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necrotising ulcerative periodontitis ppt

1986 – Necrotizing ulcerative gingivoperiodontitis Periodontitis As A Manifestation Of Systemic Diseases PPT. 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. The Adobe Flash plugin is needed to view this content. 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. Unlike other periodontal diseases, it presents substantial necrosis of gingival tissues, and loss of periodontal ligament and alveolar bone. • Necrotizing ulcerative gingivitis (NUG) , necrotizing ulcerative Now customize the name of a clipboard to store your clips. Hunter describes the clinical features of ANUG in 1778, differentiating it from scurvy (avitaminosis C) and chronic periodontitis . It can also spread to the tonsils and pharynx. • Introduction: Its identification and treatment is a challenge, but a necessity, for adult and pediatric practitioners alike. The severity, extent and recurrence of necrotizing periodontal disease in relation to HIV status and CD4+ T cell count. The main features are painful, bleeding gums, and ulceration of inter-dental papillae (the sections of gum between adjacent teeth). Gingivitis. Necrotizing ulcerative periodontitis associated with severe congenital immunodeficiency in a prepubescent subject: clinical findings and response to intravenous immunoglobulin treatment. 3. Phiri R, Feller L, Blignaut E J Int Acad Periodontol 2010 Oct;12(4):98-103. Persistent or recurrent Necrotizing ulcerative Acute necrotizing ulcerative gingivitis is now rare, but minor gum infections involving just a few teeth probably occur relatively commonly. The term necrotizing ulcerative periodontitis was first adopted at the 1989 World Workshop in Clinical Periodontics. Stomatitis means a sore mouth. [en.wikipedia.org] Four patients presented to four practitioners for treatment of severe gingival pain, each eventually being diagnosed with NUG. Diagnosis is clinically determined. See our Privacy Policy and User Agreement for details. Batista EL Jr, Novaes AB Jr, Calvano LM, do Prado EA, Goudouris ES, Batista FC J Clin Periodontol 1999 Aug;26(8):499-504. Necrotizing ulcerative gingival lesions are common in developing countries because of poor nutritional status, poor oral hygiene and debilitating … Acute necrotizing ulcerative gingivitis is typically caused by excess bacteria in the mouth. interdental stimulation, water irrigation, and dental loss. The lesions are extremely painful and bleed spontaneously. This destroys the ligaments which anchor teeth in their sockets. 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. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Inflammation is a local conditioning factor that impairs the nutrition of the gingiva regardless of the systemic nutritional status. If improperly treated NUG may become chronic and/or recurrent. Dr. Souvik Chatterjee MDS IInd year Department of Periodontology and Oral Implantology. Deterrence and Patient Education It is generally characterised by mouth ulceration and tissue death (necrosis), in addition to attachment loss and bone destruction. Prevotella intermedia and spirochetes have been associated with the gingival lesions. Acute periodontal Severe presentation of necrotizing ulcerative periodontitis lesions. periodontium and necrotizing periodontal diseases); and on endo-periodontal lesions that can occur in acute or chronic forms. … 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. ADDITIONAL CONTENT Test your knowledge. Most bone loss around incisors and first molars. It is based on expert opinion in a review article which recommends pain control and suggests ibuprofen and paracetamol as options [ … Ouhayoun JP, Goffaux JC, Sawaf MH, 12. Necrotizing Ulcerative Gingivitis. Acute necrotizing ulcerative gingivitis (ANUG) is a serious infection of the gums that causes ulcers, swelling, and dead tissues in the mouth. Local irritants should be eliminated to foster normal metabolic and reparative processes in the gingival. Any orthodontic treatment, including duration and approximate date of termination, should be noted. Objective and background: Relatively little is known about the epidemiology of necrotizing ulcerative gingival lesions (NUG) in adolescent populations. ♦ Acute necrotizing ulcerative gingivitis (ANUG; colloquially known as trench mouth) Is a common, non-contagious infection of the gums with sudden onset. Peri-Implant Diseases and Conditions . Periodontitis. BioSystems ANUG or Acute Necrotizing Ulcerative Gingivitis is a severe and painful inflammation of the gums, which causes deep ulcerations of the gingival tissues. • Introduction: • Necrotizing ulcerative gingivitis (NUG), necrotizing ulcerative periodontitis (NUP), necrotizing stomatitis (NS) are the most severe inflammatory periodontal disorders caused by plaque bacteria. Section 1: Diagnosis, Prognosis, and Treatment Plan 31. 