Periodontal Disease Treatment

Acute Necrotizing Ulcerative Gingivitis

Gingivitis isn’t particularly serious in the early stages. If you don’t stop it right away, it can lead to a more serious condition called periodontitis, which can actually weaken the teeth, making them more likely to loosen.

The one good thing about gingivitis is that it’s very easy to reverse. Flossing and brushing your teeth every day will remove build-ups of plaque, a thin, bacteria-laden film that covers the teeth and may lead to gum disease. To save your smile and keep your teeth looking bright, here’s what dentists advise.

Give your teeth a good brushing. It was good advice when you heard it from your parents, and it’s still the best way to prevent gum disease. If you brush your teeth and gums every day you will remove plaque and bacteria before they have a chance to cause gingivitis. Don’t try to finish the whole job in ten seconds. For brushing to be effective you have to hit every tooth, from the front as well as the back. While you’re at it, take a few seconds to brush along the gum line. By taking your time – dentists advise brushing for two or three minutes – you’ll virtually eliminate the plaque that can cause problems later on.

Don’t forget the tongue. If you don’t brush it every day, your tongue can provide safe haven for millions of infection-causing bacteria. You don’t have to spend a lot of time on it. Just giving your tongue a quick bushing will remove bacteria as well as food particles.

Put the floss to work. It’s not the most exciting activity, but flossing your teeth will remove plaque and bacteria buildups between your teeth where a brush can’t reach, and it will strengthen your gums. It doesn’t really matter what kind of floss you use – mint-flavored, flat or thin, they all work about the same. Use the kind that feels most comfortable to you, and use it every day.

Use a pick. If you’re not able to floss every day, dentists recommend using those flat, wooden toothpicks you can buy at pharmacies. The picks are designed to fit between your teeth and along the gum line. They will remove plaque and bacteria that your brush leaves behind.

Add a little force. A high-tech version of the toothpick is the Water-Pic. This little gadget fires a jet of water between your teeth and into the gum line, floating away particles that brushing doesn’t get. You can buy Water-Pics at pharmacies and many department stores.

Turn on the power. Studies have shown that an electric toothbrush can remove more plaque than brushing manually does. Ask your dentist what brand and style will work best for you.

Brush after eating sticky foods. Sugar isn’t the best thing for your teeth, but it isn’t the demon dentists once thought it was A more serious threat for your teeth are sticky treats. Chocolate and caramel stick to the surfaces of the teeth, making it easy for bacteria to stick around. You don’t have to give up your favorite snacks, Just be sure to brush your teeth thoroughly after eating them.

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WHEN TO SEE THE DOCTOR OR DENTIST

Gum disease isn’t serious when it first begins, but over time it can damage

the gums and even the supporting bone underneath. Signs of serious gum

disease include breath that’s always bad, alongera teeth (a result of

shrinking gums), gums that keep bleeding or pus in between the teeth and

gums. If you notice any of these signs, it’s essential to call your dentist right

away.

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Get some help from vitamin C. Research has shown that getting plenty of vitamin C in your diet as well as taking supplements can help bleeding gums heal more quickly. You can get plenty of this healthful nutrient by enjoying citrus fruits (or drinking orange juice) and green, leafy vegetables. If you’re not getting enough vitamin C in your diet, you may want to take a 500-milligram supplement once a day, dentists say.

See red. Not sure if you’re taking good care of your teeth? You may want to ask your dentist for those tiny tablets that will stain accumulations of plaque with red dye. They’re a great way to see how effective your brushing really is.

Frequently Asked Questions

  1. QUESTION:
    My dentist tells me I have “Acute necrotizing ulcerative gingivitis” or ANUG for short. What should I do?
    Previosly I was told it was periodontitis, now it’s this weird sounding thing! Previously I was given an antibiotic called Flagyl (Metronidazole) on 3 differnet occasions, didn’t do much good. I’m a smoker and my dentist tells me that this is the cause of it? Trying to quit now by taking pils called Champix (Chantix in USA), might work. I’ve read that I should take penicillin (according to wiki!) but was never offered that or told I should take it?

