Acute necrotizing ulcerative gingivitis - Revision history

Sschor: /* Background */

2022-08-07T20:45:40Z

Background

← Revisión anterior		Revisión del 20:45 7 ago 2022
Línea 3:		Línea 3:
	*Also known as "trench mouth"		*Also known as "trench mouth"
	*Often abbreviated as ''ANUG''		*Often abbreviated as ''ANUG''
	*Some literature equates as the same as [[Vincent's angina]], and other literature suggests ANUG and [[Vincent's angina]] are different
	*Severe gingival disease that may spread to local soft tissue and bone		*Severe gingival disease that may spread to local soft tissue and bone
	*Must distinguish from [[Herpes gingivostomatitis]]		*Must distinguish from [[Herpes gingivostomatitis]]
	**Herpes has more systemic signs, less bleeding, lack of interdental papilla involvement		**Herpes has more systemic signs, less bleeding, lack of interdental papilla involvement
	*Bacteria involved: anaerobic fusobacterium and ''Borellia spirochete''<ref>J Periodontol. 1986 Mar;57(3):141-50. Acute necrotizing ulcerative gingivitis. A review of diagnosis, etiology and treatment. Johnson BD, Engel D.</ref>, Treponema, Selenomonas, Prevotella		*Bacteria involved: anaerobic fusobacterium and ''Borellia spirochete''<ref>J Periodontol. 1986 Mar;57(3):141-50. Acute necrotizing ulcerative gingivitis. A review of diagnosis, etiology and treatment. Johnson BD, Engel D.</ref>, Treponema, Selenomonas, Prevotella
	*[[Vincent's angina]] is sometimes confused with [[ANUG]], but the former is tonsillitis and pharyngitis, and the latter involves the gums		*[[Vincent's angina]] is sometimes confused with [[ANUG]], but the former is tonsillitis and pharyngitis, and the latter involves the gums. There is not currently a consensus on whether ANUG and [[Vincent's angina]] are separate entities or simply different presentations of the same entity

	===Associated Conditions<ref>J Periodontol. 1986 Mar;57(3):141-50. Acute necrotizing ulcerative gingivitis. A review of diagnosis, etiology and treatment. Johnson BD, Engel D.</ref>===		===Associated Conditions<ref>J Periodontol. 1986 Mar;57(3):141-50. Acute necrotizing ulcerative gingivitis. A review of diagnosis, etiology and treatment. Johnson BD, Engel D.</ref>===
Línea 45:		Línea 44:
	{{ANUG Treatment}}		{{ANUG Treatment}}

			For pain management, can consider inferior alveolar block or viscous lidocaine diluted and spread across the gums.
	===Consultation===		===Consultation===
	ENT or OMFS consult for dental debridement may be required in severe infections		ENT or OMFS consult for dental debridement may be required in severe infections

Rossdonaldson1: /* Background */

2021-12-02T20:44:29Z

Background

← Revisión anterior		Revisión del 20:44 2 dic 2021
Línea 1:		Línea 1:
	==Background==		==Background==
			[[File:Periodontium.png\|thumb\|Anatomy of the periodontium. The crown of the tooth is covered by enamel (A). Dentin (B). The root of the tooth is covered by cementum. C, alveolar bone. D, subepithelial connective tissue. E, oral epithelium. F, free gingival margin. G, gingival sulcus. H, principal gingival fibers. I, alveolar crest fibers of the periodontal ligament (PDL). J, horizontal fibers of the PDL. K, oblique fibers of the PDL.]]
	*Also known as "trench mouth"		*Also known as "trench mouth"
	*Often abbreviated as ''ANUG''		*Often abbreviated as ''ANUG''

Rossdonaldson1: /* Background */

2020-02-03T21:58:19Z

Background

← Revisión anterior		Revisión del 21:58 3 feb 2020
Línea 7:		Línea 7:
	**Herpes has more systemic signs, less bleeding, lack of interdental papilla involvement		**Herpes has more systemic signs, less bleeding, lack of interdental papilla involvement
	*Bacteria involved: anaerobic fusobacterium and ''Borellia spirochete''<ref>J Periodontol. 1986 Mar;57(3):141-50. Acute necrotizing ulcerative gingivitis. A review of diagnosis, etiology and treatment. Johnson BD, Engel D.</ref>, Treponema, Selenomonas, Prevotella		*Bacteria involved: anaerobic fusobacterium and ''Borellia spirochete''<ref>J Periodontol. 1986 Mar;57(3):141-50. Acute necrotizing ulcerative gingivitis. A review of diagnosis, etiology and treatment. Johnson BD, Engel D.</ref>, Treponema, Selenomonas, Prevotella
			*[[Vincent's angina]] is sometimes confused with [[ANUG]], but the former is tonsillitis and pharyngitis, and the latter involves the gums

