ANUG Revision Questions

Question 1

Risk factors for ANUG

Answer 1

malnourshied children

Question 2

Risk factors for NPD

Answer 2

Young adults with stress
sleep deprivation
poor OH
Smoking
Malnuturtion 
immunosuppression

Question 3

NUG signs and symptoms

Answer 3

plainful ulcerations of the tips of i/d papillae 
ging bleeding
pain and lesions develop quickly
halitosis
pseudomembrane formation
regional lymphadenopathy

Question 4

Who is likely to get NUG

Answer 4

patients who smoke
immunosuppressed
poor OH

Question 5

NUP

Answer 5

diagnosed in the presence of connective tissue attachment loss and bone destruction
same signs and symptoms as NUG
frequent extra oral signs and swelling lymph nodes

Question 6

Necrotising Stomatits

Answer 6

disease beyond the mucogingval juction
can lead to osteitis and oral antra fisutla
larger areas of oseitits and bone sequestrum

Question 7

What is treatment for ANUG/NPD

Answer 7

remove supra ging plq, calc stain and sub ging deposits
recommend the use of either 6% hydrogen peroxide or 0.2% CHX mw x2 daily
if evidence of spreading or systemic involvemt - 400mg metronidazole x3 daily for 3 days or 500mg amoxicillin 3-5days x3 daily
review 10 days and carry out supra and sub ging scaling and arrange recall interval
If no resolution of signs and symptoms occurs, review paitents general health and consider referall to specialist

Question 8

What are systemic antibiotics in perio caeses

Answer 8

ANUG and NP
Abscess of periodontium
Aggresive perio
Immunocompromised paitents

Question 9

Aggresive Perio

Answer 9

Rapid rate of progress under 35 years

Vertical bone defects and little plq or calc present

Question 10

How do you treat aggressive perio

Answer 10

start with non surgical treatment without antibiotics and if not worked give antibiotics at end of subging debridement
Amoxicillin 500mg TID, 7 days