    Should I take penicillin? Is it true as the dentist is saying that if I stop smoking it’ll clear up, I have my suspicions whether that is correct?
    Yeah, I’ve read that it’s often people with HIV/AIDS (but not confined to them) that get that but I am not HIV, thank god!
    Over the last few weeks I have been to 3 differnet dentists trying to get an opinion, 2 have said its periodontitis and the most recent one said it was ANUG. I would go with it being ANUG as the last dentist spent the most time examining it, xrays, little spy camera thing etc.
    What has me puzzled as to whether it is actually ANUG is that my gums don’t bleed much at all, no bad breath, no soreness when I eat…these are all listed as indications of ANUG but I have none of them?
    Just to update, I got a second opinion and was told I don’t have ANUG! Instead was told the problem was that I needed a filling, no answer given by the new dentist I saw as to what the gum problem was…..unbelievable!

    • ANSWER:
      if you have ANUG, penicillin is the drug of choice not metranidazol. Now a days ANUG is eradicated, take a second opinion. You might be suffering from fungal infection like candidacies.
      your last dentist has diagnosed you,as ANAG & is treating you for periodontist.

  2. QUESTION:
    Is it possible to get necrotizing ulcerative gingivitis from bacteria in well water?
    I’ve asked about this issue before, but maybe not as specifically as I should have. I’ve never had any problems with my teeth until about 3 or so years ago. I have lived in this house for almost four years, and when we moved in the lease said not to drink the water. So I didn’t. But I didn’t think about brushing with it, cooking with it, etc. I even bought a fairly expensive water filter a year ago that would filter out most of the bad stuff in the well. But it seems the more I drank the “filtered” water, the worse my symptoms would get. The dentist finally last week diagnosed me with NUG, but not an acute case, one that he felt could be treated with simple hydrogen peroxide rinsing. So far, so good, and I have completely stopped drinking the water and started buying nothing but spring water.
    I have no immune diseases unless you count an untreated underactive thyroid. I get sleep, I have minimal stress, but I am a light smoker which aggravates the condition.
    I took the water to be tested and am waiting for the results, but I can’t help but think that because of the timing, there is something environmental at this house that caused it. Since we’re moving in a few months, I’d like to believe that I’ll get some relief when I’m away from it.
    I’d just like to know whether the water could be the cause.

    • ANSWER:

  3. QUESTION:
    Am I good candidate for for braces?
    I have acute ulcerative necrotizing gingivitis on my mandibular posterior teeth (31-29), congenitally missing laterals, an unextracted mesiodens, taurodontia in a maxillary molar, 4 mm attachment loss on mandibular anterior incisors, RCT on 6 and 11, an odontoma between 28 and 29 and an ankylosed Maxillary central incisor. Do you think this will affect my leeway space?

    • ANSWER:
      think you should see an orthodontist

  4. QUESTION:
    Question about my wisdom teeth?
    I am 20 years old, and usually people have wisdom teeth removed at a younger age, like 16; however, I did not. My dentist said I might have enough room in my mouth for them to come in. Turns out that that’s not the case. I have pain in my lower left and right wisdom teeth that comes and goes. Earlier this year, I had 3 cavities, which I never used to get cavities at all! Later this year, I was diagnosed with Acute Necrotizing Ulcerative Gingivitis (ANUG). I just wonder if my wisdom teeth are causing these things to happen. I used to have perfect oral health, and now it’s bad. Do wisdom teeth cause gingivitis and cavities? I am going the 26th to have a consultation and eventually get them out.

    • ANSWER:
      no they won’t cause a cavity, but what usually happens is they will cause a tooth infection around the wisdom tooth, especially if it is impacted.

  5. QUESTION:
    DENTAL SCHOOL APPLICATION! Please help!?
    For one of the dental schools I am applying to I am required to fill out a form explaining my observation experience & I want to make sure I am using proper terminology & that my statement sounds professional enough to send in with my application! If you are a dentist/assistant & are familiar with the practice of general dentistry I could use any advice you have!

    Here it is:

    Throughout the month of June I observed common dental procedures such as oral evaluations, composite fillings, crowns, crown lengthening, bridges, & root canals.
    I learned basic dental anatomy & terminology, and was exposed to different types of anesthetic & impression materials. I witnessed a case of acute necrotizing ulcerative gingivitis and several TMJ cases. I was also exposed to different prosthodontic services such as removable and partial dentures. We discussed dental school, common issues in dentistry, dealing with different types of patients, & dentistry as a business

    Thanks so much!!!

    • ANSWER:
      TMD cases, not TMJ (all people have TMJ ie temperomandibular joints, lol). Yes that paragraph is very good.