	===Associated Conditions<ref>J Periodontol. 1986 Mar;57(3):141-50. Acute necrotizing ulcerative gingivitis. A review of diagnosis, etiology and treatment. Johnson BD, Engel D.</ref>===		===Associated Conditions<ref>J Periodontol. 1986 Mar;57(3):141-50. Acute necrotizing ulcerative gingivitis. A review of diagnosis, etiology and treatment. Johnson BD, Engel D.</ref>===

ClaireLewis: /* Clinical Features */

2019-09-30T16:59:28Z

Clinical Features

← Revisión anterior		Revisión del 16:59 30 sep 2019
Línea 22:		Línea 22:
	*[[Fever]]		*[[Fever]]
	*Halitosis		*Halitosis
	*~~Pain~~		*[[dental problems\|Dental/mouth pain]]
	*Gingival bleeding		*Gingival bleeding
	*Teeth mobility		*Teeth mobility

ClaireLewis at 16:58, 30 September 2019

2019-09-30T16:58:18Z

← Revisión anterior		Revisión del 16:58 30 sep 2019
Línea 30:		Línea 30:
	*Fetid breath with metallic taste		*Fetid breath with metallic taste
	*"Wooden teeth" feeling		*"Wooden teeth" feeling
	*Regional lymphadenopathy		*Regional [[lymphadenopathy]]
	*Ulcerated, with grayish pseudomembrane or "punched out" interdental papillae		*Ulcerated, with grayish pseudomembrane or "punched out" interdental papillae
	*Blunting of the typically pointed edges of the papillae		*Blunting of the typically pointed edges of the papillae

Ostermayer: /* Management */

2019-01-18T16:25:59Z

Management

@@ Línea 41: / Línea 41: @@
 ==Management==
-*Organisms involved are polymycrobial but often include Fusobacterium necrophorum, Treponema spp, Selenomonas, and Prevotella
+{{ANUG Treatment}}
 ===Consultation===

Kxl328: /* Background */

2018-10-03T00:34:46Z

Background

← Revisión anterior		Revisión del 00:34 3 oct 2018
Línea 1:		Línea 1:
	==Background==		==Background==
	*Also known as "trench mouth"		*Also known as "trench mouth"
	*Frequently confused with [[Vincent's angina]]
	*Often abbreviated as ''ANUG''		*Often abbreviated as ''ANUG''
			*Some literature equates as the same as [[Vincent's angina]], and other literature suggests ANUG and [[Vincent's angina]] are different
	*Severe gingival disease that may spread to local soft tissue and bone		*Severe gingival disease that may spread to local soft tissue and bone
	*Must distinguish from [[Herpes gingivostomatitis]]		*Must distinguish from [[Herpes gingivostomatitis]]

Kxl328: /* Background */

2018-10-03T00:32:49Z

Background

← Revisión anterior		Revisión del 00:32 3 oct 2018
Línea 1:		Línea 1:
	==Background==		==Background==
	*Also known as "trench mouth" ~~and~~ Vincent's angina		*Also known as "trench mouth"
			*Frequently confused with [[Vincent's angina]]
	*Often abbreviated as ''ANUG''		*Often abbreviated as ''ANUG''
	*Severe gingival disease that may spread to local soft tissue and bone		*Severe gingival disease that may spread to local soft tissue and bone

Aganapathy: /* Secondary signs */

2018-01-21T08:14:43Z

Secondary signs

← Revisión anterior		Revisión del 08:14 21 ene 2018
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	*Regional lymphadenopathy		*Regional lymphadenopathy
	*Ulcerated, with grayish pseudomembrane or "punched out" interdental papillae		*Ulcerated, with grayish pseudomembrane or "punched out" interdental papillae
			*Blunting of the typically pointed edges of the papillae

	==Differential Diagnosis==		==Differential Diagnosis==

Iwm5010: /* Disposition */

2017-11-27T18:40:30Z

Disposition

← Revisión anterior		Revisión del 18:40 27 nov 2017
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	==Disposition==		==Disposition==
			Discharge

	==See Also==		==See Also==