Acute necrotizing ulcerative gingivitis: Difference between revisions
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==Background== | |||
#Severe gingival disease | |||
#Must distinguish from herpes gingivostomatitis | |||
##Herpes has more systemic signs, less bleeding, lack of interdental papilla involvement | |||
#Associated with immunosuppression, especially HIV | |||
==Clinical Features== | |||
#Triad of: | |||
##Pain | |||
##Ulcerated or "punched out" interdental papillae | |||
##Gingival bleeding | |||
#Secondary signs: | |||
##Fetid breath | |||
##"Wooden teeth" feeling | |||
##Teeth mobility | |||
##Fever | |||
##Malaise | |||
==Treatment== | |||
#Chlorhexidine 0.01% oral rinse BID | |||
#Metronidazole 500mg PO TID | |||
#Dental debridement and scaling | |||
==See Also== | ==See Also== | ||
Revision as of 10:51, 27 June 2012
Background
- Severe gingival disease
- Must distinguish from herpes gingivostomatitis
- Herpes has more systemic signs, less bleeding, lack of interdental papilla involvement
- Associated with immunosuppression, especially HIV
Clinical Features
- Triad of:
- Pain
- Ulcerated or "punched out" interdental papillae
- Gingival bleeding
- Secondary signs:
- Fetid breath
- "Wooden teeth" feeling
- Teeth mobility
- Fever
- Malaise
Treatment
- Chlorhexidine 0.01% oral rinse BID
- Metronidazole 500mg PO TID
- Dental debridement and scaling
See Also
Source
- ER Atlas
- Tintinalli
- UpToDate