Four patients presented to four practitioners for treatment of severe gingival pain, each eventually being diagnosed with NUG. [ncbi.nlm.nih.gov]

• Pain

  The often severe gingival pain that characterizes ANUG distinguishes it from the more common chronic periodontitis which is rarely painful. [en.wikipedia.org]

  Four patients presented to four practitioners for treatment of severe gingival pain, each eventually being diagnosed with NUG. [ncbi.nlm.nih.gov]

  […] necrotizing ulcerative gingivitis * * * a progressive painful infection, also seen in subacute and recurrent forms, marked by crateriform lesions of interdental papillae with pseudomembranous slough circumscribed by linear erythema; fetid breath; increased [medicine.academic.ru]

• Fever

  It is usually accompanied by systemic signs of fever, malaise and cervical and submandibular lymphadenopathy. It is caused by the profileration of anaerobic bacteria and has been linked to smoking and immunosuppression. [ncbi.nlm.nih.gov]

  In some cases, there may be fever and swollen lymph nodes of the head and neck. Dental x-rays or x-rays of the face may be taken to determine how severe the infection is and how much tissue has been destroyed. [mountsinai.org]

  Management H2O2, antibiotics (e.g., tetracycline, if fever or lymphadenopathy), saline mouth rinse, local anaesthetics. nec·ro·tiz·ing ul·cer·a·tive gin·gi·vi·tis (NUG) ( nek'rō-tīz-ing ŭl'sĕr-ă-tiv jin'ji-vī'tis ) An acute or recurrent gingivitis of [medical-dictionary.thefreedictionary.com]

  Newman, The Dental Assistant, January 2003 Note: Other symptoms of acute necrotizing ulcerative gingivitis include bad breath, a gray film on the gums, and fever. [merriam-webster.com]

• Malaise

  It is usually accompanied by systemic signs of fever, malaise and cervical and submandibular lymphadenopathy. It is caused by the profileration of anaerobic bacteria and has been linked to smoking and immunosuppression. [ncbi.nlm.nih.gov]

  […] punched out) of papillae ( Figs. 1 and 2 ) Intense gingival pain Bleeding gingiva with little or no provocation Secondary features: Fetid breath, yellowish-white or grayish slough “pseudomembrane” covering ulcerated papilla, lymphadenopathy, fever and malaise [jcda.ca]

  Other signs and symptoms include malaise, fever, cervical lymphadenopathy, and the presence of fusobacteria and oral spirochetes. Occurs rarely in developed areas. [visualdx.com]

  […] regions o Erythema o Spontaneous gingival hemorrhage o Necrosis with formation of a grayish pseudomembrane over affected area o Pain with rapid onset o Halitosis o Blunted gingivae between the teeth (normally cone-shaped) o Often accompanied by fever, malaise [slideshare.net]

• Noncompliance

  Reasons for nonresolution include the failure to remove the causes of irritation, incomplete debridement, inaccurate diagnosis, patient noncompliance, and/or underlying systemic conditions. [jcda.ca]

• Cervical Lymphadenopathy

  Other signs and symptoms include malaise, fever, cervical lymphadenopathy, and the presence of fusobacteria and oral spirochetes. Occurs rarely in developed areas. [visualdx.com]

  Cervical lymphadenopathy What is the treatment of Vincent's angina? 1. Systemic: High antibiotics, penicillin and its derivatives very effective. 2. Local a. Sodium Perborate paste is spread over the ulcer. [specialist-ent.com]

  Initial signs and symptoms include halitosis; thick, increased oral secretions; bleeding gums; and localized cervical lymphadenopathy. [journals.lww.com]

• Choking

  The word "angina" comes from the Latin "angere" meaning "to choke or throttle." [medterms.com]

  The word “angina” is derived from the Latin word “angere” which means “to choke or to throttle.” [mynewsmile.com]

• Poor Oral Hygiene

  The result showed that only 2.4% of the children with good oral hygiene had NUG, compared with: 24.6% of those with fair oral hygiene; 62.8% of those with poor oral hygiene; and 66.7% of those with very poor oral hygiene. [ncbi.nlm.nih.gov]

