1. Ulusal Sağlık Bilimleri Öğrenci Kongresi-UNİKOP II. Öğrenci Kalite Buluşması, Kırıkkale, Türkiye, 5 - 06 Haziran 2024, ss.118-123, (Tam Metin Bildiri)
Necrotising Ulcerative Gingivitis (NUG) is a rare disease of the gingival tissue. NUG lesions are limited to the gingiva, there is no bone loss, and the most characteristic finding is staple-like necrotic lesions in the marginal gingiva. Thelesions are acute and painful. Lymphadenopathy and fevermay be seen as systemic findings. The development of NUG is closely related to predisposing factors such as immunosuppression, acute stress, smoking, malnutrition andtissue trauma. If left untreated, NUG can lead to very rapidtissue destruction, necrotising ulcerative periodontitis (NUP), and even fatal cancrum oris (noma). NUG usually results froman opportunistic bacterial infection and is predominantlyassociated with fusiform and spirochete bacteria. A 31-year-old female patient presented to our clinic with a complaint of severe pain in her gums. She reported that she was a non-smoker and had experienced a stressful period. On clinicalexamination, the patient was diagnosed with NUG, withpainful, pseudomembrane-covered, staple-like papillarydestruction observed. The first session was treated for acutecomplaints, followed by phase 1 treatment. Following a four-week period, gingivectomy and gingivoplasty procedures wereperformed to provide an aesthetic and healthy gingival form. The patient was prescribed hydrogen peroxide andchlorhexidine, but no antibiotics were prescribed as there wereno systemic findings such as fever or lymphadenopathy. Thepatient was taken to maintenance therapy.