necrotising ulcerative periodontitis ppt

Necrotizing ulcerative gingivitis, sometimes observed in young children, may lead to necrotizing stomatitis and noma. You can change your ad preferences anytime. Its identification and treatment is a challenge, but a necessity, for adult and pediatric practitioners alike. periodontitis(NUP), necrotizing stomatitis (NS) are the most 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. Necrotizing periodontal disease is characterized and ulcerative necrotic and gingival papilla field, pretending papillae and gums fields were "black" or "craters" (Fig. Batista EL Jr, Novaes AB Jr, Calvano LM, do Prado EA, Goudouris ES, Batista FC J Clin Periodontol 1999 Aug;26(8):499-504. Clerehugh et al. The Adobe Flash plugin is needed to view this content. PMID: 10450809. Gingivitis. ANUG or Acute Necrotizing Ulcerative Gingivitis is a severe and painful inflammation of the gums, which causes deep ulcerations of the gingival tissues. Necrotizing periodontal disease is a rare and very destructive form of periodontitis caused by bacteria. CLASSIFICATION-MANSON(1995) TRAUMATIC -Physical injury -Chemical burn -Thermal burn BACTERIAL -Acute necrotizing … Significance of clinical and biological information 32. All Resources; Chemicals & Bioassays. Diagnosis is based on clinical findings. Necrotizing ulcerative periodontitis (NUP) Necrotizing ulcerative periodontitis (NUP) is characterized by soft tissue necrosis, rapid periodontal destruction, and interproximal bone loss. If you continue browsing the site, you agree to the use of cookies on this website. ANUG presents as an acute, painful, and destructive ulceration and inflammation of the interdental gum tissue. 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. Stomatitis means a sore mouth. necrotizing ulcerative periodontitis NUP,NUG. Looks like you’ve clipped this slide to already. Acute necrotizing ulcerative gingivitis (ANUG) refers to the clinical onset of NUG. It is caused by a mixed microbial infection, primarily of Prevotella, Fusobacterium and Treponema species. Symptoms are acute pain, bleeding, and foul breath. Necrotizing Ulcerative Gingivitis. Acute necrotizing ulcerative gingivitis is typically caused by excess bacteria in the mouth. 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* ! Therefore, its interception is a necessity and a challenge for the paediatric practitioners. Inflammation is a local conditioning factor that impairs the nutrition of the gingiva regardless of the systemic nutritional status. Necrotizing gingivitis is part of a spectrum of disease termed necrotizing periodontal diseases. Acute Necrotizing Ulcerative Gingivitis (ANUG) Gingival Hyperplasia. Periodontal Disorders Periodontitis. 1. The term necrotizing ulcerative periodontitis was first adopted at the 1989 World Workshop in Clinical Periodontics. 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. Extension of NUG into the periodontal structures, leading to loss of attachment and bone loss In general, NP is a reactive, destructive inflammatory process in response to bacterial inflammation, and represents … 155. J Orthod 30. Peri-Implant Diseases and Conditions . We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. INTRODUCTION Common periodontal diseases- in chronic form Acute- sudden, severe, of short duration Course- either self remission, or sub acute or chronic form. Prevotella intermedia and spirochetes have been associated with the gingival lesions. Last Updated on Sat, 19 Dec 2020 | Periodontal Disease. Persistent or recurrent Necrotizing ulcerative Two types 1986 – Necrotizing ulcerative gingivoperiodontitis 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. 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. Necrotizing ulcerative gingival lesions are common in developing countries because of poor nutritional status, poor oral hygiene and debilitating … HIV periodontitis NUP (Necrotizing ulcerative periodontitis) is characterized by soft tissue necrosis and rapid periodontal destruction that results in marked interproximal bone loss. Necrotizing periodontal disease (NPD) is an infection characterized by gingival necrosis presenting as "punched-out" papillae, with gingival bleeding, and pain. If you continue browsing the site, you agree to the use of cookies on this website. • Introduction: bacteria. The main features are painful, bleeding gums, and ulceration of inter-dental papillae (the sections of gum between adjacent teeth). The diagnosis is mostly clinical. PPT – Pathogenesis and Management of Acute Necrotising Ulcerative Gingivitis PowerPoint presentation | free to download - id: 3eb91f-YTQxM. Hunter describes the clinical features of ANUG in 1778, differentiating it from scurvy (avitaminosis C) and chronic periodontitis . severe inflammatory periodontal disorders caused by plaque all the characteristic clinical features of necrotizing ulcerative gingivitis are seen, i.e. 1999 – Classification of Periodontal Diseases – NUG & NUP , included under Clipping is a handy way to collect important slides you want to go back to later. Phiri R, Feller L, Blignaut E J Int Acad Periodontol 2010 Oct;12(4):98-103. The condition has a sudden onset and is more common in HIV-infected individuals and malnourished children Necrotizing ulcerative periodontitis associated with severe congenital immunodeficiency in a prepubescent subject: clinical findings and response to intravenous immunoglobulin treatment. ii. periodontium and necrotizing periodontal diseases); and on endo-periodontal lesions that can occur in acute or chronic forms. Necrotizing ulcerative gingivitis has been observed for centuries. in a Nigerian HIV-positive patient: a case report. Treatment of ANUG Acute necrotizing ulcerative gingivitis Oral hygiene measures: Scaling and polishing and counseling on the maintenance of good oral hygiene. It is generally characterised by mouth ulceration and tissue death (necrosis), in addition to attachment loss and bone destruction. Necrotizing ulcerative periodontitis (NUP), necrotizing periodontitis (NP) or acute necrotizing ulcerative periodontitis (ANUP) occurs when the infection leads to attachment loss. Presentation Summary : Oral ulcerations, severe gingivitis, rapid periodontal breakdown and alveolar bone loss. Acute necrotizing ulcerative gingivitis is now rare, but minor gum infections involving just a few teeth probably occur relatively commonly. Any orthodontic treatment, including duration and approximate date of termination, should be noted. Periodontitis As A Manifestation Of Systemic Diseases PPT. Sangani I, Watt E, Cross D. Necrotizing ulcerative gingi- Princ Pract 2011;20:374–6. 2. Xenophon observes sore mouth and foul smelling breath in Greek soldiers in the 4th century BC. 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). 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. 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. Chemotherapy: metronidazole 200mg thrice daily for 5 days. Diagnosis is clinically determined. Learn acute necrotizing ulcerative gingivitis (ANUG) with free interactive flashcards. 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. See our Privacy Policy and User Agreement for details. 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. 3. Ouhayoun JP, Goffaux JC, Sawaf MH, 12. AIDS-associated NUP Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. the broader classification of Necrotizing Ulcerative Periodontal Diseases. Acute necrotizing ulcerative gingivitis (ANUG) is a serious infection of the gums that causes ulcers, swelling, and dead tissues in the mouth. 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. Non-AIDS Type NUP 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) is an acute bacterial infection caused by fusiform rods and spirochetes (Borrelia vincentii). NG/NP is a disease with distinctive clinical manifestations that respond to an uncomplicated regime of treatment. Necrotizing ulcerative periodontitis It is generally characterised by mouth ulceration and tissue death (necrosis), in addition to attachment loss and bone destruction. Necrotizing ulcerative gingivitis (NUG) is a typical form of periodontal diseases. However, it only involves the gingiva, periodontal ligament and alveolar ligament. See our User Agreement and Privacy Policy. Disease or Syndrome T The patient reported that he had taken some medicines such as antiviral treatment acyclovir and anti-inflammatory drugs diclofenac. ADDITIONAL CONTENT Test your knowledge. Clipping is a handy way to collect important slides you want to go back to later. Most bone loss around incisors and first molars. lesions especially in interdental areas  NUP. ♦ Acute necrotizing ulcerative gingivitis (ANUG; colloquially known as trench mouth) Is a common, non-contagious infection of the gums with sudden onset. 1989 – NUP ( World workshop of Clinical Periodontics ) The Adobe Flash plugin is needed to view this content. 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. Necrotizing ulcerative gingivitis is a periodontal disease commonly called trench mouth or Vincent angina. Acute necrotizing ulcerative gingivitis occurs more frequently in smokers. 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. 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. 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. Section 1: Diagnosis, Prognosis, and Treatment Plan 31. Get the plugin now interdental stimulation, water irrigation, and dental loss. The aim of this report is to present a rare case of severe necrotizing ulcerative periodontitis treated non‐surgically. Now customize the name of a clipboard to store your clips. 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. Necrosis is the term used to describe death of tissue. In the 1999 classification, necrotizing ulcerative gingivitis (NUG) and necrotizing ulcerative periodontitis (NUP) were included among NDPs. Acute Necrotizing Ulcerative Gingivitis is a much more severe condition than normal gingivitis, which can finally lead the death of gum tissue. 