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Acute Necrotizing Ulcerative Gingivitis

(ANUG; Trench Mouth; Vincent's Stomatitis)

Definition

Acute necrotizing ulcerative gingivitis (ANUG) is a serious infection of the gums that causes ulcers, swelling, and dead tissues in the mouth.

Causes

Acute necrotizing ulcerative gingivitis is typically caused by excess bacteria in the mouth.

Risk Factors

ANUG most often impacts people who are 35 years of age and younger. Factors that may increase the risk of ANUG include excess bacteria in the mouth due to:

Symptoms

Symptoms may include:
Red and Swollen Gums
Gingivitis
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Diagnosis

You will be asked about your symptoms and medical history. A dental exam will be done.
Images may be taken of your teeth and face. This can be done with x-rays.
Dental X-ray
Jaw x-ray teeth
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Treatment

Although ANUG is a painful condition, it can be treated. Talk with your dentist about the best treatment plan for you. Treatment may include:

Prevention

To help reduce your chances of getting ANUG, take the following steps:

RESOURCES

American Academy of Periodontology http://www.perio.org

American Dental Association http://www.mouthhealthy.org

CANADIAN RESOURCES

Canadian Dental Association http://www.cda-adc.ca

Canadian Dental Hygienists Association http://www.cdha.ca

References

Atout RN, Todescan, S, J Can Dent Assoc 2013;79:d46. Available at: http://www.jcda.ca/article/d46. Created April 8, 2013. Accessed August 10, 2015.

Contreras A, Falkler WA Jr, Enwonwu CO, et al. Herman herpesviridae in acute necrotizing ulcerative gingivitis in children in Nigeria. Oral Microbiol Immunol. 1997;12:259-265.

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