia

Vincent’s angina is sometimes confused with NUG, however the former is tonsillitis and pharyngitis, and the latter involves the gums, and usually the two conditions uoceronecrosante in isolation from each other. The causative organisms are mostly anaerobic bacteria, particularly Fusobacteria and spirochete species.

Open in a separate window. Necrotizing ulcerative gingivitis NUG is ulceronecosante typical form of periodontal diseases. Bednar’s aphthae Cleft palate High-arched palate Palatal cysts of the newborn Inflammatory papillary hyperplasia Stomatitis nicotina Torus palatinus.

Necrotizing Ulcerative Gingivitis

Predisposing factors include poor oral hygiene, smoking, malnutrition, psychological stress and immunosuppression sub-optimal functioning of the immune system. NUG can heal without clinical sequelae.

Many other historical names for this condition and Vincent’s angina have occurred, including: Salivary glands Benign lymphoepithelial ulceronfcrosante Ectopic salivary gland tissue Frey’s syndrome HIV salivary gland disease Necrotizing sialometaplasia Mucocele Ranula Pneumoparotitis Salivary duct stricture Salivary gland aplasia Salivary gland atresia Salivary gland diverticulum Salivary gland fistula Salivary gland hyperplasia Salivary gland hypoplasia Salivary gland neoplasms Benign: Other bacterial morphotypes are not found.

The bacterial area with a superficial fibrous mesh composed of degenerated epithelial cells, leukocytes, cellular rests, and a wide variety of bacterial cells, including rods, fusiforms, and spirochetes. Managing patients with necrotizing ulcerative gingivitis. ANUG is the acute presentation of necrotizing ulcerative gingivitis NUGwhich is the usual course the disease takes.

Periodontal disorders Conditions of the mucous membranes Necrosis. Conflicts of interest There are ulceronecrosanye conflicts of interest. Uncommon, except in lower socioeconomic classes, this typically affects adolescents and young adults, especially in institutions, armed forces, etc.

A bacterial infectious process affecting the gums. However, it increased later on ulceronecroxante patients with an immunocompromised condition, especially HIV-infected patients. Search Bing for all related images.


Acute necrotizing ulcerative gingivitis

The bacteriology of acute necrotizing ulcerative gingivitis. Conventional therapy Debridement Scaling and root planing Full mouth disinfection Full mouth ultrasonic debridement. Cementicle Cementoblastoma Gigantiform Cementoma Eruption cyst Epulis Pyogenic granuloma Congenital epulis Gingival enlargement Gingival cyst of the adult Gingival cyst of the newborn Gingivitis Desquamative Granulomatous Plasma cell Hereditary gingival fibromatosis Hypercementosis Hypocementosis Linear gingival erythema Necrotizing periodontal diseases Acute necrotizing ulcerative gingivitis Pericoronitis Peri-implantitis Periodontal abscess Periodontal trauma Periodontitis Aggressive As a manifestation of systemic disease Chronic Perio-endo lesion Teething.

Metronidazole mg, every 8 h may be an appropriate first choice of drug because it is active against strict anaerobes. The clinical examination revealed a halitosis, erythematous, and swelling gingiva localized at the buccal side of the upper central, the upper, and lower lateral incisors and canines. Although access to this website is not restricted, the information found here is intended for use by medical providers.

Benign lymphoepithelial lesion Ectopic salivary gland tissue Frey’s syndrome HIV salivary gland disease Necrotizing sialometaplasia Mucocele Ranula Pneumoparotitis Salivary duct stricture Salivary gland aplasia Salivary gland atresia Salivary gland diverticulum Salivary gland fistula Salivary gland hyperplasia Salivary gland hypoplasia Salivary gland neoplasms Benign: The patient reported subjective malaise, chills, and difficulty in eating due to the intensive pain.

NUG has gingivitsi recognized for centuries. The proposed mechanisms to explain the association between psychological stress and NUG are based on reductions of the gingival microcirculation and salivary flow, increases in adrenocortical secretions which are associated with an alteration in the function of polymorphonuclear leukocytes and lymphocytes. Please help improve it to make it understandable to non-expertswithout removing the technical details.

Gingibitis patient was prescribed oral antibiotic mg metronidazole every 8 h for 7 days and oral mouth rinse 0. J Contemp Dent Pract. Systemic symptoms such as lymphadenopathy and malaise could be also found. Abstract Necrotizing ulcerative gingivitis NUG is a typical form of periodontal diseases.