  It is usually associated with poor oral hygiene, immunosuppression, smoking, local trauma, poor nutritional status, inadequate sleep, or recent illness and psychological stress. [medical-dictionary.thefreedictionary.com]

  Risk factors may include poor oral hygiene, tobacco use, pre-existing oral infection, and a weakened immune system (as from poor nutrition or emotional stress). — called also fusospirochetosis, necrotizing ulcerative gingivitis, trench mouth, Vincent's [merriam-webster.com]

• Bleeding Gums

  a severe form of gingivitis that is marked especially by painful, bleeding gums with ulcers and is associated with the proliferation of microorganisms (such as the bacteria Fusobacterium nucleatum and Treponema vincentii ) that are normally part of [merriam-webster.com]

  Alerts and Notices Synopsis   Periodontal disease commonly called trench mouth, or Vincent's angina, characterized by painful, erythematous, bleeding gums, malodorous breath, and necrosis and ulceration of connective gum tissue. [visualdx.com]

  NUG diagnosis is based on three essential symptoms: sore gums, bleeding gums and the most diagnostic characteristic, ulceration and necrosis of the interdental papillae. [ncbi.nlm.nih.gov]

  The main features are painful, bleeding gums, and ulceration of inter-dental papillae (the sections of gum between adjacent teeth). [en.wikipedia.org]

• Halitosis

  Halitosis/ bad taste which again can be severe. These symptoms are caused by the by-products of the bacteria that eat the gingival tissues – Not pleasant! Ulcers on the gums. [dentalcarematters.com]

  Oral malodor (intraoral halitosis). Bad taste (metallic taste).Malaise, fever and/or cervical lymph node enlargement are rare (unlike the typical features of herpetic stomatitis). Pain is fairly well localized to the affected areas. [en.wikipedia.org]

  […] slightly Ulceration or necrosis of the papillae or gingival Experience pain while eating food or swallowing Noticeable gray color film on the gums Sore and ulcers (crater-like) in between the gums and the teeth Unpleasant, foully taste in the mouth Halitosis [mytooth.net]

  […] little or no provocation. [ 1 ] Interdental papillae are ulcerated with necrotic slough. [ 4 ] The papillary necrosis of NUG has been described as "punched out". [ 1 ] Other signs and symptoms may be present, but not always. [ 1 ] Oral malodor (intraoral halitosis [research.omicsgroup.org]

  Clinical findings Pain, oedema, punched-out ulcers, pseudomembrane formation, halitosis. DiffDx Erythema multiforme, lichen planus, pemphigus, bullous pemphigoid. [medical-dictionary.thefreedictionary.com]

• Gingival Ulceration

  As with most poorly understood diseases, Vincent's angina goes by many other names including acute membranous gingivitis, fusospirillary gingivitis, fusospirillosis, fusospirochetal gingivitis, necrotizing gingivitis, phagedenic gingivitis, ulcerative [medterms.com]

  Syn: acute membranous gingivitis, acute ulcerative gingivitis, fusospirillosis, fusospirochetal gingivitis, phagedenic gingivitis, ulcerative gingivitis, Plaut… … Wiktionary Ulcerative gingivitis — This is trench mouth, a progressive painful infection [medicine.academic.ru]

• Bad Taste

  In addition to ulcers, other common symptoms of ANUG include painful gums, bad taste in the mouth, bad breath, mild to severe gum bleeding, a grayish film on the gums, and severe discomfort while eating/swallowing. [diseaseinfosearch.org]

  taste in the mouth; extremely bad breath Red and swollen gums Gray residue on the gums Large ulcers or loss of gum tissue in between teeth Fever Discomfort Swollen lymph nodes Copyright Nucleus Medical Media, Inc. [health.cvs.com]

  taste in the mouth; extremely bad breath Red and swollen gums Gray residue on the gums Large ulcers or loss of gum tissue in between teeth Fever Discomfort Swollen lymph nodes Red and Swollen Gums Copyright Nucleus Medical Media, Inc. [winchesterhospital.org]

  Halitosis/ bad taste which again can be severe. These symptoms are caused by the by-products of the bacteria that eat the gingival tissues – Not pleasant! Ulcers on the gums. [dentalcarematters.com]

