RT Book, Section
A1 Kozin, Elliott D.
A1 Lustig, Lawrence R.
A2 Papadakis, Maxine A.
A2 McPhee, Stephen J.
A2 Rabow, Michael W.
A2 McQuaid, Kenneth R.
SR Print(0)
ID 1193145473
T1 Intraoral Ulcerative Lesions
T2 Current Medical Diagnosis & Treatment 2023
YR 2023
FD 2023
PB McGraw-Hill Education
PP New York, NY
SN 9781264687343
LK accessmedicine.mhmedical.com/content.aspx?aid=1193145473
RD 2024/04/25
AB Necrotizing  ulcerative  gingivitis,  often  caused  by  an  infection  with  both  spirochetes  and  fusiform  bacilli,  is  common  in  young  adults  under  stress  (classically  in  students  at  examination  time).  Underlying  systemic  diseases  may  also  predispose  to  this  disorder.  Clinically,  there  is  painful  acute  gingival  inflammation  and  necrosis,  often  with  bleeding,  halitosis,  fever,  and  cervical  lymphadenopathy  (eFigure  8–6).  Warm  half-strength  peroxide  rinses  and  oral  penicillin  (250  mg  three  times  daily  for  10  days)  may  help.  Dental  gingival  curettage  may  prove  necessary.