ACUTE NECROTISING ULSERATIVE GINGIUITIS

Abstract

ANUG is the severe inflammatory periodantal disorder caused by plaque bacteria associated with diminished systemic resistance. This type of gingivitis is limited tolesions involving gingival tissue with no loss of periodontal attachment and bone loss. Three specific clinical signs must be present to diagnose ANUG pain necrosis of interdental papillae and bleeding. Development of ANUG is closely associated with spesific predisposing factors immune suppression acute psychologieal stress, smoking, malnutrition, pre-exisiting gingivitis, tissue trauma and AIDS favors the occurance of opportunistic infections. A 39 -year -old female patient with acute gingival lesions was refferd to our clinics at the Department of Periodontology, Faculty of Dentistry, University of Istanbul. The patient used to smoke two packs of cigarettes daily. In the first medical visit she was documented thoroughly and ornidazole (s. 2*2), etodolac (2*1), vifarnth B (2*1), 3% H2O2 (2*1), was prescribed to the patient. At the second and third visits supragigival scaling was perfomed under local anesthesia. Because of show remission of the lesions another prescription wasgiven including amoxicillin and clavulanate potassium (2*1), and chlothexidine mouthrinse (2*1) at the fourth visit except of this the patient was referred to the biochemical laboratory for further analysis. At subsequent visits, with short periods, sub and supragingival scaling was continued. The patient was taken to maintanance theraphy and no other clinical signts of inflanmation has been observed. At the final stage of treartment plan the patient was advised to continue her visits periodically. Special attention was given to imform the patient about oral hygiene procedures and adverse effects of smoking.