DOI QR코드

DOI QR Code

Effective Management of Acute Necrotizing Ulcerative Gingivitis with Proper Diagnosis and Immediate Treatment

  • Kwon, Eun-Young (Dental Center, Pusan National University Hospital) ;
  • Choi, Youn-Kyung (Dental Center, Pusan National University Hospital) ;
  • Choi, Jeomil (Department of Periodontology, School of Dentistry, Pusan National University) ;
  • Lee, Ju-Youn (Department of Periodontology, School of Dentistry, Pusan National University) ;
  • Joo, Ji-Young (Department of Periodontology, School of Dentistry, Pusan National University)
  • Received : 2015.12.18
  • Accepted : 2016.09.29
  • Published : 2016.12.30

Abstract

Necrotizing periodontal diseases, especially acute necrotizing ulcerative gingivitis (ANUG), it should be noted, occur abruptly and progress rapidly, eventually causing severe soft-tissue and alveolar bone loss. This report presents the cases of two ANUG patients and provides a brief treatment protocol for easy and effective clinical management. After proper diagnosis, sequential treatment with cessation of mechanical brushing, along with a prescription of systemic antibiotics and chlorhexidine as a mouth rinse, scaling, root planing, and supportive periodontal therapy, was utilized. In all cases discussed in this report, there was marked improvement in a few days. ANUG, though an uncommon disease, can be efficiently managed with proper diagnosis and immediate treatment.

Keywords

References

  1. Armitage GC. Development of a classification system for periodontal diseases and conditions. Ann Periodontol. 1999; 4: 1-6. https://doi.org/10.1902/annals.1999.4.1.1
  2. Herrera D, Alonso B, de Arriba L, Santa Cruz I, Serrano C, Sanz M. Acute periodontal lesions. Periodontol 2000. 2014; 65: 149-77. https://doi.org/10.1111/prd.12022
  3. Horning GM, Cohen ME. Necrotizing ulcerative gingivitis, periodontitis, and stomatitis: clinical staging and predisposing factors. J Periodontol. 1995; 66: 990-8. https://doi.org/10.1902/jop.1995.66.11.990
  4. Albandar JM. Aggressive and acute periodontal diseases. Periodontol 2000. 2014; 65: 7-12. https://doi.org/10.1111/prd.12013
  5. Shields WD. Acute necrotizing ulcerative gingivitis. A study of some of the contributing factors and their validity in an Army population. J Periodontol. 1977; 48: 346-9. https://doi.org/10.1902/jop.1977.48.6.346
  6. Shannon IL, Kilgore WG, O'Leary TJ. Stres as a predisposing factor in necrotizing ulcerative gingivitis. J Periodontol. 1969; 40: 240-2. https://doi.org/10.1902/jop.1969.40.4.240
  7. Stevens AW Jr, Cogen RB, Cohen-Cole S, Freeman A. Demographic and clinical data associated with acute necrotizing ulcerative gingivitis in a dental school population (ANUG-demographic and clinical data). J Clin Periodontol. 1984; 11: 487-93. https://doi.org/10.1111/j.1600-051X.1984.tb00900.x
  8. Albandar JM, Tinoco EM. Global epidemiology of periodontal diseases in children and young persons. Periodontol 2000. 2002; 29: 153-76. https://doi.org/10.1034/j.1600-0757.2002.290108.x
  9. Johnson BD, Engel D. Acute necrotizing ulcerative gingivitis. A review of diagnosis, etiology and treatment. J Periodontol. 1986; 57: 141-50. https://doi.org/10.1902/jop.1986.57.3.141
  10. Heylings RT. Electron microscopy of acute ulcerative gingivitis (Vincent's type). Demonstration of the fusospirochaetal complex of bacteria within pre-necrotic gingival epithelium. Br Dent J. 1967; 122: 51-6.
  11. Pindborg JJ. Influence of service in armed forces on incidence of gingivitis. J Am Dent Assoc. 1951; 42: 517-22. https://doi.org/10.14219/jada.archive.1951.0083
  12. Goldhaber P. A study of acute necrotising ulcerative gingivitis. IADR. 1957; 35: 18.
  13. Enwonwu CO. Cellular and molecular effects of malnutrition and their relevance to periodontal diseases. J Clin Periodontol. 1994; 21: 643-57. https://doi.org/10.1111/j.1600-051X.1994.tb00782.x
  14. MacPhee IT, Beagrie GS. Treatment of ulceromembranous gingivitis. Br Dent J. 1962; 113: 107.
  15. Hirschfeld I, Beube F, Siegel EH. The history of Vincent's infection. J Periodontol. 1940; 11: 89.
  16. Barnes GP, Bowles WF 3rd, Carter HG. Acute necrotizing ulcerative gingivitis: a survey of 218 cases. J Periodontol. 1973; 44: 35-42. https://doi.org/10.1902/jop.1973.44.1.35
  17. Corbet EF. Diagnosis of acute periodontal lesions. Periodontol 2000. 2004; 34: 204-16. https://doi.org/10.1046/j.0906-6713.2003.003432.x
  18. Siegel MA. Diagnosis and management of recurrent herpes simplex infections. J Am Dent Assoc. 2002; 133: 1245-9. https://doi.org/10.14219/jada.archive.2002.0366
  19. Addy M. Chlorhexidine compared with other locally delivered antimicrobials. A short review. J Clin Periodontol. 1986; 13: 957-64. https://doi.org/10.1111/j.1600-051X.1986.tb01434.x
  20. Wennström J, Lindhe J. Effect of hydrogen peroxide on developing plaque and gingivitis in man. J Clin Periodontol. 1979; 6: 115-30. https://doi.org/10.1111/j.1600-051X.1979.tb02190.x