Acute necrotizing ulcerative gingivitis: What you need to know

The article was written by Specialist Doctor II Nguyen Khanh Nam - Doctor of Odonto-Stomatology, Department of General Surgery - Vinmec Nha Trang International General Hospital.

Acute necrotizing gingivitis is an acute bacterial infection of the gums with lesions characterized by ulceration and necrosis in the gum tissue.
The cause of acute necrotizing gingivitis is an outbreak of bacteria in the mouth (cocci, spirochetes).

Symptoms:
Whole body: fever, fatigue, anorexia. Local: extraoral lymphadenopathy may be submandibular, in the mouth necrotic ulcers in the gingival margin and papillae, lesions are clearly limited and often do not spread to the sticky gums. On the necrotic area, there is a white pseudomembranous layer composed of necrotic leukocytes. The erythematous border between the necrotic area and the gingival tissue is relatively healthy, bleeding spontaneously or on impact. Pain, increased salivation, very foul mouth. Differential diagnosis with Herpes gingivitis. Treatment:
Dry the lesion with a cotton swab Remove pseudomembrane and non-adhesive residues from the surface of the lesion Local pain relief Can remove tartar on the superficial gums with an ultrasound machine For the patient to rinse thoroughly In case of gingivitis Severe necrotic ulcers can be treated with antibiotics Prognosis and complications:
If treated correctly, the condition of the gum tissue will recover well When it progresses to the severe stage, the gingival tissue is necrotic and destroys the surrounding periodontal tissue tooth

Prevention:
Maintain adequate and reasonable nutrition. Proper oral hygiene. Periodic dental examination. Customers can directly go to Vinmec health system nationwide to visit or contact the hotline here for support.