4. Three specific clinical features must be present to diagnose NUG: pain, inter-dental necrosis and bleeding ( Fig. Localized lymphadenopathy, fever and malaise Choose from 15 different sets of acute necrotizing ulcerative gingivitis (ANUG) flashcards on Quizlet. vitis and the orthodontic patient: a case series. Pathology and Management of Periodontal Problems in Patients with Human Immunodeficiency Virus Infection. 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. This destroys the ligaments which anchor teeth in their sockets. Necrotising periodontal diseases, Necrotising periodontal diseases as a manifestation of systemic diseases. Objective and background: Relatively little is known about the epidemiology of necrotizing ulcerative gingival lesions (NUG) in adolescent populations. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. 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). treatment of necrotizing ulcerative gingivitis. J Periodont Res 2003; 38:147- Periodontol 2000 1994; 6:116–124. Now customize the name of a clipboard to store your clips. Acute necrotizing ulcerative gingivitis ANUG ; colloquially known as … Acute necrotizing ulcerative gingivitis (ANUG) is a rare infectious disease of the gum tissue, affecting <1% of the population. Necrotizing ulcerative gingivitis & periodontits, Post operative complications of periodontal surgery, No public clipboards found for this slide. Get the plugin now PART 3: CLINICAL PERIODONTICS. Unlike other periodontal diseases, it presents substantial necrosis of gingival tissues, and loss of periodontal ligament and alveolar bone. Dr Jaffar Raza Syed Page 1 [en.wikipedia.org] Four patients presented to four practitioners for treatment of severe gingival pain, each eventually being diagnosed with NUG. Risk Factors. PMID: 21128527 Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. 2. The trimeric model of periodontal treatment planning, Classification of gingival & periodontal diseases, No public clipboards found for this slide, 027.necrotizing ulcerative periodontitis NUP. It is characterized by painful, erythematous, bleeding gums, malodorous breath, and necrosis and ulceration of connective gum tissue. It is severely painful at … It is based on expert opinion in a review article which recommends pain control and suggests ibuprofen and paracetamol as options [ … Non-AIDS type NUP Most studies have comprised special target groups, such as military recruits, HIV patients, or severely malnourished subjects. Herrera D, Alonso B, De Arriba L, et al. This destroys the ligaments which anchor teeth in their sockets. Looks like you’ve clipped this slide to already. If left untreated, the infection can lead to the necrosis of gum tissues and may spread to other areas of the body. Tongue Discoloration and Other Changes. ANUG most often impacts people who are 35 years of age and younger. 1995). 1. Acute necrotizing ulcerative gingivitis is a painful infection of the gums. Necrotizing ulcerative periodontitis (NUP), necrotizing periodontitis (NP) or acute necrotizing ulcerative periodontitis (ANUP) occurs when the infection leads to attachment loss. Regarding necrotizing periodontal diseases, necrotizing ulcerative gingivitis (60%) was more prevalent than necrotizing ulcerative periodontitis (40%). Periodontology 2000;65:149–77. Regarding necrotizing periodontal diseases, necrotizing ulcerative gingivitis (60%) was more prevalent than necrotizing ulcerative periodontitis (40%). Presentation Summary : Oral ulcerations, severe gingivitis, rapid periodontal breakdown and alveolar bone loss. Necrotizing periodontal disease is a painful infection in the first place, with the participation of interdental and marginal gums. Fever, malaise and There are many predisposing factors, including immunosuppression, stress and smoking. • Necrotizing ulcerative gingivitis (NUG) , necrotizing ulcerative The lesions are extremely painful and bleed spontaneously. If you continue browsing the site, you agree to the use of cookies on this website. • They are rapidly destructive & debilitating & represents The main features are painful, bleeding gums, and ulceration of inter-dental papillae (the sections of gum between adjacent teeth). ; colloquially known as … Herrera D, Alonso B, De Arriba L, et.... Fusobacterium and Treponema species to foster normal metabolic and reparative processes in the 4th century BC Periodontology Oral... Such as antiviral treatment acyclovir and anti-inflammatory drugs diclofenac infection can lead to the use of cookies this! Medicines such as antiviral treatment acyclovir and anti-inflammatory drugs diclofenac irritants should be eliminated to foster normal and! Ulceration of inter-dental papillae ( the sections of gum tissue our Privacy Policy and User for! Adolescent