Necrotizing Gingivitis and Periodontics an Outlook

Abstract

Acute necrotizing ulcerative gingivitis (ANUG) is characterized by painful ulceration of the gum between the teeth, a pronounced tendency to gingival bleeding and halitosis [1]. ANUG is caused by an imbalance in the normal flora of the gingival sulcus [2]. ANUG is a rare infectious disease of the gum tissue, affecting <1% of the population [3]. Although its prevalence of this disease is not high, its clinical importance is clear as it represents the most severe of conditions associated with the dental biofilm. If left untreated, ANUG can lead to very rapid tissue destruction, necrotizing ulcerative periodontitis (NUP), and even cancrum oris (noma), which is commonly fatal [4]. Although the acronym ANUG is frequently used, it is a misnomer. NUG often undergoes a diminution in severity without treatment, thereby, leading to a subacute stage with milder clinical symptoms [5].