Journal of Korean Dental Science  2016;9(2):81-89

doi:10.5856/JKDS.2016.9.2.81

Effective Management of Acute Necrotizing Ulcerative Gingivitis with Proper Diagnosis and Immediate Treatment.

Eun Young KWON 1 ; Youn Kyung CHOI ; Jeomil CHOI ; Ju Youn LEE ; Ji Young JOO

Affiliations

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Keywords

Anti-bacterial agents; Chlorhexidine; Gingivitis

Country

Republic of Korea

Language

English

Abstract

Necrotizing periodontal diseases, especially acute necrotizing ulcerative gingivitis (ANUG), it should be noted, occur abruptly and progress rapidly, eventually causing severe soft-tissue and alveolar bone loss. This report presents the cases of two ANUG patients and provides a brief treatment protocol for easy and effective clinical management. After proper diagnosis, sequential treatment with cessation of mechanical brushing, along with a prescription of systemic antibiotics and chlorhexidine as a mouth rinse, scaling, root planing, and supportive periodontal therapy, was utilized. In all cases discussed in this report, there was marked improvement in a few days. ANUG, though an uncommon disease, can be efficiently managed with proper diagnosis and immediate treatment.