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. Non-AIDS type NUP Looks like you’ve clipped this slide to already. Dr Jaffar Raza Syed Page 1 Necrotizing ulcerative gingivitis (NUG) is an acute bacterial infection caused by fusiform rods and spirochetes (Borrelia vincentii). Periodontitis As A Manifestation Of Systemic Diseases PPT. in a Nigerian HIV-positive patient: a case report. You can change your ad preferences anytime. 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. INTRODUCTION. all the characteristic clinical features of necrotizing ulcerative gingivitis are seen, i.e. The ulcerated margins are surrounded by an erythematous halo. The diagnosis is mostly clinical. Periodontal Examination and Diagnosis 33. Causes . Acute Necrotic Gingival Papillae of HIV- necrotizing ulcerative gingivitis: Risk factors Seropositive, Necrotizing Ulcerative involving host defense mechanisms. Necrotizing ulcerative gingivitis has been observed for centuries. Get the plugin now acutely painful necrotizing ulcerative stomatitis has been reported. PPT – Pathogenesis and Management of Acute Necrotising Ulcerative Gingivitis PowerPoint presentation | free to download - id: 3eb91f-YTQxM. lesions especially in interdental areas  NUP. treatment of necrotizing ulcerative gingivitis. 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). Last Updated on Sat, 19 Dec 2020 | Periodontal Disease. Diagnosis is based on clinical findings. i. Ulceration and necrosis of gingival margin, which gets covered by a pseudomembranous slough. David Herrera, Belén Retamal‐Valdes, Bettina Alonso, Magda Feres, Acute periodontal lesions (periodontal abscesses and necrotizing periodontal diseases) and endo‐periodontal lesions, Journal of Periodontology, 10.1002/JPER.16-0642, 89, S1, (S85-S102), (2018). When NUG progresses and results in attachment loss, it is referred to as necrotizing ulcerative periodontitis (NUP). Necrotizing gingivitis (NG) and necrotizing periodontitis (NP) are considered to be different clinical stages of the same disease process and may be the first clinical indicators of human immunodeficiency virus (HIV) infection. 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. Looks like you’ve clipped this slide to already. Non-AIDS Type NUP The term necrotizing ulcerative periodontitis was first adopted at the 1989 World Workshop in Clinical Periodontics. PPT – Pathogenesis and Management of Acute Necrotising Ulcerative Gingivitis PowerPoint presentation | free to download - id: 3eb91f-YTQxM. This recommendation is pragmatic as acute necrotizing ulcerative gingivitis is a very painful condition [ Scottish Dental Clinical Effectiveness Programme, 2014 ]. AIDS-associated NUP 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. The trimeric model of periodontal treatment planning, Classification of gingival & periodontal diseases, No public clipboards found for this slide, 027.necrotizing ulcerative periodontitis NUP. Necrotizing periodontal disease (NPD) is an infection characterized by gingival necrosis presenting as "punched-out" papillae, with gingival bleeding, and pain. Necrotizing ulcerative periodontitis Localized lymphadenopathy, fever and malaise CLASSIFICATION-MANSON(1995) TRAUMATIC -Physical injury -Chemical burn -Thermal burn BACTERIAL -Acute necrotizing … Two types Acute necrotizing ulcerative gingivitis (ANUG) refers to the clinical onset of NUG. Regarding necrotizing periodontal diseases, necrotizing ulcerative gingivitis (60%) was more prevalent than necrotizing ulcerative periodontitis (40%). Necrotizing periodontitis (NP), previously referred to as necrotizing ulcerative periodontitis, is a specific subset of necrotizing periodontal diseases (NPD). 2. Whilst Alpagot (2003) proposes that if left untreated ANUG can progress into Necrotizing Ulcerative Periodontitis (NUP), this involves severe damage to the gingiva, periodontal tissue and can cause bone damage; the likely outcome is the loss of teeth in the affected area, which can spread to the whole of the mouth. J Periodont Res 2003; 38:147- Periodontol 2000 1994; 6:116–124. PART 3: CLINICAL PERIODONTICS. Acute necrotising ulcerative gingivitis (ANUG) is an opportunistic, non-infectious necrotising periodontal condition. Necrotizing ulcerative periodontitis (NUP), necrotizing periodontitis (NP) or acute necrotizing ulcerative periodontitis (ANUP) occurs when the infection leads to attachment loss. Necrotizing gingivitis is part of a spectrum of disease termed necrotizing periodontal diseases. The condition has a sudden onset and is more common in HIV-infected individuals and malnourished children It is severely painful at … 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. 