  6. QUESTION:
    Dentists! please help!!?
    For one of the dental schools I am applying to I am required to fill out a form explaining my observation experience & I want to make sure I am using proper terminology & that my statement sounds professional enough to send in with my application! If you are a dentist/assistant & are familiar with the practice of general dentistry I could use any advice you have!

    Here it is:

    Throughout the month of June I observed common dental procedures such as oral evaluations, composite fillings, crowns, crown lengthening, bridges, & root canals.
    I learned basic dental anatomy & terminology, and was exposed to different types of anesthetic & impression materials. I witnessed a case of acute necrotizing ulcerative gingivitis and several TMJ cases. I was also exposed to different prosthodontic services such as removable and partial dentures. We discussed dental school, common issues in dentistry, dealing with different types of patients, & dentistry as a business

    Thanks so much!!!

    • ANSWER:
      Root canals = use “endodontic therapy”
      dental anantomy = use “anatomy and physiology”

      I am not a dentist, but an RN / writer. The writing component is excellent.

      Edit: Lilly, as I’m sure you are aware, YA is having technical difficulties. Re-post this question later when matters settle down here because very few participants are seeing your question right now and more people will surely answer then.

  7. QUESTION:
    Infection of some sort? Help?
    I’ve had a rough past few weeks.. It started out with a waking up with a nauseous feeling on morning and then developed into a fever, night sweats and sore throat with very light cough over the next few days along with swollen right lymph node (I’ve always had swollen lymph nodes my whole life but my right one got bigger then got smaller as the days past). A few days after than my whole mouth got a really bad infection called (Acute necrotizing ulcerative gingivitis (ANUG)) which my dentist diagnosed me with and had a professional teeth cleaning done that cleared up the problem in the next few days (said it was caused by bad oral health hygiene and stress…. I had finals coming up)… So anyways, by this time the sore throat, fever and stuff were gone and it was just this mouth infection that hurt like hell. I’ve since been brushing my teeth very regularly with mouthwash and they still bleed occasionally (they bled a lot during the anug of course) mostly because of a wisdom tooth coming in is why they are bleeding now (I get those out next week). But over the past few days I’ve had the urge to “clear my throat” and when I attempt to I spit up small amounts of blood that seem to be coming from my throat and I really have no idea whats causing it, my guess is something related to the infection got into my throat and has not healed yet (I’m currently taking penicillin), I’m curious what I might have and some suggestions would be helpful… I’m 19, always been healthy, no health problems/surgeries, not ever weight, ect…

    • ANSWER:
      Hi~
      You really need a medical evaluation since you are spitting up blood. It could be you just need a different antibiotic that will be more effective or something more complex that need some testing…such as a fungal infection with the bacterial one.

      Best wishes~

  8. QUESTION:
    please help me be at ease?
    Hi, I was wondering i came down with a cold.. here are my symptoms first i was sneezing and had a runny nose with a little bit of congestion and slight fever nothing big went away in about 48 hrs… I want to point out i have not gotten sick in about 2 yrs… So after the cold/flu like sypmtoms my neck lymp nodes swoll up a little bit not big but it felt like a slight congestion of mucus… at the same time my mouth was a little dry and i figured it was due to the cold and then my gums around my wisdom tooth swelled up.. My question is do I have Mono or this might be a stupid question but i have read these are symptoms of HIV, so i was a little scared but i have been with 3 girls in the past 6 months and i have used protection with all of them… So wut do u guys/girls think??? I will get tested soon but should i worry because of my symptoms or do they sound like common flu/cold like symptoms???
    someone told me i have symptoms of Acute Necrotizing Ulcerative Gingivitis looked it up and makes sense
    Thanks alot
    yea i havent gone to the dentist in 3 yrs and i have been sexually active for 8 yrs and I have never been extremely sick except for this one time but myimmune is system is pretty intense my family says
    BTW thanks for all your answers

    • ANSWER:

  9. QUESTION:
    How can a dentist help with gingivitis?
    I started out having acute necrotizing ulcerative gingvitis. It was horrible! The dentist gave me antibiotics and it turned into just regular gingivitis. This was about 4 months ago. However, it hasn’t gone away and seems to be getting worse. My lower gums are in so much pain!! I brush and use mouthwash twice a day, and floss once a day, trying so hard to use good products and not brush too hard, and just take care of my teeth and gums. I am worried I will just go back to the denist and they will tell me to keep doin what I am doing. Waste of money! Can a dentist help me in some way if I go in? Any help or suggestions with how to get rid of this gingivitis?

    • ANSWER:


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