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Necrotizing gingivitis (NG) is a common, non-contagious infection of the gums with sudden onset.The main features are painful, bleeding gums, and ulceration of interdental papillae (the sections of gum between adjacent teeth).
Treatment of the acute disease is by debridement and antibiotics, usually metronidazole. Poor oral hygiene and other predisposing factors may need to be corrected to prevent recurrence. Necrotizing gingivitis is also known as trench mouth, as it was observed to occur in the mouths of front line soldiers during World War I.
Vincent's angina (also termed Plaut–Vincent's angina), [1] [2] is pharyngitis (inflammation of the pharynx) and tonsillitis (inflammation of the palatine tonsils), caused by infection with two types of bacteria called fusiform (Fusobacterium spp.) [3] and spirochaetes (Borrelia spp. [3] and Spirillum spp.). [4]
However, an acute form of gingivitis/periodontitis, termed acute necrotizing ulcerative gingivitis (ANUG), can develop, often suddenly. It is associated with severe periodontal pain, bleeding gums, "punched out" ulceration, loss of the interdental papillae , and possibly also halitosis (bad breath) and a bad taste.
As the overall treatment concepts and goals for AgP are not significantly different from that of chronic periodontitis, the different treatment phases (cause related therapy; re-examination for response to therapy; definitive therapy; and maintenance) are similar for both types of periodontitis.
Fusobacterium spp. and anaerobic spirochetes are often the cause of acute necrotizing ulcerative gingivitis (or Vincent's angina) which is a distinct form of ulcerative gingivitis. Deep neck infections that develop as a consequence of oral, dental and pharyngeal infections are generally polymicrobial in nature.
Gingivitis is a non-destructive disease that causes inflammation of the gums; [1] ulitis is an alternative term. [2] The most common form of gingivitis, and the most common form of periodontal disease overall, is in response to bacterial biofilms (also called plaque) that are attached to tooth surfaces, termed plaque-induced gingivitis.
ANUG: acute necrotizing ulcerative gingivitis: A&O or A/O: aware and oriented or alert and oriented: A&Ox3: alert and oriented, times 3 (to person, place, and time) A&Ox4: alert and oriented, times 4 (to person, place, time, and circumstances) (often used interchangeably with A&Ox3) AODM: adult-onset diabetes mellitus (now called diabetes ...