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Afternoon People,

This is an interesting non-restorative case – a 10 year old boy who presented with extreme tenderness and ulcerative necrosis of his attached gingiva from 21-24 (#9-12). This was sporadic in appearance but persisted for slightly longer than 2 weeks without resolution this time, which prompted the attendance. Differential diagnoses could include pemphigus, pemphigoid, erosive lichen planus, primary herpetic gingivostomatitis, ANUG – I thought it could be the latter, so treated this like a Gram-negative anaerobic infection: normally if cultured, NUG would include Prevotella intermedia, Treponema pallidum and spirochetes.

Rx: 1) Amoxicillin (500mg) q8h x 7 days, 2) Metronidazole (200mg) q8h x 7 days.

He presented after 5 days of antibiotic use, with this result. The area is still red, but definitely on the mend. Cervitec gel has been used twice a day on the area, and he continues to improve.



#OralMedicine #NUG #ANUG #OralUlcerations