Necrotizing Gingivostomatitis

Introduction to necrotizing gingivitis Necrotic gingivitis is caused by infection with F. sinensis and Clostridium. It is rare in clinical practice. When the local or systemic resistance is reduced, the oral hygiene is poor, and the nutrition is poor, the condition can develop rapidly, and the lesion is serious. The acute one is more common in children, and the chronic one is more common in adults. Because the disease is acute, the disease develops rapidly, and the consequences of the disease are serious. Do not delay the disease. It should be treated promptly in the early stage. It is very important to strengthen oral care and hygiene during the onset. The disease is caused by F. sinensis and anaerobic fungus, and the two microorganisms can survive in the interdental space, sulcus and periodontal pocket, when the systemic resistance is reduced, and the oral hygiene is prone to reproductive disease. Recently, there have been reports of an increase in the number of privoris in the affected area. basic knowledge The proportion of illness: 0.002% Susceptible people: no specific population Mode of infection: non-infectious Complications: osteonecrosis

Cause of necrotizing gingivitis

The disease is caused by F. sinensis and anaerobic fungus, and the two microorganisms can survive in the interdental space, sulcus and periodontal pocket, when the systemic resistance is reduced, and the oral hygiene is prone to reproductive disease. Recently, there have been reports of an increase in the number of privoris in the affected area.

Necrotic gingivitis prevention

1, pay attention to oral hygiene, completely remove calculus and poor restorations, fillings and other irritants.

2, strengthen exercise, improve health, and actively treat systemic diseases.

3, dental caries, massage gums in the morning and evening.

Necrotic gingivitis complications Complications osteonecrosis

Uncontrolled can even expose the alveolar bone, osteonecrosis, and loose teeth.

Necrotic gingival inflammatory symptoms Common symptoms Lack of gum bleeding, dysphagia, stomatitis, weakness

1. Acute gingival necrosis of the gums, disappearance of the interdental nipple, bleeding of the gums, loose teeth, bad mouth odor, difficulty in eating and swallowing, increased drip, local lymph nodes, elevated blood leukocytes with fever, headache, whole body Weak.

2. Chronic is rare, mainly manifested as bleeding gums, mild pain, bad breath, gray-black necrotic tissue visible in the nipple.

Examination of necrotizing gingivitis

Due to the acute onset of the disease, the disease develops rapidly, and extensive gingival necrosis can occur in a short period of time. Therefore, in the early stage of the disease, the specimen of the lesion should be taken for smear culture examination, and the early diagnosis and early and effective treatment should be strived.

Diagnosis and differentiation of necrotizing gingivitis

diagnosis

1. Acute, acute onset, generalized sleepiness, weakness, fever, sputum margin and sputum nipple necrosis and grayish black, easy bleeding, bad breath.

2. In severe cases, the gums are necrotic, the alveolar bone is exposed, and the teeth are loose.

3. Local pain, increased sputum.

4. Take a large number of spirochetes and fusiform bacilli from the necrotic tissue smear.

5. Chronic people are mainly bleeding, mild pain, bad breath, grayish black necrotic tissue can be seen in the nipple.

Differential diagnosis

1. The disease of marginal gingivitis is long, with hyperemia of the interdental papilla and free sputum, redness and hemorrhagic disease due to mechanical stimulation; but no spontaneous pain, no spontaneous bleeding, no gingival necrosis, no special spoilage bad breath; It is difficult to find Clostridium and spirochetes.

2. Periodontitis lesions are mainly periodontal pockets, alveolar bone resorption and tooth loosening, but no gingival necrosis, no obvious local pain and systemic symptoms of the gums, no special bad breath bad breath.

3. Herpetic gingivitis is caused by herpes simplex virus infection. It occurs in children under 6 years of age. It has an acute onset and has a prodromal period of 1-2 days. It mainly affects the mucous membranes such as gums, lips, cheeks and sputum. The typical lesions are A small blister is formed in the gums and oral mucosa. After the ulceration, a plurality of small ulcers are formed or merged with each other. The pseudomembrane is not easy to wipe off, no tissue necrosis, no spoilage bad breath, and smear examination shows that there is a virus infection such as inclusion body in the exfoliated cells. Signs.

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