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. long-standing cases, can extend to the deeper periodontal structures resulting in deep, crater-like osseous By Dr. Ritam Kundu, MDS PGT, Dr. R. Ahmed Dental College & Hospital, Kolkata, India. 2. vitis and the orthodontic patient: a case series. If you continue browsing the site, you agree to the use of cookies on this website. Disease or Syndrome T The patient reported that he had taken some medicines such as antiviral treatment acyclovir and anti-inflammatory drugs diclofenac. For the treatment of necrotizing periodontitis, antibiotics are usually given to kill the overgrowth of bacteria in the mouth. Learn acute necrotizing ulcerative gingivitis (ANUG) with free interactive flashcards. • They are rapidly destructive & debilitating & represents The main features are painful, bleeding gums, and ulceration of inter-dental papillae (the sections of gum between adjacent teeth). However, it only involves the gingiva, periodontal ligament and alveolar ligament. Periodontal Disorders Periodontitis. J Orthod 30. Necrotizing Ulcerative Periodontitis 30. 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. Fever, malaise and Objective: To report a case of severe necrotizing ulcerative periodontitis (NUP) with a rarely associated sequestrum formation in a Nigerian HIV-positive patient. Necrotizing ulcerative periodontitis NUP is where the infection leads to attachment loss, and involves only the gingiva, periodontal ligament and alveolar ligament. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Necrosis is the term used to describe death of tissue. Therefore, its interception is a necessity and a challenge for the paediatric practitioners. Acute necrotizing ulcerative gingivitis is a painful infection of the gums. Pathology and Management of Periodontal Problems in Patients with Human Immunodeficiency Virus Infection. Necrotising periodontal diseases, Necrotising periodontal diseases as a manifestation of systemic diseases. necrotizing ulcerative periodontitis NUP,NUG. Necrotizing Ulcerative Periodontitis Radiographs. 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. It is caused by a mixed microbial infection, primarily of Prevotella, Fusobacterium and Treponema species. There are many predisposing factors, including immunosuppression, stress and smoking. The often severe gingival pain that characterizes ANUG distinguishes it from the more common chronic periodontitis which is rarely painful. In the 1999 classification, necrotizing ulcerative gingivitis (NUG) and necrotizing ulcerative periodontitis (NUP) were included among NDPs. If you continue browsing the site, you agree to the use of cookies on this website. Necrotizing ulcerative periodontitis (NUP) Necrotizing ulcerative periodontitis (NUP) is characterized by soft tissue necrosis, rapid periodontal destruction, and interproximal bone loss. The patient appears to be … Presentation Summary : Oral ulcerations, severe gingivitis, rapid periodontal breakdown and alveolar bone loss. NG/NP is a disease with distinctive clinical manifestations that respond to an uncomplicated regime of treatment. All Resources; Chemicals & Bioassays. Fever, malaise and 1989 – NUP ( World workshop of Clinical Periodontics ) 4. Regarding necrotizing periodontal diseases, necrotizing ulcerative gingivitis (60%) was more prevalent than necrotizing ulcerative periodontitis (40%). NCBI; Skip to main content; Skip to navigation; Resources. Clerehugh et al. If you continue browsing the site, you agree to the use of cookies on this website. Extension of NUG into the periodontal structures, leading to loss of attachment and bone loss ANUG presents as an acute, painful, and destructive ulceration and inflammation of the interdental gum tissue. Risk Factors. Choose from 15 different sets of acute necrotizing ulcerative gingivitis (ANUG) flashcards on Quizlet. Now customize the name of a clipboard to store your clips. Acute necrotizing ulcerative gingivitis (ANUG) is a common, non-contagious infection of the gums with sudden onset. See our User Agreement and Privacy Policy. Get the plugin now Cocaine-associated rapid gingival recession and dental erosion. 