Oral pain, erythematous gingival tissues, blunted papillae spontaneous gingival bleeding, and no attachment loss
# A 19 year old patient presents with oral pain, erythematous gingival tissues, blunted papillae spontaneous gingival bleeding, and no attachment loss. There is also a pseudomembrane covering the gingiva. Which of the following is the diagnosis for this patient? A. Plaque associated gingivitis B. Necrotizing ulcerative gingivitis C. Aggressive periodontitis D. Chronic periodontitis E. Necrotizing ulcerative periodontitis The correct answer is B. Necrotozing ulcerative gingivitis. Necrotizing ulcerative gingivitis and periodontitis usually occurs because of the predominance of the anaerobic fusobacteria and spirochetes within the oral cavity, specifically underneath the gingiva. This is a case of Necrotizing ulcerative gingivitis (NUG) NOT necrotizing ulcerative periodontitis (NUP) because the patient is not experiencing bone loss. Debridement of the affected gingiva with an adjunctive prescription of chlorhexidine 0.12 % rise will help stop the progression of necrotizing ulcerativ...