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The main features of necrotizing gingivitis are painful, bleeding gums and ulceration and necrosis of the interdental papilla. There may also be intra-oral halitosis, cervical lymphadenitis (swollen lymph nodes in the neck) and malaise. Treatment of the acute disease is by debridement and antibiotics, usually metronidazole. Poor oral hygiene ...
Interdental papillae are ulcerated with dead tissue. [3] The papillary necrosis of NG has been described as "punched out". [2] Other signs and symptoms may be present, but not always. [2] Foul breath. Bad taste (metallic taste). [3] Malaise, fever and/or cervical lymph node enlargement are rare (unlike the typical features of herpetic ...
The milder form, necrotizing ulcerative gingivitis (also termed "trench mouth"), [9] is characterized by painful, bleeding gums and ulceration and necrosis of the interdental papilla. There may also be intra-oral halitosis , cervical lymphadenitis (swollen lymph nodes in the neck) and malaise .
The interdental papilla, also known as the interdental gingiva, is the part of the gums (gingiva) that exists coronal to the free gingival margin on the mesial and distal surfaces of the teeth. The interdental papillae fill in the area between the teeth apical to their contact areas to prevent food impaction; they assume a conical shape for the ...
Gingival abscess—a localized, purulent infection involves only the soft gum tissue near the marginal gingiva or the interdental papilla. [ 3 ] Periodontal abscess—a localized, purulent infection involving a greater dimension of the gum tissue, extending apically and adjacent to a periodontal pocket .
The origin of the lesion is unclear. This condition appears to be of an inflammatory nature. [7]An excessive denture palatal relief area, creating a void between the denture base and the tissue of the palate, encourages food entrapment and so encouraging bacterial and fungal growth between the two surfaces.
The interdental gum lies between the teeth. They occupy the gingival embrasure, which is the interproximal space beneath the area of tooth contact. The interdental papilla can be pyramidal or have a "col" shape. Attached gums are resistant to the forces of chewing and covered in keratin.
This forms the hard and soft tissues of the neck and skull), [6] condenses into a mass within the concavity of the cap of the enamel organ. This mass is now considered the dental papilla. Note that dental papilla is originally derived from ectomesenchyme. Ectomesenchyme (type of mesenchyme) is derived from neural crest cells (NCCs).