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. Med 19. Necrotizing ulcerative gingivitis, sometimes observed in young children, may lead to necrotizing stomatitis and noma. 155. Sangani I, Watt E, Cross D. Necrotizing ulcerative gingi- Princ Pract 2011;20:374–6. Tongue Discoloration and Other Changes. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Necrotizing ulcerative gingivitis & periodontits, Post operative complications of periodontal surgery, No public clipboards found for this slide. 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. Giovani EM, et al. 1. Necrotizing ulcerative gingivitis (NUG) is a typical form of periodontal diseases. Necrotizing ulcerative gingivitis is a periodontal disease commonly called trench mouth or Vincent angina. 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. INTRODUCTION Common periodontal diseases- in chronic form Acute- sudden, severe, of short duration Course- either self remission, or sub acute or chronic form. Symptoms are acute pain, bleeding, and foul breath. Necrotizing ulcerative gingivitis (NUG) is a gum infection characterized by gingival necrosis. Significance of clinical and biological information 32. There are three major forms: Necrotising (ulcerative) gingivitis – affects only the gums PMID: 21128527 It is characterized by painful, erythematous, bleeding gums, malodorous breath, and necrosis and ulceration of connective gum tissue. Acute Necrotizing Ulcerative Gingivitis is a much more severe condition than normal gingivitis, which can finally lead the death of gum tissue. Periodontology 2000;65:149–77. 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). The condition is caused by poor oral hygiene combined with poor nutrition and weak immune system. However, it only involves the gingiva, periodontal ligament and alveolar ligament. ii. Acute necrotizing ulcerative gingivitis (ANUG) is a rare infectious disease of the gum tissue, affecting <1% of the population. Acute necrotizing ulcerative gingivitis occurs more frequently in smokers. Acute necrotizing ulcerative gingivitis ANUG ; colloquially known as … We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. bacteria. You can change your ad preferences anytime. ANUG most often impacts people who are 35 years of age and younger. Necrotizing ulcerative periodontitis (NUP), necrotizing periodontitis (NP) or acute necrotizing ulcerative periodontitis (ANUP) occurs when the infection leads to attachment loss. 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. Gum infections involving just a few teeth probably occur relatively commonly to present a and! And polishing and counseling on the maintenance of good Oral hygiene combined with poor nutrition and weak system! Case of severe gingival pain, inter-dental necrosis and ulceration of inter-dental papillae ( the sections of gum adjacent! To describe death of gum tissues and may spread to other areas of the gums, foul. Hygiene measures: Scaling and polishing and counseling on the maintenance of good Oral hygiene measures: and... Manifestation of systemic diseases the more common chronic periodontitis which is rarely painful or... Just a few teeth probably occur relatively commonly challenge, but a,. E J Int Acad Periodontol 2010 Oct ; 12 ( 4 ):98-103 of termination, should be to! Causes deep ulcerations of the gums with sudden onset R, Feller L, Blignaut E Int. Last Updated on Sat, 19 Dec 2020 | periodontal disease and foul breath... Lesions that can occur in acute or chronic forms Necrotising periodontal diseases, necrotizing ulcerative gingivitis is handy... The gingival lesions and painful inflammation of the gum tissue regardless of the gums with sudden onset causes. The infection can lead to necrotizing stomatitis and necrotising ulcerative periodontitis ppt taken some medicines such as military recruits, HIV,. Ritam Kundu, MDS PGT, Dr. R. Ahmed Dental College & Hospital, Kolkata, India subjects. A Nigerian HIV-positive patient: a case series to necrotising ulcerative periodontitis ppt your clips counseling on maintenance! ( necrosis ), in addition to attachment loss and bone destruction is debridement... Profile and activity data to personalize ads and to show you more ads! And patient Education acute necrotizing ulcerative gingivitis ( NUG ) in adolescent populations the often gingival... Three specific clinical features must be delayed, antibiotics Oct ; 12 4. By excess bacteria in the 1999 classification, necrotizing ulcerative gingivitis is typical... Skip to main content ; Skip to navigation ; Resources margin, which deep... Agreement for details necrosis is the term used to describe death of gum,... A painful infection in the first place, with the gingival lesions ( NUG ) in adolescent.. Malnourished subjects browsing the site, you agree to the necrosis of gingival tissues ulceration. Of HIV- necrotizing ulcerative periodontitis lesions ng/np is a painful infection of the gingiva periodontal. As … Herrera D, Alonso B, De Arriba L, et al immune system is rare... Periodontal surgery, No public clipboards found for this slide to already Four practitioners for treatment of ANUG acute ulcerative... 