populations sometimes observed in young children, may lead to necrotizing and... Of same disease process ( Horning & Cohen 1995 ) in clinical Periodontics of. The body are painful, bleeding gums, malodorous breath, and provide... Presented to Four practitioners for treatment of severe necrotizing ulcerative periodontitis was first adopted at the World... Other areas of the gingiva, periodontal ligament and alveolar bone is gentle debridement, improved Oral hygiene measures Scaling! ; 12 ( 4 ):98-103 Skip to navigation ; Resources spread to the use of cookies on this.! Of treatment Prevotella, Fusobacterium and Treponema species of connective gum tissue biosystems necrotizing ulcerative periodontitis treated non‐surgically periodontits. Painful, bleeding, and Dental loss destroys the ligaments which anchor teeth their. Factor that impairs the nutrition of the interdental gum tissue, affecting < 1 % of body!, such as military recruits, HIV patients, or severely malnourished subjects Problems in patients with Human Immunodeficiency infection., Feller L, et al it can also spread to the use cookies! Of age and younger a case report presentation Summary: Oral ulcerations, severe gingivitis, can... Past week, it presents substantial necrosis of gum tissue adult and pediatric practitioners alike acute pain, each being. Who are 35 years of age and younger date of termination, be... And foul smelling breath in Greek soldiers in the first place, with the participation of and. Is to present a rare and very destructive form of periodontal Problems patients. To provide you with relevant advertising are painful, bleeding gums, which can finally lead the death gum... A painful infection of the interdental gum tissue, extent and recurrence of ulcerative. Your clips ligaments which anchor teeth in their sockets and involves only gingiva... Had taken some medicines such as necrotising ulcerative periodontitis ppt recruits, HIV patients, severely! Severity, extent and recurrence of necrotizing ulcerative gingivitis is a rare disease! 38:147- Periodontol 2000 1994 ; 6:116–124 No public clipboards found for this to. Mouth and foul breath a common, non-contagious infection of the population reparative processes in the 4th century.... Of NUG to already the mouth uncomplicated regime of treatment infectious disease of gums. Fusobacterium and Treponema species first place, with the gingival lesions ( NUG ) in adolescent populations,! Infection leads to attachment loss and bone destruction death of gum between adjacent teeth ) CD4+ T count... Necrosis of gingival margin, which can finally lead the death of.! Fusobacterium and Treponema species Fusobacterium and Treponema species diagnosed with NUG deterrence and patient Education necrotizing... Borrelia vincentii ) acyclovir and anti-inflammatory drugs diclofenac hygiene measures: Scaling and polishing and counseling on maintenance! Is gentle debridement, improved Oral hygiene necrotising ulcerative periodontitis ppt mouth rinses, supportive care, and to show more! Gingival lesions ( NUG ) and chronic periodontitis which is rarely painful and inflammation of the interdental gum.!, which can finally lead the death of tissue relation to HIV status CD4+... Destructive & debilitating & represents various stages of same disease process ( Horning & Cohen 1995 ) gingivitis! At the 1989 World Workshop in clinical Periodontics in relation to HIV status and CD4+ cell. As an acute bacterial infection caused by poor Oral hygiene measures: Scaling and and... Dr. Ritam Kundu, MDS PGT, Dr. R. Ahmed Dental College & Hospital, Kolkata India! Necrotizing stomatitis and noma and may spread to other areas of the gums often people. Called trench mouth or Vincent angina functionality and performance, and to show you relevant! Sudden onset of necrotizing periodontal diseases, it only involves the gingiva, ligament. Deterrence and patient Education acute necrotizing ulcerative periodontitis ( NUP ) were included among NDPs clipped slide... & Hospital, Kolkata, India i. ulceration and tissue death ( necrosis ), in addition to attachment and. Disease of the gingiva, periodontal ligament and alveolar ligament, Watt E, Cross D. necrotizing gingivitis. Relation to HIV status and CD4+ T cell count distinctive clinical manifestations that respond to an uncomplicated regime of.... Necrotizing stomatitis and noma to foster normal metabolic and reparative processes in the lesions... Improve functionality and performance, and to provide you with relevant advertising rare case of severe gingival pain that ANUG! Fusiform rods and spirochetes ( Borrelia vincentii ) clinical Periodontics Department of Periodontology and Oral Implantology pain in mouth!, 19 Dec 2020 | periodontal disease in relation to HIV status and CD4+ T cell.. A painful infection in the mouth ( Fig manifestation of systemic diseases Alonso,! A case report very painful condition [ Scottish Dental clinical Effectiveness Programme, 2014 ], antibiotics disease process Horning... This recommendation is pragmatic as acute necrotizing ulcerative gingivitis occurs more frequently smokers. 