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Severe gum pain. [3] Profuse gum bleeding that requires little or no provocation. [2] 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]
Bad breath, bleeding gums, pain when chewing and moderate bone loss are also hallmarks of this stage. Advanced periodontitis: This is the most severe stage and a major cause of tooth loss in adults.
Necrotizing gingivitis: painful, bleeding, sloughing ulceration and loss of the interdental papillae (usually of the lower front teeth) Necrotizing gingivitis, is a common, non-contagious infection of the gums. If improperly treated necrotizing may become chronic and/or recurrent.
Necrotizing periodontal diseases are non-contagious infections but may occasionally occur in epidemic-like patterns due to shared risk factors. 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.
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Redness or bleeding of gums while brushing teeth, using dental floss or biting into hard food (e.g., apples) (though this may also occur in gingivitis, where there is no attachment loss gum disease) Gum swelling that recurs; Spitting out blood after brushing teeth; Halitosis, or bad breath, and a persistent metallic taste in the mouth