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Necrotizing ulcerative periodontitis (NUP, or simply necrotizing periodontitis, NP) or acute necrotizing ulcerative periodontitis (ANUP) is where the infection leads to attachment loss (destruction of the ligaments anchoring teeth in their sockets), but involves only the gingiva, periodontal ligament and alveolar ligament. Necrotising periodontal disease is the term used to describe a group of relatively rare infections affecting the mouth in which ulceration with necrosis is the common feature. It is characterised by mouth ulceration and tissue death (necrosis), in addition to severe attachment loss and bone destruction Treatment is gentle debridement, improved oral hygiene, mouth rinses, supportive care, and, if debridement must be delayed, antibiotics. Necrotising periodontal diseases 1. In patients with no known systemic disease or immune dysfunction, necrotizing periodontitis (NUP) appears to share many of the clinical and etiologic characteristics of necrotizing ulcerative gingivitis (NUG) except that patients with NUP demonstrate loss of clinical attachment and alveolar bone at affected sites. Necrotizing Ulcerative Periodontitis (NUP) is a more severe form of necrotizing periodontal disease where involvement of the teeth-attaching soft tissue and jawbone is observed.

Author information: (1)Naval Dental School, Bethesda, MD, USA. In patients with no known systemic disease or immune dysfunction, necrotizing periodontitis (NUP) appears to share many of the clinical and etiologic characteristics of necrotizing ulcerative gingivitis (NUG) except that patients with NUP demonstrate loss of clinical attachment and alveolar bone at … Symptoms are acute pain, bleeding, and foul breath. If you are diagnosed with the disease, your dentist or periodontist (a dental specialist who works on gum disease) will scale or plane your teeth, removing plaque … • Introduction: • Necrotizing ulcerative gingivitis (NUG) , necrotizing ulcerative periodontitis(NUP), necrotizing stomatitis (NS) are the most severe inflammatory periodontal disorders caused by plaque bacteria. Necrotizing periodontal (NPD) include necrotizing ulcerative gingivitis (contest) and necrotizing ulcerative periodontitis (NUP). Acute necrotizing ulcerative gingivitis (ANUG) refers to the clinical onset of NUG.

Diagnosis is based on clinical findings. Today there is enough evidence to establish whether necrotizing ulcerative necrotizing ulcerative gingivitis and periodontitis-two unique diseases or different stages of the same disease that progresses from the results of the contest on the stump.

20,21 Case reports have depicted NUP as a progressive extension of HIV periodontitis (i.e., chronic to necrotic progression). In patients with no known systemic disease or immune dysfunction, necrotizing periodontitis (NUP) appears to share many of the clinical and etiologic characteristics of necrotizing ulcerative gingivitis (NUG) except that patients with NUP demonstrate loss of clinical attachment and alveolar bone at affected sites. The other relatively milder forms include necrotizing ulcerative gingivitis (mildest form) and necrotizing ulcerative periodontitis NUP is a destructive form of periodontitis with loss of attachment occurring rapidly within days. -A necrotizing ulcerative, rapidly progressive form of periodontitis occurs more frequently among HIV + individuals -Oral manifestations of HIV infection include oral candidiasis, oral hairy leukoplakia, oral hyper-pigmentation, oral ulcers; red, purple, or blue edematous soft tissue lesions; and Kaposi sarcoma and other oral malignancies Necrotizing periodontal (NPD) include necrotizing ulcerative gingivitis (contest) and necrotizing ulcerative periodontitis (NUP). 24 Glick and colleagues 13,14 found a high correlation between the diagnosis of NUP and immunosuppression in HIV-positive patients. Breaking down the name. Necrotizing ulcerative gingivitis (NUG), necrotizing ulcerative periodontitis (NUP), and necrotizing stomatitis (NS), collectively termed necrotizing gingivostomatitis (NG), represent a dramatic, but rare oral infection associated with diminished systemic resistance, including HIV infection. Unlike other periodontal diseases, it presents substantial necrosis of gingival tissues, and loss of periodontal ligament and alveolar bone.

Acute necrotizing ulcerative gingivitis is a painful infection of the gums. Horning GM(1), Cohen ME.
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