Saturday, 29 December 2012
An inflammatory, destructive disease of gingiva.
- Sudden onset.
Intraoral Signs And Symptoms
- Lesions are characterized by punched out, crater like depressions at the crest of the interdental papilla, subsequently involving marginal gingiva and rarely attached gingiva.
- Craters are covered by grayish pseudomembranous slough..
- Other signs include gingival hemorrhage or pronounced bleeding on the slightest stimulation.
- Fetide odour and increased salivation.
- The lesions are extremely sensitive to touch.
- Complains of a constant radiating, gnawing pain that is intensified by eating spicy or hot foods and chewing.
- There is metallic foul taste.
- Predisposing Factor : Malnutrition stress and lack of sleep. The causative organisms are spirochetes, furiform bacteria.
- Includes local debridment ( ultrasonic scaling ), subgingival curettage and use of mild oxygenating solutions.
- Antibiotic therepy includes penicillins or erythromycin and metronidazole.
- NSAIDs may be used for pain relief.
Wiki link : Acute_necrotizing_ulcerative_gingivitis