Inflammatory destructive gingival disease characterised by ulcers and necrosis of ID papillae, leaving a punched out appearance. Yellow ulcers and white sloughing
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gingival response to NUG
hyperaemic, inflammation and necrosis expose CT, infiltration of PMNL (WBC), halitosis - metallic
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Treatment of NUG
eliminate inflammation - decrease disease activity, prevent necrosis and pain, 1. debridement with ultrasonic 2. Personal home care plan - OH, CHx, Smoking 3. Systemic antibiotics (Metronidazole 400mg x3 x3 // Pen V 250mg x4 x5 ) 4. Review 3-5 days
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Antioboics for NUG
Metronidazole 400mg x3 x3 // Pen V 250mg x4 x5
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Long term treatment for NUG
improve plaque control
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PHG - Primary Herpetic Gingivostomatitis clinical features
Crops of small vesicles which rupture and ulcerate, erythema and oedema
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Treatment of PHG
Reassure parent, disease is self limiting and burns out within 10-12 days w/out scarring. it is contagious
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