ANUG
🔼🔽🔼🔽ACUTE NECROTIZING ULCERATIVE GINGIVOSTOMATITIS🔼🔽🔼🔽 Def. : Inflammation of gumm, palate and oral cavity in response to bacterial(Bacillus fusiformis and Borrelia Vincentii), chemical, physical ,hormonal or even tumoral irritants. Very poor oral hygiene which can lead to thicker dental plaques and contains anerobe bacteria can cause this ulcerative change in the oral cavity. Acute necrotizing ulcerative gingivostomatitis is also called "Vincent's gingivitis" or " Ulceromembranous gingivostomatitis". Inflammation and bleeding of interdental papillae in addition to the inflammation of marginal gingiva indicates this painful and stinky changes on the mucosa. The ulcer, bleeding, greyish yellow pseudomembrane and halitosis (bad breath) are very common symptoms of ANUG (acute necrotizing ulcerative gingivostomatitis). Due to inflammatory response in the mouth salivary flow is also increased. Clinical symptoms include mild fever, enlarged lymphatic nodes on the neck and pain. This inflammation can spread to the surrounding area and tissues like bonny tissues, soft palate and pharynx very easily.thats why surgical interventions such as extraction are highly restricted until complete disappearing of inflammatory reaction. Dif. Diag. : Gingivostomatitis Herpetica, leukemia, pemphigus vegetans and agranulocytosis. Therapy: cleaning with CHX, hydrogen peroxide. Antibiotics (amoxicillin, penicillin, Clindamycin,METRONIDAZOLE) and analgesics.
