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 ligamentand alveolar ligament. Breaking down the name. NUP is a destructive form of periodontitis with loss of attachment occurring rapidly within days. Dr. Todescan is an assistant professor in periodontology in the division of periodontics, department of dental diagnostic and surgical sciences, faculty of dentistry, University of Manitoba, Winnipeg, Manitoba. J Lindhe, NP Lang, T Karring (editors) (2008) "Clinical periodontology and implant dentistry" 5th edition, Blackwell Munksgaard, pp. Corbet EF. In patients with no known systemic disease or immune dysfunction, necrotizing periodontitis (NUP) appears to share many of the clinical and etiologic characteristics of necrotizing ulcerative gingivitis (NUG) except that patients with NUP demonstrate loss of clinical attachment and alveolar bone at affected sites. NUG is different from other periodontal diseases in that it presents with interdental necrosis, “punched out” ulcerated papillae, gingival bleeding and pain. Necrotising periodontal diseases 1. Treatment is gentle debridement, improved oral hygiene, mouth rinses, supportive care, and, if debridement must be delayed, antibiotics. NUP may … Acute Necrotizing Ulcerative Gingivitis is a much more severe condition than normal gingivitis, which can finally lead the death of gum tissue. Necrotizing ulcerative gingivitis, (NUG), or simply necrotizing gingivitis (NG), is a common, non-contagious infection of the gums. When NUG progresses and results in attachment loss, it is referred to as necrotizing ulcerative periodontitis (NUP). Furthermore, the vast majority of cases of NUG and NUP will not progress to the more severe forms, even without treatment. The editor reserves the right, acting in its sole and absolute discretion, to: (i) edit all copy submitted to CDA Oasis. students during a period of examinations, armed forces recruits) ANUG is known to occur in epidemic-type patterns. Remove pseudomembrane, using cotton pellet dipped in 0.12% chlorhexidine. La publication de toute publicité ne sous-entend pas nécessairement que l’ADC en approuve les allégations ou qu’elle les corrobore. In most cases of Necrotizing Ulcerative Periodontitis, it has been observed that developing countries involving children that lack dental health care have more complications. There may also be intra-oral halitosis, cervical lymphadenitis (swollen lymph nodes in the neck) and malaise. Acute necrotizing ulcerative gingivitis is a painful infection of the gums. ANUG is also known as trench mouth, as it was observed to occur in the mouths of front line soldiers during World War I. 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. Poor oral hygiene and other predisposing factors may need to be corrected to prevent recurrence. Symptoms are acute pain, bleeding, and foul breath. Survival analysis was used to estimate the cumulative probability of death within 24 months of a NUP diagnosis. In general, NP is a reactive, destructive inflammatory process in response to bacterial inflammation, and represents … Appendix: Photo- and Radiographs of Periodontal Disease Associated with HIV. This recommendation is pragmatic as acute necrotizing ulcerative gingivitis is a very painful condition [Scottish Dental Clinical Effectiveness Programme, 2014]. It is characterized by painful, erythematous, bleeding gums, malodorous breath, and necrosis and ulceration of connective gum tissue. 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 … This destroys the ligaments which anchor teeth in their sockets. This recommendation is pragmatic as acute necrotizing ulcerative gingivitis is a very painful condition [Scottish Dental Clinical Effectiveness Programme, 2014]. Left untreated, it may lead to Necrotizing ulcerative Periodontitis with a progressive destruction of the periodontium and denudation of the roots, accompanied by an increase in the severity of toxic systemic complications. 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