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

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Basal cell adenoma Canalicular adenoma Ductal papilloma Monomorphic adenoma Myoepithelioma Oncocytoma Papillary cystadenoma lymphomatosum Pleomorphic adenoma Sebaceous adenoma Malignant: Diagnoses Chronic periodontitis Localized aggressive periodontitis Generalized aggressive periodontitis Gingivitls as a manifestation of systemic disease Periodontosis Necrotizing periodontal diseases Abscesses of the periodontium Combined periodontic-endodontic lesions.

Necrotizing periodontal disease is caused by a mixed bacterial infection that includes anaerobes such as P. The patient compliance was a positive factor in the favorable evolution of the clinical outcome.

The predisposing factors play a main role on NUG by the downregulation of the host immune response facilitating bacterial pathogenicity, these factors include: 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.

Related Topics in Infectious Disease. The synonym “trench mouth” arose during World War I as many soldiers developed the disease, probably because of the poor conditions and extreme psychological stress. Open in a separate window.

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.

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.

necrisante Systemic symptoms such as lymphadenopathy and malaise could be also found. Laboratory HIV test was done, and the result was negative [ Figure 5 ].


Disease or Syndrome T We also noted during physical examination a thin, febrile, tired male, but no adenopathy was noted on cervical ganglionic area examination. The patient reported subjective malaise, chills, and difficulty in eating due to the intensive pain.

Later inVincent describes the same pathogenic organisms in “ulceronecrotic gingivitis”. Oral hygiene instructions and motivation should be enforced.

Necrotizing ulcerative gingivitis NUG is a typical form of periodontal diseases. Archived from the original PDF on The patient was prescribed oral antibiotic mg metronidazole every 8 h for 7 days and oral mouth rinse 0. The treatment was undertaken urgently: Oral and maxillofacial pathology K00—K06, K11—K14—, — J Contemp Dent Pract.

Existing predisposing local factors, such as overhanging restorations and interdental open spaces, should be carefully evaluated and treated.

Necrotizing Ulcerative Gingivitis

The microbiota composition associated with NUG and found in lesion layers includes Treponema spp. D ICD – Necrotizing gingivitis is part of a spectrum of disease termed necrotizing periodontal diseases. These are superficial to deep the bacterial zone, the neutrophil rich zone, the necrotic zone and the spirochetal zone.

Introduction Necrotizing ulcerative gingivitis NUG is a distinct and specific form of periodontal diseases. A year-old male patient, with painful gingival inflammation evolving since 4 days, consulted urgently the Department of Periodontology, Faculty of Dentistry, University of Hassan II Morocco, in March A survey of cases. Uncommon, except in lower socioeconomic classes, this typically affects adolescents and young adults, especially in institutions, armed forces, etc.

He had a poor plaque control without any parafunction and was a nonsmoker. J Can Dent Assoc. Oral mucosa — Lining of mouth.

Acute Necrotizing Ulcerative Gingivitis

Gengivite necrotizzanteGengivite ulcerosaInfezione di VincentBocca da trinceaGengivite ulcerosa necrotizzante. Chlamydophila psittaci Psittacosis Chlamydophila pneumoniae. Finally, a good compliance with the oral hygiene practices and maintenance do guarantee better and stable outcomes.

Four different layers have necrosants described from the necrosantr superficial to the deepest layers of the lesion Listgarten et al. Conflicts of interest There are no conflicts of interest. However, it increased later on in patients with an immunocompromised condition, especially HIV-infected patients.


Its presence is probably related to the severity of the disease since it is usually observed in advanced cases. It is the most minor form of this spectrum, with more advanced stages being termed necrotizing periodontitis, necrotizing stomatitis and the ulcerro extreme, cancrum oris.

In developing countries, NUG necdosante occur in children of low socioeconomic status, usually occurring with malnutrition especially inadequate protein intake and shortly after the onset of viral infections e. The patient reported that he had taken some medicines such as antiviral treatment acyclovir and anti-inflammatory drugs diclofenac. This article is about the physiologic disorder.

Acute necrotizing ulcerative gingivitis

Orofacial soft tissues — Soft tissues around the mouth Actinomycosis Angioedema Basal cell carcinoma Cutaneous sinus of dental origin Cystic hygroma Gnathophyma Ludwig’s angina Macrostomia Melkersson—Rosenthal syndrome Microstomia Noma Oral Crohn’s disease Orofacial granulomatosis Perioral dermatitis Pyostomatitis vegetans.

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.

Treatment should be organized on successive steps, and the acute phase treatment should be provided immediately to prevent sequelae and craters in soft tissues that will lead to new relapses.

It is characterized by the development of necrotic, ulcerated, and gingivifis lesions with creation of pseudomembranes extending along the gingival margins. Acute necrotizing ulcerative gingivitis: Enfermedades periodontales ne- crosantes.

Diagnosisnecrotizing periodontal diseasesnecrotizing ulcerative gingivitistreatment.