ACUTE NECROTIZING ULCERATIVE GINGIVITIS

 Acute infection of the gingiva characterized by gingival necrosis,

bleeding and pain.
Is a non-contagious anaerobic
infection associated with
Risk factors: proliferation of Borrelia
 poor dental vincentii and fusiform bacteria.
hygiene
 poor nutrition
 smoking
 stress
 a weakened
immune system
infection of the Symptoms
mouth, teeth, or •bad breath or a bad taste in
throat the mouth
 HIV and AIDS •bleeding in response to
 Diabetes irritation (such as brushing)
or pressure
•craterlike ulcers in the
mouth
•fatigue
•fever
•grayish film on the gums
•gums that are red, swollen,
or bleeding
•pain in the gums
 Diagnosis They may also order X- Your doctor may check
rays to see if the infection for other symptoms, such
has spread to the bone as fever or fatigue.
beneath your gums.

Your dentist
may gently
prod your
gums to see
how easily
they bleed
when poked.

Treatment
 Debridement
 Rinses (eg, hydrogen peroxide,
chlorhexidine)
 Improved oral hygiene
They might also draw  Sometimes oral antibiotics are:
your blood to check for
other, possibly Amoxicillin, 250 mg 3 x daily for 7 days
undiagnosed conditions. and/or
Metronidazole, 250 mg 3 x daily for 7 days.