Necrotizing ulcerative gingivitis

Characteristic features:

• punched out papilla

• gingival bleeding

• halitosis

• predisposing factors : immunosuppression, poor plaque control, diet

• It increased later on in patients with an immunocompromised condition, especially HIV-infected patients. Hence, authors reported that NUG may be the first sign of HIV infection.

• pain

NUG

Differential diagnosis:

• desquamative gingivitis

desquamative gingivitis

• AHGS

AHGS

plaque induced gingivitis

gingivitis