9 Symptoms of Gum Diseases and Treatments! Necrotizing Gingivitis

Dental Treatment

Necrotizing gingivitis is part of a range of disease known as necrotizing periodontal diseases. Necrotizing Ulcerative Gingivitis (NUG) is a severe infection of the gums (gingiva) characterized by gum necrosis, bleeding, and pain. It is diagnosed once specific clinical signs and symptoms begin to develop. It is different from other gum diseases in that it presents with necrosis of gums between teeth ulceration of the papillae, gum bleeding, and pain.

It Usually occurs in young adults between the ages of 18-30 years. It is also known as Vincent's Infection, acute ulcer membranous gingivitis, phagedenic gingivitis, fusospirochetal (related to, or caused by Fusobacteria and spirochetes) gingivitis or Trench Disease (due to its outburst in the soldiers during World War 1).

Symptoms

  1. The rapid or sudden onset of intense pain (localized or generalized).
  2. Ulcerated and necrotic papillary and marginal gingiva and cratering (punched out) of papillae.
  3. Intense gingival pain.
  4. Gums that bleed easily.
  5. Bad breath.
  6. Yellowish-white or grayish slough “pseudomembrane” (skin like tissue) covering ulcerated papilla, swollen or enlarged lymph nodes, fever, and fatigue.
  7. The Bacterial attack on gum tissues.
  8. Severe/excruciating pain.
  9. Lesions or blister-like formations on the gum and gum line.

Risk Factors

  • Risk Factors may include the following:
  • Psychological anxiety and stress.
  • Sleep deprivation.
  • Smoking.
  • Pre-existing early-stage gum disease (gingivitis) and trauma.
  • Inadequate oral hygiene.
  • Nutritional Deficiency.
  • HIV-positive status.
  • Other medical conditions that weaken immunity.
  • Immunity-suppressing medication, such as corticosteroids.
  • Down’s Syndrome.
  • Sudden lifestyle change.
  • Males are more at risk than females.
  • All the factors mentioned above result in immunosuppression: decreased antibody response, increasing one's vulnerability to the infection.

Gum Disease Stages

Diagnosis

  • Detailed medical history, including nutrition, lifestyle and health habits.
  • Medical consultation and treatment, in case the immunosuppressive disease is suspected.
  • Detailed dental account: pain (persistent, intense onset).
  • Extraoral examination: for enlarged and swollen lymph nodes of the head and neck.
  • Intraoral examination: for clinical features of NUG and presence of pasty saliva.
  • Based on the professional medical check-up, a diagnosis of NUG is established.

Treatment

  • Common Initial phase Treatments include:
  • Debridement of the infected area which is under local anesthesia.
  • Removal of the formed membrane using cotton dipped in chlorhexidine.
  • Explain to the patient-specific oral care instructions such as the use of a prescription antibacterial mouthwash: chlorhexidine 0.12% twice daily.
  • Manage pain with analgesics: ibuprofen 400-600 mg thrice daily.
  • Patient counseling should include education on proper nutrition, oral care, appropriate fluid intake, and quitting of habits such as smoking.
  • Antibiotics if patiently is immunocompromised (e.g., AIDS, leukemia,) or in case of development of physical symptoms like fever, malaise, and enlargement or swelling of lymph nodes.
  • Follow up with a complete oral examination after resolution of the condition.
  • When the physical manifestation of the disease such as fever is present, antibiotic treatment may be recommended.
  • Remaining soft tissue hollows are more vulnerable to further dental attachment loss; these areas may need surgical treatment in future to avoid complications.
  • Sites that don't respond to treatment may occur and may be characterized by recurring and progressive deterioration of the gum and surrounding structural detachment.
  • Reasons for unresolved NUG include the failure to remove the irritant, incomplete debridement of infected tissue, inaccurate diagnosis, a patient who doesn't follow treatment protocols and medication, and underlying medical conditions.
  • Non-resident patients will need additional therapy, additional medication, and dental consultation. These conditions may tend to recur; therefore, frequent periodontal maintenance visits and thorough oral hygiene are mandatory.
  • Your dentist may recommend medicated mouth rinses, brushing with special toothpaste and flossing more frequently to meet your increased need for oral hygiene.
  • Untreated, the condition may lead to rapid deterioration of the gum (necrotizing ulcerative periodontitis) and may also spread, as necrotizing stomatitis or noma, into surrounding tissues in the cheeks, lips or the bone structure of the jaw.
  • With treatment, even if attachment loss occurs with NUG, resolution post-treatment (regular scaling, root-planing, and antimicrobial or rinses), is quick and regeneration of the impacted soft tissues is possible.

Read moreGingivitis Causes And Treatment

 

Dental Treatments

Oral diseases such as acute necrotizing gingivitis flourish easily in people with compromised immune system.A strong immune system can fight off deadly viral and bacterial infections. Eat a healthy balanced diet with plenty of immunity-boosting nutrients to avoid falling prey to these painful and damaging oral diseases.”

Oral diseases can be easily prevented with professional dental deep cleaning, good oral hygiene, and balanced meals. Regular dental examinations can also help detect gum diseases in early stages. It can be advantageous as early detection can prevent the pain and damage caused by advancement of the disease. The outcome is always better when medical intervention happens early.

Similar Articles

smile teeth white

Everyone wants a healthy and happy life, and he/she uses a number of ways to achieve it. He/She visits gyms, dietitians, medical practitioners and a lot of other places for the good health, which the major source of a happy life.

dentures

There is little doubt that dental implants are an excellent and increasingly popular way to replace missing teeth. If you have lost some or all your teeth, your dentist may have suggested this option. However, dental implants are not right for everyone.

7 Reasons Why Dental Implants Are Best Solutions for Missing Teeth

The development in dentistry has given us a number of new solutions for faulty or missing teeth. Around a few centuries, it was not easy to deal with the missing teeth and no one even bothered so much back then. According to some historical reports, the teeth of the corpses were used to replace the missing teeth in the past, and dentures were made of the teeth of the deal soldiers during the Battle of Waterloo.

Dental checkup

Teeth and gums are important parts of your body, which cannot be overlooked. These are not only necessary for a healthy smile, but you cannot get all the tastes if your teeth and gums are unhealthy. Moreover, if you are feeling pain in your mouth due to the bad health of teeth or gums, they may adversely impact your daily life.

Porcelain Veneers or Lumineers: What is the Difference, and Which is Best?

Whenever you see someone with an amazing smile then the chances are that they have at least some veneers. They may even have chosen to veneer all those beautifully perfect teeth that you can see whenever they grin.

Wisdom Teeth Removal

The removal of Wisdom teeth is an operating practice to eliminate either one or multiple wisdom teeth. If a wisdom tooth doesn't have adequate room to grow, it may result in pain, inflammation and other related problems. This is a sign informing that we need wisdom teeth removal in the quickest possible time.  

How to Help Your Kid Get Used to and Look After Their Braces

Orthodontics is almost a rite of passage for older kids and teenagers, but even though their friends may already have braces, there is bound to be some level of trepidation at the thought of getting their own. Your kid is bound to have lots of questions about what to expect, what will braces feel like and how will they cope initially.

dentist

Dentists are trained medical professional who are experts in taking care of your teeth. Visits to them are often dreaded by a lot of people as it is something that people associate with pain but that is not the case as that would happen only if you don’t visit the dentist in a long time. 

dental

Braces are an amazing way to correct the alignment of your teeth by putting pressure on them to put them into position, giving you the perfect smile you always wanted. It might not be a pain-free process, especially if your teeth are really misaligned, and you will face some difficulty in eating, talking, and even sleeping at night.