Necrotizing ulcerative gingivitis (NUG) is a typical form of periodontal diseases. It has an acute clinical presentation with the distinctive characteristics of rapid. Aka: Acute Necrotizing Ulcerative Gingivitis, ANUG, Trench Mouth, Vincent’s . Gingivite ulcéreuse nécrosante, Maladie de Vincent, Gingivite ulcéro-nécrotique, . MEDIDAS NO FARMACOLÓGICAS. Gingivitis ulcerativa necrosante o. Angina de Vincent (GUNA) en pacientes inmunodeprimidos,. VIH, leucemia, neutropenia.

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NUG has been recognized for centuries.

Enfermedades periodontales ne- crosantes. Existing predisposing local factors, such as overhanging restorations and interdental open spaces, should be carefully evaluated and treated.

In other projects Wikimedia Commons. Periodontal disorders Conditions of the mucous membranes Necrosis. NUG was classified in several classification systems: Teeth pulpdentinenamel. He had no other significant medical history or known allergies. Orofacial soft tissues — Soft tissues around the mouth Actinomycosis Angioedema Basal cell carcinoma Cutaneous sinus of dental origin Cystic hygroma Gnathophyma Ludwig’s angina Macrostomia Melkersson—Rosenthal syndrome Microstomia Noma Oral Crohn’s disease Orofacial granulomatosis Perioral dermatitis Pyostomatitis vegetans.

Necrotizing ulcerative gingivitis NUG is a typical form of periodontal diseases. Necrotizing ulcerative gingivitis NUG is a distinct and specific form of periodontal diseases. The synonym “trench mouth” arose during World War I as many soldiers developed the disease, probably because of the poor conditions and extreme psychological stress.


However, it increased later on in patients with an immunocompromised condition, especially HIV-infected patients.

Acute necrotizing ulcerative gingivitis

This article is about the physiologic disorder. As stated, the condition can occur and be especially dangerous in people with weakened immune systems. This page was last edited on 21 Mayat For the similarly named band, see Trenchmouth. The treatment of NUG is organized in successive stages: Apically positioned flap Bone graft Coronally positioned flap Crown lengthening Open flap debridement Gingival graft Gingivectomy Guided bone regeneration Guided tissue regeneration Enamel matrix derivative Implant placement Lateral pedicle graft Pocket reduction surgery Socket preservation Sinus lift Subepithelial connective tissue graft Tools Curette Membrane Probe Ginvivitis.

Please help improve it to make it understandable to non-expertswithout removing the technical details. Debridement Scaling and root planing Full mouth disinfection Full mouth ultrasonic debridement.

Leptospira Leptospira interrogans Leptospirosis. Conclusion NUG is a specific acute periodontal disease. The word acute is used because usually the onset is sudden. This progression to noma is possible in malnourished susceptible individuals, with severe disfigurement possible. Jean Hyacinthe Vincenta French physician working at the Paris Pasteur Institute describes a fusospirochetal infection of the pharynx and palatine tonsilscausing “ulcero-membranous pharyngitis and tonsillitis”, [5] which later became known as Vincent’s angina.


Squamous cell papilloma Keratoacanthoma Malignant: The causative organisms are mostly anaerobic bacteria, particularly Fusobacteria and spirochete species.

We also noted during physical examination a thin, febrile, tired male, but no adenopathy was noted on cervical ganglionic area examination.

Necrotizing Ulcerative Gingivitis

Xenophon observes sore mouth and foul smelling breath in Greek soldiers in the 4th century BC. This case report describes the diagnosis approach and the conservative management with a good outcome of NUG in a ulceroo male patient with no systemic disease and probable mechanism of pathogenesis of necrosant predisposing factors involved. Search Bing for all related images. Zones of infection have been described.

The term trench mouth evolved because the disease was observed in front line soldiers during World War I, thought to be a result at least partly because of extreme psychologic stress they were exposed to.

These are superficial to deep the bacterial zone, the neutrophil rich zone, the necrotic zone and the spirochetal zone.