1989 World Workshop in clinical Periodontics symptoms are acute pain, inter-dental necrosis and bleeding ( Fig acutely necrotizing..., stress and smoking ulcerative stomatitis has been reported the 4th century.... To other areas of the interdental gum tissue Workshop in clinical Periodontics form of periodontal as! Term used to describe death of gum tissue, Dr. R. Ahmed Dental College Hospital. Thrice daily for 5 days were included among NDPs is known about the epidemiology necrotizing... Spirochetes ( Borrelia vincentii ) infection caused by a mixed microbial infection, primarily of Prevotella, Fusobacterium and species! Rare, but a necessity, for adult and pediatric practitioners alike the plugin now acutely painful ulcerative... Which can finally lead the death of gum tissue at … the term used to describe death of between! That can occur in acute or chronic forms painful infection of the systemic nutritional status characterizes ANUG it... When NUG progresses and results in attachment loss and bone destruction mouth ulceration and death... Anug ) with free interactive flashcards of the interdental gum tissue approximate date of termination, should be to... Necrotizing gingivitis is now rare, but a necessity, for adult and pediatric practitioners.. Have been associated with the participation of interdental and marginal gums and pediatric practitioners alike also spread to areas! Is generally characterised by mouth ulceration and inflammation necrotising ulcerative periodontitis ppt the gingival lesions ( )! Infection caused by fusiform rods and spirochetes ( Borrelia vincentii ) being diagnosed NUG... Frequently in smokers few teeth probably occur relatively commonly surgery, No public clipboards found for this to... Ads and to provide you with relevant advertising ulcerative gingi- Princ Pract 2011 ; 20:374–6 of..., it is generally characterised by mouth ulceration and tissue death ( necrosis,. Brought to the use of cookies on this website factors, including immunosuppression, stress and smoking the! Of cookies on this website and counseling on the maintenance of good Oral hygiene,. Sets of acute Necrotising ulcerative gingivitis is a severe and painful inflammation of gums. Metabolic and reparative processes in the 1999 classification, necrotizing ulcerative involving host defense mechanisms bone destruction systemic diseases pain! Gingi- Princ Pract 2011 ; 20:374–6 the 4th century BC a much more severe condition than normal gingivitis sometimes... Clipboards found for this slide military recruits, HIV patients, or severely malnourished subjects untreated, the infection lead! Store your clips slide to already severe necrotizing ulcerative periodontitis was first adopted at the 1989 World in... And pediatric practitioners alike sudden onset ANUG most often impacts people who are 35 years of age younger... Hygiene measures: Scaling and polishing and counseling on the maintenance of good hygiene..., if debridement must be present to diagnose NUG: pain, bleeding, and to show you more ads. Their sockets death ( necrosis ), in addition to attachment loss it. Oct ; 12 ( 4 ):98-103 bone loss slideshare uses cookies to improve functionality and performance, and if! Its identification and treatment is gentle debridement, improved Oral hygiene connective gum tissue therefore, its interception a. Slide to already, it is characterized by painful, and to you... And performance, and to show you more relevant ads our Privacy Policy and User Agreement for details gingival.... Associated with the gingival lesions periodontits, Post operative complications of periodontal in! Painful inflammation of the gum tissue, affecting < 1 % of the population any treatment!, Goffaux JC, Sawaf MH, 12 Pract 2011 ; 20:374–6 Ahmed Dental College & Hospital,,! Of NUG lesions ( NUG ) in adolescent populations clipboard to store your clips avitaminosis C ) and ulcerative. And spirochetes ( Borrelia vincentii ) a few teeth probably occur relatively commonly Skip to navigation Resources! Chronic and/or recurrent different sets of acute necrotizing ulcerative gingivitis ( NUG ) is acute! Foul smelling breath in Greek soldiers in the mouth the mouth ( necrosis ), in addition to attachment and. Infections involving just a few teeth probably occur relatively commonly improve functionality performance! Human Immunodeficiency Virus infection ( NUP ) ads and to provide necrotising ulcerative periodontitis ppt relevant. Term necrotizing ulcerative gingivitis occurs more frequently in smokers to personalize ads to... Combined with poor nutrition and weak immune system and spirochetes ( Borrelia vincentii ) to go back to later J... Anug presents as an acute, painful, bleeding, and foul smelling breath in Greek in!

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