Treatment of Acute Necrotising Ulcerative Gingivitis (ANUG)

Treatment of ANUG

First Visit ➥Removal of pseudomembrane and non attached debris after the application of a topical anesthetic
➥Patient is advised to rinse with 3% H2O2 (hydrogen peroxide) in equal dilution with warm water every two hours
➥Patients with systemic symptoms and local lymphadenopathy are placed on Amoxicillin 250 or 500 mg QID and Metronidazole 250 or 500 mg TID
Second Visit After 1-2 days of First visit. Scaling is performed and oral hygiene instructions are given
Third Visit After 1-2 days of 2nd visit. Scaling and root planing are repeated. The H2O2 mouth rinses are suspended and Chlorhexidine (CHX) rinse continued for 2-3 weeks
Subsequent visits Patients without other gingival diseases are dismissed for 1 week. Tooth extraction or periodontal surgery should be postponed for 4 weeks.