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Take Action Quickly Against the Acute Form of Gingivitis

Periodontal (gum) diseases like gingivitis (inflammation of the gum tissues) can exist in a chronic form for some time, while gradually worsening. But given the right conditions, gingivitis could elevate quickly into an acute, painful condition known as Acute Necrotizing Ulcerative Gingivitis (ANUG). While it can be effectively treated, it’s important to diagnose ANUG early and begin treatment as soon as possible.
ANUG is also known as “trench mouth” as it was commonly recognized among soldiers in the trenches during World War I. Its name describes it as “necrotizing” and “ulcerative,” because when left untreated it kills (“necrotizes”) soft gum tissue, particularly the triangular tissue between teeth known as papillae, and causes severe and painful sores. A person with ANUG may also exhibit very bad breath and taste, with an odor peculiar to the disease. It’s believed that acute stress, poor nutrition and a lack of sleep can trigger the condition in individuals with pre-existing gingivitis.
As with other forms of gum disease, the first priority of treatment is to alleviate the symptoms. Besides initial cleaning (also known as scaling), we would also prescribe antibiotics (particularly Metronidazole, which is effective against the specific bacteria responsible for ANUG), an antibacterial mouthrinse like chlorhexidine, and a mild saline rinse. We would also control pain and inflammation with non-steroidal anti-inflammatory drugs like aspirin or ibuprofen.
As the symptoms come under control, it’s then necessary to treat the underlying gingivitis by continuing the thorough cleaning of the affected surfaces, including the roots, of as much plaque and tartar as possible. Good oral hygiene with semi-annual professional cleanings must become regular habits to inhibit future reoccurrences of the disease. Quitting smoking, eating a healthy diet and managing stress are also advisable.
Without treatment, ANUG symptoms will persist; you could eventually lose the affected papillae, and experience other detrimental effects to other periodontal tissue and bone structures. If you suspect you may have gingivitis or this acute form, you should visit us as soon as possible for a full evaluation and treatment. The earlier we diagnose and treat gum disease, the better your long-term outlook.
If you would like more information on painful gums, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Painful Gums in Teens and Adults.”

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Dental Arts Studio of Cape Cod

North Eastham, MA
55 Oak Road North Eastham, MA 02651

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West Harwich, MA
129 MA-28, WEST HARWICH, MA 02671

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Monday – Friday: 8:00am – 6:00pm
Saturday – Sunday: On-call emergencies

Dmitry L.
Highly recommend Dr.Pokrovskaya. She is always on time, professional and knowledgable. Doctor Pokrovskaya uses the latest techniques and equipment. Very easy to locate, convenient hours.
Al S.
Hands-down the best Dentist on Cape Cod! When I called on a Friday afternoon just before they closed they accepted us as a new patient with one of my children who had an emergency. Her staff was very kind and considerate Dr. Nadia went above and beyond to make my child feel comfortable. She took her time to explain everything to her mother and I. I would unequivocably recommend her practice!
Jamie N.
Not only is Dr. Pokrovskaya brilliant, but she is caring and gentle. After talking to her about my dental concerns I am confident in placing my trust in her expertise and skill. She takes the time to really consider what is right for you in your unique situation. She has so many skills that she can include in her assessment of what is needed and that makes her a top notch professional.
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