Acute Necrotising Ulcerative Gingivitis (ANUG)

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Description

This is a painful yellowish-white ulcer of the interdental papillae and gingival margins which bleeds easily. Causative bacteria are a mixture of the anaerobes: Borrelia vincentii, Fusobacterium fusiform, Bacteroidis and Treponema species. The appearance of ANUG in an otherwise healthy individual may be the presenting sign of HIV infection.

Treatment

• Advise adequate oral hygiene
• 2% chlorhexidine gluconate mouthwashes (if available), adjunct to tooth brushing
• Metronidazole (10mg/kg) 400mg 8 hourly for 5 days