- Acute necrotizing ulcerative gingivitis
Necrotizing ulcerative gingivitis/periodontitis Classification and external resources ICD-10 A69.1 ICD-9 101 DiseasesDB 13866 MeSH D005892
Acute necrotizing ulcerative gingivitis (ANUG) or necrotizing ulcerative gingivitis (NUG) is a sub-classification of necrotizing periodontal disease, an infection of the gum tissue. This presents as an acute infection of the gingiva without involvement of the other tissues of the periodontium. If the infection has progressed deeper into the periodontal tissues, it is subclassified as "necrotizing ulcerative periodontitis" (NUP).
The condition is also commonly referred to as "trench mouth" and "Vincent's angina", named after French physician Henri Vincent (1862–1950). Other synonyms include "acute membranous gingivitis", "fusospirillary gingivitis", " fusospirillosis", "fusospirochetal gingivitis", "necrotizing gingivitis", "phagedenic gingivitis", "ulcerative gingivitis", "Vincent stomatitis", "Vincent gingivitis", and "Vincent infection".
In the late 1980s-early 1990s, it was originally thought that necrotizing periodontal diseases were strictly a sequela of HIV, and it was even called HIV-associated periodontitis. It is now understood that its association with HIV/AIDS was due to the immunocompromised status of such patients, and it occurs with higher prevalence in association with other diseases in which the immune system is compromised.
Signs and symptoms
Clinical features of necrotizing periodontal disease may include:
- necrosis and/or punched outulceration of the interdental papillae ("punched-out papillae") or gingival margin
- pseudomembranous formation
- painful, bright red marginal gingiva that bleed upon gentle manipulation
Treatment includes irrigation and debridement of necrotic areas (areas of dead and/or dying gum tissue), oral hygiene instruction and the uses of mouth rinses and pain medication. As these diseases are often associated with systemic medical issues, proper management of the systemic disorders is appropriate.
Untreated, the infection may lead to rapid destruction of the periodontium and can spread, as necrotizing stomatitis or noma, into neighbouring tissues in the cheeks, lips or the bones of the jaw. As stated, the condition can occur and be especially dangerous in people with weakened immune systems. This progression to noma is possible in malnourished susceptible individuals, with severe disfigurement possible.
Notable people affected
- author William Styron
- football player Ernie Davis
- actress Marilyn Monroe 
- artist Robert Mapplethorpe
- paratrooper and author Donald Burgett
- ^ "Definition of Acute necrotizing ulcerative gingivitis (ANUG)". Medterms.com. 1999-02-18. http://www.medterms.com/script/main/art.asp?articlekey=6577. Retrieved 2010-02-13.
- ^ a b c d e American Academy of Periodontology (May 2000). "Parameter on acute periodontal diseases. American Academy of Periodontology" (PDF). J. Periodontol. 71 (5 Suppl): 863–6. doi:10.1902/jop.2000.71.5-S.863. PMID 10875694. http://perio.org/resources-products/pdf/863.pdf.
- ^ a b c d American Academy of Periodontology (1999). "Consensus report: Necrotizing Periodontal Diseases". Ann. Periodontol. 4 (1): 78. doi:10.1902/annals.19126.96.36.199. http://www.joponline.org/doi/pdf/10.1902/annals.19188.8.131.52.
- ^ "Definition of Vincent angina". Medterms.com. 2001-09-13. http://www.medterms.com/script/main/art.asp?articlekey=6261. Retrieved 2010-02-13.
- ^ NYS Department of Health AIDS Institute. "Clinical Manifestations and Management of HIV-Related Periodontal Disease". Oral Health Care for People with HIV Infection: HIV Clinical Guidlines. p. 31.
- ^ Styron, William (September 18, 1995). "Personal History, 'A CASE OF THE GREAT POX'". The New Yorker: p. 62. https://www.newyorker.com/archive/1995/09/18/1995_09_18_062_TNY_CARDS_000372118.
- ^ "Movie about Ernie Davis looks back at the Syracuse star, a Cleveland Brown who never was". The Plain Dealer. September 05, 2008. http://www.cleveland.com/sports/index.ssf/2008/09/movie_about_ernie_davis_looks.html.
- ^ Burbank, Jeff (1 October 2006). Las Vegas Babylon: true tales of glitter, glamour, and greed. Franz Steiner Verlag. p. 83. ISBN 9781861059666. http://books.google.com/books?id=P3BklV6IFssC.
- ^ Smith, Patti (2010). Just Kids. New York: HarperCollins. p. 85.
