Acute Necrotizing Ulcerative Gingivitis Acute necrotizing ulcerative gingivitis is a chronic inflammatory condition of the gums that leads to rapidly f...
Acute necrotizing ulcerative gingivitis is a chronic inflammatory condition of the gums that leads to rapidly fatal tissue loss. This means that the gums rapidly become red, swollen, and painful, and can eventually die and fall off completely.
Causes:
Bacteria: The most common cause of acute necrotizing ulcerative gingivitis is Streptococcus mutans, a bacteria that primarily infects the mouth. Other bacteria that can cause this condition include Staphylococcus, Streptococcus, and Pseudomonas.
Poor oral hygiene: Not brushing and flossing regularly can allow bacteria to build up and infect the gums.
Smoking: Smoking increases the risk of developing gum diseases.
Diabetes: Diabetes can also increase the risk of developing gum diseases.
Certain medications: Certain medications, such as methotrexate and cyclosporine, can cause gum problems.
Symptoms:
Redness
Swelling
Pain
Bleeding
Gums that feel rough or sandpapery
Thickened gums
Receding gums
Loss of teeth
Diagnosis:
A dentist will take a medical history and perform a physical examination of the gums.
X-rays may be taken to rule out other conditions.
Blood tests may be performed to rule out underlying medical conditions.
Treatment:
Treatment for acute necrotizing ulcerative gingivitis depends on the underlying cause.
Antibiotics: Treatment is typically with antibiotics such as penicillin or amoxicillin.
Fluoride: Fluoride helps to strengthen the gums and prevent future infections.
Gum grafting: In some cases, gum grafting may be necessary to rebuild the gums and prevent further loss of tissue.
Prevention:
Brush your teeth twice a day with a soft-bristled toothbrush and fluoride toothpaste.
Floss daily to remove plaque and bacteria between the teeth.
Avoid smoking.
Manage your diabetes.
Be aware of any medications you are taking that may cause gum problems