• Ulcer

  […] site acute necrotising ulcerative gingivitis acute necrotising ulcerative gingivitis [Ambiguous] acute necrotising ulcerative gingivostomatitis acute necrotising ulcerative gingivostomatitis [Ambiguous] acute necrotizing ulcerative gingivitis acute necrotizing [wikidata.org]

  ulcerative gingivitis and in a good nutritional state. [ncbi.nlm.nih.gov]

  Acute necrotizing ulcerative gingivitis is a common, non-contagious infection of the gums with sudden onset. The main features are painful, bleeding gums, and ulceration of inter-dental papillae (the sections of gum between adjacent teeth). [en.wikipedia.org]

  Acute necrotizing ulcerative gingivitis (ANUG): This is trench mouth, a progressive painful infection with ulceration, swelling and sloughing off of dead tissue from the mouth and throat due to the spread of infection from the gums. [medterms.com]

• Cutaneous Manifestation

  manifestations Canker sores Best Tests Subscription Required References Subscription Required Last Updated: 07/14/2016 [visualdx.com]

• Capnocytophaga

  The analyses showed that the fusiform taxa (Fusobacterium nucleatum/Fusobacterium periodonticum, Leptotrichia buccalis, Tannerella forsythensis, and Capnocytophaga sp.), Campylobacter rectus, Prevotella intermedia, Prevotella nigrescens, Selenomonas sputigena [ncbi.nlm.nih.gov]

• Borrelia Burgdorferi

  Serum samples from 18 persons who had gingivitis or periodontitis but no history of lyme borreliosis were tested by enzyme-linked immunosorbent assay for Antibodies to Borrelia burgdorferi [48]. [gulfdoctor.net]

The purpose of this paper is to review the treatment modalities of acute necrotizing ulcerative gingivitis and illustrate an alternative treatment approach of periodic scaling, root planing, and antimicrobial rinses with 0.12% chlorhexidine. [ncbi.nlm.nih.gov]

Prognosis/Outlook for Necrotizing Ulcerative Gingivitis or Trench Mouth As with any existent disease in the world, the sooner you are diagnosed with Necrotizing ulcerative gingivitis or trench mouth, the better your dental health prognosis/ outlook is [epainassist.com]

Prognosis NUG responds very well to treatment and usually can be cured. [sabkadentist.com]

Outlook (Prognosis) The infection usually responds to treatment. The disorder can be quite painful until it is treated. If trench mouth is not treated promptly, the infection can spread to the cheeks, lips, or jawbone. It can destroy these tissues. [mountsinai.org]

If there is systemic involvement, then oral antibiotics may be given, such as metronidazole. [ 4 ] As these diseases are often associated with systemic medical issues, proper management of the systemic disorders is appropriate. [ 2 ] Prognosis Untreated [research.omicsgroup.org]

Failure to treat acute periodontal diseases appropriately can result in progressive loss of periodontal supporting tissues, an adverse change in prognosis, and could result in tooth loss. [doi.org]

Data suggest that the etiology and pathogenesis of necrotizing periodontal diseases may also be distinctive from other periodontal diseases. [ncbi.nlm.nih.gov]

Current literature on the epidemiology, pathogenesis, immunology, predisposing factors, and treatment of ANUG/NUP is reviewed. [ncbi.nlm.nih.gov]

J Periodontol 53:223–230 CrossRef Google Scholar Melnick SL, Roseman JM, Engel D, Cogen RB (1988) Epidemiology of acute necrotizing ulcerative gingivitis. [link.springer.com]

This literature review will provide a better understanding of the epidemiology, etiology, and pathophysiology of ANUG associated with malnutrition. [ncbi.nlm.nih.gov]

Orthodontists should be aware of the clinical signs of NUG to ensure early detection and treatment of their patients in order to prevent irreversible loss of the interdental papillae and reduce the likelihood of recurrence. [ncbi.nlm.nih.gov]

Treatment of ANUG is by debridement (although pain may prevent this) and antibiotics (usually metronidazole) in the acute phase, and improving oral hygiene to prevent recurrence. [en.wikipedia.org]

The most important preventive measure against developing Necrotizing ulcerative gingivitis or Trench Mouth is good oral hygiene. Paying a visit to dentist every six months is also a good way to prevent necrotizing ulcerative gingivitis. [epainassist.com]