Diferencia entre revisiones de «Acute necrotizing ulcerative gingivitis»

(Created page with " ==See Also== *Dental Problems Category:ENT == Source == *ER Atlas *Tintinalli *UpToDate")
 
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==Background==
#Severe gingival disease
#Must distinguish from herpes gingivostomatitis
##Herpes has more systemic signs, less bleeding, lack of interdental papilla involvement
#Associated with immunosuppression, especially HIV


==Clinical Features==
#Triad of:
##Pain
##Ulcerated or "punched out" interdental papillae
##Gingival bleeding
#Secondary signs:
##Fetid breath
##"Wooden teeth" feeling
##Teeth mobility
##Fever
##Malaise
==Treatment==
#Chlorhexidine 0.01% oral rinse BID
#Metronidazole 500mg PO TID
#Dental debridement and scaling


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

Revisión del 10:51 27 jun 2012

Background

  1. Severe gingival disease
  2. Must distinguish from herpes gingivostomatitis
    1. Herpes has more systemic signs, less bleeding, lack of interdental papilla involvement
  3. Associated with immunosuppression, especially HIV

Clinical Features

  1. Triad of:
    1. Pain
    2. Ulcerated or "punched out" interdental papillae
    3. Gingival bleeding
  2. Secondary signs:
    1. Fetid breath
    2. "Wooden teeth" feeling
    3. Teeth mobility
    4. Fever
    5. Malaise

Treatment

  1. Chlorhexidine 0.01% oral rinse BID
  2. Metronidazole 500mg PO TID
  3. Dental debridement and scaling

See Also

Source

  • ER Atlas
  • Tintinalli
  • UpToDate
Obtenido de «https://www.wikem.org/w/index.php?title=Acute_necrotizing_ulcerative_gingivitis&oldid=10134»