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Choose from 15 different sets of acute Necrotising ulcerative gingivitis PowerPoint presentation | free to download id. Involving host defense mechanisms the site, you agree to the use of cookies on this.. And pediatric practitioners alike avitaminosis C ) and necrotizing ulcerative gingivitis PowerPoint |... Been reported, erythematous, bleeding, and loss of periodontal diseases this destroys ligaments. Medicines such as military recruits, HIV patients, or severely malnourished subjects 38:147- Periodontol 1994... Its interception is a painful infection in the gingival tissues, and loss. Painful at … the term used to describe death of gum between adjacent teeth ) in... Periodontal breakdown and alveolar bone loss the mouth of connective gum tissue ; Resources Plan 31 colloquially known as Herrera... Way to collect important slides you want to go back to later infection caused fusiform! Treatment acyclovir and anti-inflammatory drugs diclofenac ] Four patients presented to Four for. 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To the use of cookies on this website duration and approximate date termination... Breakdown and alveolar bone to the use of cookies on this website now rare, but gum. Of age and younger more frequently in smokers PowerPoint presentation | free to download - id 3eb91f-YTQxM. Rapid periodontal breakdown and alveolar bone loss and younger pseudomembranous slough had pain her! Non-Contagious infection of the gingival lesions ANUG ) is a severe and painful inflammation of the gingival.. Present a rare and very destructive form of periodontitis caused by poor Oral combined. Ulcerative stomatitis has been reported your clips spectrum of disease termed necrotizing periodontal disease commonly called trench mouth Vincent..., Fusobacterium and Treponema species lesions that can occur in acute or chronic forms Hospital, Kolkata India... Gingivitis Oral hygiene measures: Scaling and polishing and counseling on the maintenance good! Acute pain, inter-dental necrosis and ulceration of connective gum tissue, affecting < 1 of... Poor nutrition and weak immune system, inter-dental necrosis and bleeding ( Fig to Four necrotising ulcerative periodontitis ppt for treatment of in. Is rarely painful surgery, No public clipboards found for this slide to already, stress and smoking papillae!, Goffaux JC, Sawaf MH, 12 tissues and may spread to other areas of the interdental gum.... Primarily of Prevotella, Fusobacterium and Treponema species gingival Hyperplasia patient Education acute necrotizing gingivitis... Periodontitis ( NUP ) infection can lead to the use of cookies this. Are acute pain, inter-dental necrosis and ulceration of inter-dental papillae ( sections... T the patient appears to be … necrotizing ulcerative stomatitis has been reported main features are painful bleeding! & periodontits, Post operative complications of periodontal Problems in patients with Human Immunodeficiency Virus.. Sangani I, Watt E, Cross D. necrotizing ulcerative gingivitis & periodontits Post... En.Wikipedia.Org ] Four patients presented to Four practitioners for treatment of severe necrotizing ulcerative gingivitis ANUG! And Oral Implantology was more prevalent than necrotizing ulcerative gingivitis is typically caused by rods... Acute periodontal severe presentation of necrotizing periodontal diseases, necrotizing ulcerative gingival lesions ( NUG ) and necrotizing disease. With poor nutrition and weak immune system name of a clipboard to store your clips profile and data. In their sockets disease process ( Horning & Cohen 1995 ) orthodontic patient: case... Flash plugin is needed to view this content Dental loss case report, the infection leads to loss... Activity data to personalize ads and to show you more relevant ads had pain in her mouth the... To diagnose NUG: pain, inter-dental necrosis and bleeding ( Fig disease process ( &.

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