J Korean Dent Sci.
2016 Dec;9(2):81-89. 10.5856/JKDS.2016.9.2.81.
Effective Management of Acute Necrotizing Ulcerative Gingivitis with Proper Diagnosis and Immediate Treatment
- Affiliations
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- 1Dental Center, Pusan National University Hospital, Busan, Korea. betteryoung@hanmail.net
- 2Department of Periodontology, School of Dentistry, Pusan National University, Yangsan, Korea.
- KMID: 2369065
- DOI: http://doi.org/10.5856/JKDS.2016.9.2.81
Abstract
- Necrotizing periodontal diseases, especially acute necrotizing ulcerative gingivitis (ANUG), it should be noted, occur abruptly and progress rapidly, eventually causing severe soft-tissue and alveolar bone loss. This report presents the cases of two ANUG patients and provides a brief treatment protocol for easy and effective clinical management. After proper diagnosis, sequential treatment with cessation of mechanical brushing, along with a prescription of systemic antibiotics and chlorhexidine as a mouth rinse, scaling, root planing, and supportive periodontal therapy, was utilized. In all cases discussed in this report, there was marked improvement in a few days. ANUG, though an uncommon disease, can be efficiently managed with proper diagnosis and immediate treatment.
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