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Necrotising Ulcerative Gingivitis: A Literature Review.
Oral Health Prev Dent. 2017; 15(4):321-327.OH

Abstract

PURPOSE

The literature surrounding necrotising ulcerative gingivitis (NUG) is extensive, yet the rare nature of this disease means that there is a lack of good quality research available. This paper aims to scrutinise the literature and provide an up-to-date summary of the available information.

MATERIALS AND METHODS

A literature search was performed electronically using the Cochrane Library, Ovid Medline, Embase, PubMed Clinical Queries and Google Scholar. Keyword searches were carried out, utilising MeSH terms and free text. English language articles primarily were included, with key foreign language (French and German) articles included where possible from the 1900s to the present day.

RESULTS

Necrotising ulcerative gingivitis is a rare disease (prevalence <1%), with an acute, painful and destructive presentation. It is an opportunistic bacterial infection which is predominantly associated with spirochetes. Treatment of NUG must be provided on a case-by-case basis, tailored to what the individual can tolerate and the extent of the infection.

CONCLUSION

Although there is low prevalence of NUG, its importance should not be underestimated as one of the most severe responses to the oral biofilm. Risk factors must be investigated and addressed. Treatment should consist of gentle superficial debridement, oral hygiene instruction and prescription of mouthwash and antibiotics in severe cases.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Historical Article
Journal Article
Review

Language

eng

PubMed ID

28761942

Citation

Dufty, James, et al. "Necrotising Ulcerative Gingivitis: a Literature Review." Oral Health & Preventive Dentistry, vol. 15, no. 4, 2017, pp. 321-327.
Dufty J, Gkranias N, Donos N. Necrotising Ulcerative Gingivitis: A Literature Review. Oral Health Prev Dent. 2017;15(4):321-327.
Dufty, J., Gkranias, N., & Donos, N. (2017). Necrotising Ulcerative Gingivitis: A Literature Review. Oral Health & Preventive Dentistry, 15(4), 321-327. https://doi.org/10.3290/j.ohpd.a38766
Dufty J, Gkranias N, Donos N. Necrotising Ulcerative Gingivitis: a Literature Review. Oral Health Prev Dent. 2017;15(4):321-327. PubMed PMID: 28761942.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Necrotising Ulcerative Gingivitis: A Literature Review. AU - Dufty,James, AU - Gkranias,Nikolaos, AU - Donos,Nikos, PY - 2017/8/2/pubmed PY - 2018/1/10/medline PY - 2017/8/2/entrez SP - 321 EP - 327 JF - Oral health & preventive dentistry JO - Oral Health Prev Dent VL - 15 IS - 4 N2 - PURPOSE: The literature surrounding necrotising ulcerative gingivitis (NUG) is extensive, yet the rare nature of this disease means that there is a lack of good quality research available. This paper aims to scrutinise the literature and provide an up-to-date summary of the available information. MATERIALS AND METHODS: A literature search was performed electronically using the Cochrane Library, Ovid Medline, Embase, PubMed Clinical Queries and Google Scholar. Keyword searches were carried out, utilising MeSH terms and free text. English language articles primarily were included, with key foreign language (French and German) articles included where possible from the 1900s to the present day. RESULTS: Necrotising ulcerative gingivitis is a rare disease (prevalence <1%), with an acute, painful and destructive presentation. It is an opportunistic bacterial infection which is predominantly associated with spirochetes. Treatment of NUG must be provided on a case-by-case basis, tailored to what the individual can tolerate and the extent of the infection. CONCLUSION: Although there is low prevalence of NUG, its importance should not be underestimated as one of the most severe responses to the oral biofilm. Risk factors must be investigated and addressed. Treatment should consist of gentle superficial debridement, oral hygiene instruction and prescription of mouthwash and antibiotics in severe cases. SN - 1602-1622 UR - https://www.unboundmedicine.com/medline/citation/28761942/Necrotising_Ulcerative_Gingivitis:_A_Literature_Review L2 - https://ohpd.quintessenz.de/index.php?doc=abstract&amp;abstractID=38766/ DB - PRIME DP - Unbound Medicine ER -