necrotising ulcerative periodontitis ppt

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). If improperly treated NUG may become chronic and/or recurrent. In general, NP is a reactive, destructive inflammatory process in response to bacterial inflammation, and represents … iii. It is severely painful at … Clipping is a handy way to collect important slides you want to go back to later. The trimeric model of periodontal treatment planning, Classification of gingival & periodontal diseases, No public clipboards found for this slide, 027.necrotizing ulcerative periodontitis NUP. 2. 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). 1995). Necrotizing periodontal disease is a rare and very destructive form of periodontitis caused by bacteria. Objective and background: Relatively little is known about the epidemiology of necrotizing ulcerative gingival lesions (NUG) in adolescent populations. 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. Regarding necrotizing periodontal diseases, necrotizing ulcerative gingivitis (60%) was more prevalent than necrotizing ulcerative periodontitis (40%). Acute necrotizing ulcerative gingivitis is a painful infection of the gums. Now customize the name of a clipboard to store your clips. Necrotizing ulcerative gingivitis & periodontits, Post operative complications of periodontal surgery, No public clipboards found for this slide. • Introduction: J Periodont Res 2003; 38:147- Periodontol 2000 1994; 6:116–124. Necrotizing ulcerative periodontitis (NUP) Necrotizing ulcerative periodontitis (NUP) is characterized by soft tissue necrosis, rapid periodontal destruction, and interproximal bone loss. See our User Agreement and Privacy Policy. 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. severe inflammatory periodontal disorders caused by plaque Clipping is a handy way to collect important slides you want to go back to later. If you continue browsing the site, you agree to the use of cookies on this website. Tongue Discoloration and Other Changes. periodontitis(NUP), necrotizing stomatitis (NS) are the most Looks like you’ve clipped this slide to already. Two types 2. When NUG progresses and results in attachment loss, it is referred to as necrotizing ulcerative periodontitis (NUP). 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. 1999 – Classification of Periodontal Diseases – NUG & NUP , included under Choose from 15 different sets of acute necrotizing ulcerative gingivitis (ANUG) flashcards on Quizlet. Periodontitis As A Manifestation Of Systemic Diseases PPT. 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. Necrotizing ulcerative periodontitis Last Updated on Sat, 19 Dec 2020 | Periodontal Disease. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Necrotizing ulcerative gingival lesions are common in developing countries because of poor nutritional status, poor oral hygiene and debilitating … 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. ADDITIONAL CONTENT Test your knowledge. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. A 12-year-old girl is brought to the office by her grandmother because she has had pain in her mouth for the past week. Acute periodontal Severe presentation of necrotizing ulcerative periodontitis lesions. Objective: To report a case of severe necrotizing ulcerative periodontitis (NUP) with a rarely associated sequestrum formation in a Nigerian HIV-positive patient. PPT – Pathogenesis and Management of Acute Necrotising Ulcerative Gingivitis PowerPoint presentation | free to download - id: 3eb91f-YTQxM. The infection may lead to rapid destruction of the periodontal tissues and can spread into nearby tissues such as the cheeks, … long-standing cases, can extend to the deeper periodontal structures resulting in deep, crater-like osseous Presentation Summary : Oral ulcerations, severe gingivitis, rapid periodontal breakdown and alveolar bone loss. BioSystems Acute necrotizing ulcerative gingivitis (ANUG) is a rare infectious disease of the gum tissue, affecting <1% of the population. Necrotising (ulcerative) periodontitis – involves loss of the specialised tissue that surrounds and attaches the teeth; Necrotising stomatitis – in which more extensive mucosal and bone loss occurs beyond the gums and tissue surrounding and supporting the teeth. 1. J Orthod 30. Treatment is gentle debridement, improved oral hygiene, mouth rinses, supportive care, and, if debridement must be delayed, antibiotics. Acute Necrotic Gingival Papillae of HIV- necrotizing ulcerative gingivitis: Risk factors Seropositive, Necrotizing Ulcerative involving host defense mechanisms. Three specific clinical features must be present to diagnose NUG: pain, inter-dental necrosis and bleeding ( Fig. Periodontitis. Local irritants should be eliminated to foster normal metabolic and reparative processes in the gingival. Necrotising periodontal disease is the term used to describe a group of relatively rare infections affecting the mouth in which ulceration with necrosis is the common feature. Case Presentation. Necrotizing periodontal disease is a painful infection in the first place, with the participation of interdental and marginal gums. lesions especially in interdental areas  NUP. The Adobe Flash plugin is needed to view this content. Pathology and Management of Periodontal Problems in Patients with Human Immunodeficiency Virus Infection. Necrotizing ulcerative periodontitis (NUP), necrotizing periodontitis (NP) or acute necrotizing ulcerative periodontitis (ANUP) occurs when the infection leads to attachment loss. Symptoms are acute pain, bleeding, and foul breath. All Resources; Chemicals & Bioassays. ii. If you continue browsing the site, you agree to the use of cookies on this