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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 ulcerative disease.

Acute necrotizing gingivitis signs/ symptoms:
  1. Pain
  2. Interproximal necrosis of the papilla (Blunting of papilla)
  3. Bleeding gingiva
  4. Fetid odor
  5. Low-grade fever
  6. Pseudomembrane

Acute necrotizing gingivitis risk factors:
  1. Poor oral hygiene
  2. Smoking
  3. Malnutrition
  4. Fatigue
  5. Stress
  6. Immunocompromised patients


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