Necrotizing Ulcerative

What is Necrotizing Ulcerative Gingivitis?

Necrotizing Ulcerative Gingivitis (NUG) is a severe gum infection that affects the gum tissue. It is a painful condition that results in ulcers or sores in the gum tissue, leading to possible gum destruction and jawbone damage. It can cause sensitivity to brushing and flossing as well as bad breath. Commonly referred to as acute necrotizing ulcerative gingivostomatitis (ANUG) or Trench Mouth, it is caused by bacterial infection, and can be so serious that it requires extensive treatments.

Causes of Necrotizing Ulcerative Gingivitis

The exact cause of NUG is unknown, but some factors have been associated with its development including:

Poor oral hygiene habits
Smoking
Dehydration
Stress and fatigue
Hormonal changes
Nutritional deficiencies
Illnesses such as HIV or diabetes

Symptoms of Necrotizing Ulcerative Gingivitis

The most common symptom of NUG is red, swollen and bleeding gums that may be painful or tender. Other symptoms that may be present include:

Foul breath
Facial swelling
Loose teeth
Painful and difficult eating due to mouth sensitivity
Formation of open sores or ulcers on the gums and palate

Treatment of Necrotizing Ulcerative Gingivitis

Treatment of NUG involves a combination of antibiotics, antiseptics, and pain relief medications, and may also include dental surgery to remove dead tissue. Proper oral hygiene such as brushing and flossing, along with regular dental visits can reduce the risk of NUG. It's important to talk to your dentist if you experience any of the symptoms or have any concerns about NUG.