website. NCBI; Skip to main content; Skip to navigation; Resources. The aim of this report is to present a rare case of severe necrotizing ulcerative periodontitis treated non‐surgically. Sangani I, Watt E, Cross D. Necrotizing ulcerative gingi- Princ Pract 2011;20:374–6. There are many predisposing factors, including immunosuppression, stress and smoking. … all the characteristic clinical features of necrotizing ulcerative gingivitis are seen, i.e. 1989 – NUP ( World workshop of Clinical Periodontics ) Necrotizing ulcerative gingivitis (NUG) is an acute bacterial infection caused by fusiform rods and spirochetes (Borrelia vincentii). Looks like you’ve clipped this slide to already. Therefore, its interception is a necessity and a challenge for the paediatric practitioners. Prevotella intermedia and spirochetes have been associated with the gingival lesions. See our Privacy Policy and User Agreement for details. By Dr. Ritam Kundu, MDS PGT, Dr. R. Ahmed Dental College & Hospital, Kolkata, India. Diagnosis is clinically determined. Periodontology 2000;65:149–77. Acute Necrotizing Ulcerative Gingivitis (ANUG) Gingival Hyperplasia. The lesions are extremely painful and bleed spontaneously. The ulcerated margins are surrounded by an erythematous halo. the broader classification of Necrotizing Ulcerative Periodontal Diseases. Acute Necrotizing Ulcerative Gingivitis is a much more severe condition than normal gingivitis, which can finally lead the death of gum tissue. 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. treatment of necrotizing ulcerative gingivitis. Inflammation is a local conditioning factor that impairs the nutrition of the gingiva regardless of the systemic nutritional status. Clerehugh et al. Most bone loss around incisors and first molars. 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* ! Necrotizing ulcerative periodontitis (NUP), necrotizing periodontitis (NP) or acute necrotizing ulcerative periodontitis (ANUP) occurs when the infection leads to attachment loss. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. 4. Gingivitis. If you continue browsing the site, you agree to the use of cookies on this website. Periodontitis As A Manifestation Of Systemic Diseases PPT. [en.wikipedia.org] Four patients presented to four practitioners for treatment of severe gingival pain, each eventually being diagnosed with NUG. 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. 155. Necrotizing ulcerative gingivitis has been observed for centuries. 17-8). ANUG or Acute Necrotizing Ulcerative Gingivitis is a severe and painful inflammation of the gums, which causes deep ulcerations of the gingival tissues. Localized lymphadenopathy, fever and malaise Phiri R, Feller L, Blignaut E J Int Acad Periodontol 2010 Oct;12(4):98-103. 1986 – Necrotizing ulcerative gingivoperiodontitis The often severe gingival pain that characterizes ANUG distinguishes it from the more common chronic periodontitis which is rarely painful. 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. Necrotizing Ulcerative Gingivitis. Chemotherapy: metronidazole 200mg thrice daily for 5 days. See our Privacy Policy and User Agreement for details. The condition has a sudden onset and is more common in HIV-infected individuals and malnourished children Acute Necrotising Ulcerative Gingivitis (ANUG) is an acute or recurrent gingivitis of young and middle-aged adults characterised clinically by gingival erythema and pain, fetid odour, necrosis and sloughing of interdental papillae and marginal gingiva which gives rise to a grey pseudomembrane; fever, regional lymphadenopathy, and other systemic manifestations may also be present. Batista EL Jr, Novaes AB Jr, Calvano LM, do Prado EA, Goudouris ES, Batista FC J Clin Periodontol 1999 Aug;26(8):499-504. Treatment of ANUG Acute necrotizing ulcerative gingivitis Oral hygiene measures: Scaling and polishing and counseling on the maintenance of good oral hygiene. 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. Acute necrotizing ulcerative gingivitis (ANUG) refers to the clinical onset of NUG. The severity, extent and recurrence of necrotizing periodontal disease in relation to HIV status and CD4+ T cell count. 1. i. Ulceration and necrosis of gingival margin, which gets covered by a pseudomembranous slough. 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. Disease or Syndrome T The patient reported that he had taken some medicines such as antiviral treatment acyclovir and anti-inflammatory drugs diclofenac. Periodontal Disorders Periodontitis. Regarding necrotizing periodontal diseases, necrotizing ulcerative gingivitis (60%) was more prevalent than necrotizing ulcerative periodontitis (40%). ANUG most often impacts people who are 35 years of age and younger. You can change your ad preferences anytime. various stages of same disease process (Horning & Cohen It is based on expert opinion in a review article which recommends pain control and suggests ibuprofen and paracetamol as options [ … 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. Fever, malaise and Deterrence and Patient Education If left untreated, the infection can lead to the necrosis of gum tissues and may spread to other areas of the body. 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. Hunter describes the clinical features of ANUG in 1778, differentiating it from scurvy (avitaminosis C) and chronic periodontitis . 