Which are the symptoms of Acute Necrotizing Ulcerative Gingivitis?

Symptoms of Acute Necrotizing Ulcerative Gingivitis

Acute Necrotizing Ulcerative Gingivitis (ANUG), also known as "trench mouth," is a severe gum infection that can cause significant discomfort and oral health issues. It is important to recognize the symptoms of ANUG to seek appropriate treatment and prevent further complications.

1. Severe gum pain: One of the primary symptoms of ANUG is intense gum pain. The pain is often described as throbbing or sharp and can make it difficult to eat, speak, or even open the mouth fully.

2. Gum swelling and redness: ANUG causes the gums to become swollen and inflamed. They may appear bright red or purplish in color. The swelling can make the gums feel tender and sensitive to touch.

3. Bleeding gums: Another common symptom of ANUG is bleeding gums. The infected gums may bleed easily, especially during brushing, flossing, or eating. The blood may be seen in the saliva or on toothbrushes and dental floss.

4. Bad breath (halitosis): ANUG can cause persistent bad breath due to the presence of bacteria and decaying tissue in the mouth. The foul odor may be difficult to eliminate even with regular brushing, flossing, and mouthwash use.

5. Grayish film on the gums: In some cases, a grayish film or pseudomembrane may develop on the gums affected by ANUG. This film consists of dead tissue, food debris, and bacteria. It can contribute to the unpleasant taste and odor associated with the condition.

6. Painful mouth sores: ANUG can lead to the formation of painful mouth sores or ulcers. These ulcers are typically shallow and have a grayish-white appearance with a red border. They can make eating and drinking particularly uncomfortable.

7. Excessive saliva production: Some individuals with ANUG may experience increased saliva production, leading to drooling or spitting. This symptom is more common in severe cases of the condition.

8. Fever and general malaise: In severe cases, ANUG may be accompanied by fever, fatigue, and a general feeling of being unwell. These systemic symptoms indicate a more advanced stage of the infection and require immediate medical attention.

9. Swollen lymph nodes: The lymph nodes in the neck and jaw area may become swollen and tender in response to the infection. This can be an additional sign of ANUG.

If you experience any of these symptoms, it is crucial to seek dental care promptly. ANUG can progress rapidly and lead to more severe complications if left untreated. A dentist or periodontist can diagnose ANUG based on the symptoms, clinical examination, and medical history. Treatment typically involves professional cleaning of the teeth and gums, prescription antibiotics, pain management, and maintaining good oral hygiene practices.