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This has led to the popular belief that necrotizing gingivitis is contagious, but this is not the case. 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.
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 ...
The main features are painful, bleeding gums, and ulceration of interdental papillae (the sections of gum between adjacent teeth). This disease, along with necrotizing periodontitis (NP) and necrotizing stomatitis, is classified as a necrotizing periodontal disease , one of the three general types of gum disease caused by inflammation of the ...
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 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.
It seems to grow from below the free gingival margin/interdental papilla. [8] This epulis most commonly occurs on the gingiva near the front of the mouth between two teeth. [ 3 ] When gingival hyperplasia is confined to one area of the jaw, this is when it is termed an epulis fibrosa, caused by an increase in collagenous tissue with varying ...
The gingival papilla is swollen, tender and bleeds when touched. The pain occurs during and after eating, and may slowly disappear before being evoked again at the next meal, [ nb 1 ] or relieved immediately by using a tooth pick or dental floss in the involved area.