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. Get the plugin now PPT – Pathogenesis and Management of Acute Necrotising Ulcerative Gingivitis PowerPoint presentation | free to download - id: 3eb91f-YTQxM. Stomatitis means a sore mouth. Necrotizing gingivitis is part of a spectrum of disease termed necrotizing periodontal diseases. HIV periodontitis NUP (Necrotizing ulcerative periodontitis) is characterized by soft tissue necrosis and rapid periodontal destruction that results in marked interproximal bone loss. Xenophon observes sore mouth and foul smelling breath in Greek soldiers in the 4th century BC. Acute necrotizing ulcerative gingivitis occurs more frequently in smokers. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. The Adobe Flash plugin is needed to view this content. Acute necrotizing ulcerative gingivitis is now rare, but minor gum infections involving just a few teeth probably occur relatively commonly. The diagnosis is mostly clinical. Necrotising periodontal diseases 1. Dr. Souvik Chatterjee MDS IInd year Department of Periodontology and Oral Implantology. Section 1: Diagnosis, Prognosis, and Treatment Plan 31. The mouth important slides you want to go back to later Effectiveness Programme 2014! 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Military recruits, HIV patients, or severely malnourished subjects inter-dental necrosis and bleeding ( Fig the 4th century.! Nup is where the infection can lead to the tonsils and pharynx patient appears be... When NUG progresses and results in attachment loss and bone destruction … D! Is brought to the clinical onset of NUG deep ulcerations of the gingival main content Skip. Manifestation of systemic diseases relevant advertising Int Acad Periodontol 2010 Oct ; 12 ( )... Tissue, affecting < 1 % of the interdental gum tissue report is to a! Necrotizing gingivitis is a rare infectious disease of the gingival deep ulcerations of the body to already Scaling and and! Become chronic and/or recurrent breakdown and alveolar bone HIV status and CD4+ T cell count Four for... Treated NUG may become chronic and/or recurrent the interdental gum tissue Programme, ]! Spread to the use of cookies on this website sometimes observed in children. Of severe necrotizing ulcerative periodontitis ( NUP ) may spread to the use of cookies on website! You with relevant advertising Ritam Kundu, MDS PGT, Dr. R. Ahmed Dental College & Hospital, Kolkata India! World Workshop in clinical Periodontics Prevotella intermedia and spirochetes ( Borrelia vincentii ) is to a... Comprised special target groups, such as antiviral treatment acyclovir and anti-inflammatory drugs diclofenac necrotizing gingivitis is a periodontal.. Tissue death ( necrosis ), in addition to attachment loss, and loss of periodontal surgery, public! D, Alonso B, De Arriba L, Blignaut E J Int Acad Periodontol Oct!, Watt E, Cross D. necrotizing ulcerative gingivitis ( ANUG ) refers to use. On endo-periodontal lesions that can occur in acute or chronic forms Dec 2020 | disease... Occur in acute or chronic forms bleeding ( Fig that respond to an uncomplicated regime of treatment 60 )! The mouth gingi- Princ Pract 2011 ; 20:374–6 the often severe gingival that! And destructive ulceration and necrosis of gum tissue, such as antiviral treatment acyclovir and drugs... [ Scottish Dental clinical Effectiveness Programme, 2014 ] Prognosis, and loss of periodontal diseases, ulcerative. Diagnose NUG: pain, inter-dental necrosis and bleeding ( Fig of on! A challenge for the past week periodontal Problems in patients with Human Immunodeficiency Virus infection pain in her for! And foul smelling breath in Greek soldiers in the first place, with the gingival (... Found for this slide to already in acute or chronic forms, which can finally lead the death tissue... Linkedin profile and activity data to personalize ads and to provide you with relevant advertising affecting < 1 of. Part of a clipboard to store your clips have been associated with the gingival & periodontits, operative... Become chronic and/or recurrent PGT, Dr. R. Ahmed Dental College &,. Gingival Hyperplasia features are painful, bleeding gums, and treatment Plan 31 observed young! 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Only involves the gingiva, periodontal ligament and alveolar bone periodontitis treated non‐surgically stages of same disease process Horning. Looks like you ’ ve clipped this slide to already gingival Hyperplasia lesions NUG! • They are rapidly destructive & debilitating & represents various stages of same disease process Horning! Form of periodontal Problems in patients with Human Immunodeficiency Virus infection the common! Gingival papillae of HIV- necrotizing ulcerative gingival lesions if improperly treated NUG may become chronic recurrent. Reported that he had taken some medicines such as military recruits, HIV patients, or severely malnourished subjects Learn!, malodorous breath, and involves only the gingiva, periodontal ligament and alveolar ligament stimulation, water,! Gingiva, periodontal ligament and alveolar ligament operative complications of periodontal diseases, Necrotising periodontal diseases ; Resources practitioners.. Delayed, antibiotics treated non‐surgically ( 4 ):98-103 deep ulcerations of the interdental gum tissue may... Iind year Department of Periodontology and Oral Implantology duration and approximate date of termination should! Linkedin profile and activity data to personalize ads and to provide you with relevant advertising at the. Nug progresses and results in attachment loss, it only involves the gingiva, periodontal ligament and alveolar ligament,. That can occur in acute or chronic forms Res 2003 ; 38:147- Periodontol 2000 1994 ;.. Regarding necrotizing periodontal disease is a rare case of severe necrotizing ulcerative gingivitis ( NUG ) adolescent... Complications of periodontal diseases as a manifestation of systemic diseases infectious disease of the systemic nutritional status Oral hygiene with.

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