Periodontology Tissues of the periodontium
and their physiologic entities
Diagnoses Pathogenesis Pathologic entitiesCalculus · Clinical attachment loss · Edentulism · Fremitus · Furcation defect · Gingival enlargement · Gingival pocket · Gingivitis · Horizontal bony defect · Linear gingival erythema · Occlusal trauma · Periodontal pocket · Periodontal disease · Periodontitis · Plaque · Recession · Vertical bony defect Diagnosis, treatment planning,
Periodontal armamentarium Conventional therapy Surgical therapy and
periodontal surgeryApically positioned flap · Bone graft · Coronally positioned flap · Crown lengthening · Open flap debridement · Free gingival graft · Gingivectomy · Guided bone regeneration · Guided tissue regeneration · Implant Placement · Lateral pedicle graft · Pocket reduction surgery · Sinus lift · Subepithelial connective tissue graft
Important personalities Other specialtiesEndodontology · Orthodontology · Prosthodontology Infectious diseases · Bacterial diseases: BV4 non-proteobacterial G- (primarily A00–A79, 001–041, 080–109) SpirochaeteTreponemaLeptospiraceaeLeptospira interrogans (Leptospirosis)Spirillaceae Chlamydiaceae Bacteroidetes Fusobacteria Oral pathology: Stomatognathic disease (K06, K11–K14, 523, 527–529) Vestibule of mouth Oral cavity properHard, soft,
and periapical tissues
Salivary glands Tongue General To be grouped
from dermAcquired dyskeratotic leukoplakia · Angina bullosa haemorrhagica · Behçet syndrome · Cutaneous sinus of dental origin · Cyclic neutropenia · Epulis fissuratum · Eruptive lingual papillitis · Melanocytic oral lesion · Melkersson–Rosenthal syndrome · Mucosal lichen planus · Oral Crohn's disease · Oral florid papillomatosis · Oral melanosis · Plasmoacanthoma · Proliferative verrucous leukoplakia · Pyogenic granuloma · Pyostomatitis vegetans · Recurrent intraoral herpes simplex infection · Stomatitis nicotina · Trumpeter's wart · Vestibular papillomatosis
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Look at other dictionaries:
acute necrotizing ulcerative gingivitis — n a progressive painful disease of the mouth that is marked esp. by dirty gray ulceration of the mucous membranes, spontaneous hemorrhaging of the gums, and a foul odor to the breath and that is associated with the presence of large numbers of… … Medical dictionary
acute necrotizing ulcerative gingivitis — noun Medical name of the form of severe gum infection popularly called trench mouth. Syn: acute membranous gingivitis, acute ulcerative gingivitis, fusospirillosis, fusospirochetal gingivitis, phagedenic gingivitis, ulcerative gingivitis, Plaut… … Wiktionary
Acute necrotizing ulcerative gingivitis (ANUG) — This is trench mouth, a progressive painful infection with ulceration, swelling and sloughing off of dead tissue from the mouth and throat due to the spread of infection from the gums. Certain germs (including fusiform bacteria and spirochetes)… … Medical dictionary
ANUG (acute necrotizing ulcerative gingivitis) — This is trench mouth, a progressive painful infection with ulceration, swelling and sloughing off of dead tissue from the mouth and throat due to the spread of infection from the gums. Certain germs (including fusiform bacteria and spirochetes)… … Medical dictionary
necrotizing ulcerative gingivitis — n ACUTE NECROTIZING ULCERATIVE GINGIVITIS * * * a progressive painful infection, also seen in subacute and recurrent forms, marked by crateriform lesions of interdental papillae with pseudomembranous slough circumscribed by linear erythema; fetid … Medical dictionary
Gingivitis, acute necrotizing ulcerative (ANUG) — This is trench mouth, a progressive painful infection with ulceration, swelling and sloughing off of dead tissue from the mouth and throat due to the spread of infection from the gums. Certain germs (including fusiform bacteria and spirochetes)… … Medical dictionary
Ulcerative gingivitis — This is trench mouth, a progressive painful infection with ulceration, swelling and sloughing off of dead tissue from the mouth and throat due to the spread of infection from the gums. Certain germs (including fusiform bacteria and spirochetes)… … Medical dictionary
Gingivitis — Classification and external resources Severe gingivitis before (top) and after (bottom) a thorough mechanical debridement of the teeth and adjacent gum tissues. ICD 10 … Wikipedia
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Acute membranous gingivitis — This is trench mouth, a progressive painful infection with ulceration, swelling and sloughing off of dead tissue from the mouth and throat due to the spread of infection from the gums. Certain germs (including fusiform bacteria and spirochetes)… … Medical dictionary