Characterized by the “punched-out” appearance of the gingival papillae
Acute necrotizing ulcerative gingivitis
Essential clinical features:
Painful gingival lesions
“Punched-out,” crater-like ulcers of the papillae
Ulcers bleed easily or spontaneously
Nonessential clinical features:
Administer systemic and topical pain management:
Narcotics rarely necessary
Extensive disease with systemic signs
Severe dehydration/inability to tolerate PO fluids
Evidence of orofacial gangrene (noma): Infection of mouth/face:
Consider HIV or immunosuppression
If untreated, can progress rapidly
Bermejo-Fenoll A, Sánchez-Pérez A. Necrotising periodontal diseases. Med Oral Patol Oral Cir Bucal. 2004;9(suppl):108–114.
Califano JV. Position paper: Periodontal diseases ...
101 Vincent's angina
526.4 Inflammatory conditions of jaw
528.1 Cancrum oris
A69.0 Necrotizing ulcerative stomatitis
A69.1 Other Vincent's infections
M27.2 Inflammatory conditions of jaws
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