Acute necrotizing ulcerative gingivitis


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.[1] 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).[2][3]

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".[4]

Contents

Etiology

Necrotizing periodontal disease is caused by a bacterial infection that includes anaerobes such as P. intermedia[3] and Fusobacterium as well as spirochetes, such as Borrelia and Treponema.

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.[5] 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.[2]

Signs and symptoms

Clinical features of necrotizing periodontal disease may include:[2]

Coincident factors may include heavy smoking and poor nutrition,[2] especially for those presenting with necrotizing ulcerative periodontitis.[3]

Treatment

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.[2]

Prognosis

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

See also

References

  1. ^ "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. 
  2. ^ 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. 
  3. ^ a b c d American Academy of Periodontology (1999). "Consensus report: Necrotizing Periodontal Diseases". Ann. Periodontol. 4 (1): 78. doi:10.1902/annals.1999.4.1.78. http://www.joponline.org/doi/pdf/10.1902/annals.1999.4.1.78. 
  4. ^ "Definition of Vincent angina". Medterms.com. 2001-09-13. http://www.medterms.com/script/main/art.asp?articlekey=6261. Retrieved 2010-02-13. 
  5. ^ 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. 
  6. ^ 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. 
  7. ^ "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. 
  8. ^ 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. 
  9. ^ Smith, Patti (2010). Just Kids. New York: HarperCollins. p. 85. 

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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

  • Necrotizing sialometaplasia — Classification and external resources ICD 10 K11.8 DiseasesDB 31434 …   Wikipedia

  • 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