Periodontology

ANUG (Acute Necrotizing Ulcerative Gingivitis)

• Signs: Punched – out crater depressions of interdental papilla
• Symptoms: Metallic foul taste, pasty saliva
• Treatment: 3 visits (2nd visit: 1 – 2 days after 1st; 3rd visit: 5 days after 2nd)

NUG/NUP

• No pocket formation (destroys junctional epithelium)

Primary Herpetic Gingivostomatitis

• Cellular change: Ballooning degeneration → Tzanck cells
• Treatment:
  • Within 3 days: Acyclovir 15 mg/kg × 5 times × 7 days
  • After 3 days: Supportive care with NSAIDs

Leukemic Gingivitis

• Most common in acute monocytic leukemia

Lead Intoxication

• Steel gray linear pigmentation (Burton's line)