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Part 4 > Chapter 51　Gingivitis and Acute Necrotizing Ulcerative Gingivitis(Trench Mouth)

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著者：Daniel Wolfson and Nathaniel Moore
 
Abstract
This chapter reviews gingivitis and acute necrotizing ulcerative gingivitis. In mild gingivitis the patient’s gums bleed easily and become red and swollen with increased sensitivity. As symptoms worsen, the gums begin to recede and become more inflamed. Further progression leads to acute necrotizing ulcerative gingivitis which is associated with severe pain of the gums, foul taste and halitosis. Mild cases are treated with oral rinse, while severe cases require antibiotics.
 
Keywords
acute necrotizing ulcerative gingivitis
alveolar bone destruction
ANUG
bad breath
bleeding gingiva
bleeding gums
gingival pain
Gingivitis
gum pain
halitosis
interdental gingival necrosis
interdental papillae
periodontal infection
pseudomembrane slough
red gingiva
swollen gingiva
trench mouth
Vincent angina

Presentation  
    With mild gingivitis, the patient’s gums bleed easily and become red and swollen with increased sensitivity. As symptoms worsen, the gums begin to recede and take on a beefy red, inflamed color.
     
    Further progression leads to the most severe periodontal infection, trench mouth, or acute necrotizing ulcerative gingivitis (ANUG).
     
    The patient complains of generalized severe pain of the gums, often with a foul taste or fetid odor (halitosis). The gingiva will appear edematous and red, with a grayish necrotic membrane between the teeth. The gums bleed spontaneously or on gentle touch, and there is loss of gingival tissue, especially the interdental papillae. The teeth will eventually become loose, and the patient may become febrile and show signs of systemic infection with generalized weakness.
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