Page 191 - 2021 IDMT Digital
P. 191
NECROTIZING ULCERATIVE GINGIVITIS (NUG)
Introduction:
• 18* LV D SDLQIXO LQIHFWLRQ RI WKH JXPV OHDGLQJ WR EOHHGLQJ DQG IRXO EUHDWK
• 3HRSOH PRVW OLNHO\ WR JHW 18* DUH GHELOLWDWHG SDWLHQWV XQGHU VWUHVV DQG VPRNHUV
• 2WKHU IDFWRUV LQ WKH SUHVHQWDWLRQ RI 18* LQFOXGH SRRU GHQWDO K\JLHQH QXWULWLRQDO
GHILFLHQFLHV VOHHS GHSULYDWLRQ SK\VLFDO HPRWLRQDO VWUHVV FRPSURPLVHG LPPXQLW\
• &ODVVLF SUHVHQWDWLRQ SDLQIXO JLQJLYD IRXO EUHDWK VSRQWDQHRXV JLQJLYDO EOHHGLQJ DQG
QHFURVLV RI LQWHUGHQWDO SDSLOOD
Subjective:
• 6LJQV DQG 6\PSWRPV
o 8VXDOO\ DEUXSW RQVHW ZLWK SDLQIXO XOFHUDWLRQ QHFURVLV RI JLQJLYD DQG SDSLOOD
o )HYHU PDODLVH O\PSKDGHQRSDWK\ ORVV RI DSSHWLWH
o %OHHGLQJ JLQJLYD
o )HWRU RULV RYHUZKHOPLQJO\ IRXO EUHDWK
Objective:
• 3K\VLFDO ([DP
o 96 ZLWK HPSKDVLV RQ IHYHU
o 3DLQ VFDOH ±
o &RPSOHWH +((17 H[DP
o /\PSKDGHQRSDWK\ LV RIWHQ SUHVHQW
o 8OFHUDWLRQV DUH SDWKRJQRPRQLF
&RYHUHG ZLWK JUH\ PHPEUDQH
6KDSH FUDWHULIRUP
Assessment:
• 'LIIHUHQWLDO
o 3ULPDU\ KHUSHWLF JLQJLYRVWRPDWLWLV OHVLRQV ZLOO DSSHDU RQ KDUG SDODWH DWWDFKHG
JLQJLYD ODWHUDO DQG YHQWUDO VXUIDFHV RI WRQJXH DQG DURXQG OLSV NHUDWLQL]HG
o $SKWKRXV XOFHUV
o +HUSHV ]RVWHU
o (URVLYH OLFKHQ SODQXV
o 'LSWKHULD ORFDWLRQ LPPXQL]DWLRQV WKURDW FXOWXUH
Plan:
• 8VH D VRIW EULVWOH WRRWKEUXVK WR JHQWO\ GHEULGH JXPV PD\ WDNH PXOWLSOH YLVLWV
• 7RSLFDO EHQ]DFDLQH SULRU WR EUXVKLQJ YLVFRXV OLGRFDLQH
• )UHTXHQW QRUPDO VDOLQH ULQVHV
• 3HULGH[ ULQVHV WZLFH GDLO\
• 0RWULQ 16$,'V IRU SDLQ
o 1DUFRWLFV PD\ EH UHTXLUHG IRU VHYHUH SDLQ
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