Management of Necrotizing Ulcerative Gingivitis in A Pregnant Patient – A Rare Case Report


Necrotizing ulcerative gingivitis is characterized by necrosis and sloughing of gingival tissues and presents with pain, spontaneous bleeding, necrosis of the interdental papillae and halitosis.

Various predisposing factors responsible for NUG are psychological stress, immune deficiency, hormonal imbalance, malnutrition, poor oral hygiene, smoking etc.

The disease if not treated on further progression can lead to necrotizing ulcerative periodontitis and noma.

This rare case report is first of its kind, describes the diagnosis and management of a pregnant patient in her third trimester (eighth month) who presented with the complaint of severe pain in gums with the characteristic signs and symptoms suggestive of NUG.

Patient was treated in a sequential manner which included debridement, dental prophylaxis along with antibiotic and antimicrobial regimen.

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NUG causes severe agony to an otherwise normal patient, however in a pregnant patient the signs and symptoms are even more severe and the management poses a challenge to the clinician. In this case a successful management of NUG in a pregnant patient is reported.

Introduction : Necrotizing ulcerative gingivitis is an endogenous, polymicrobial infection of gingiva which begins as an ulceration of the tip of interdental papilla, spreads along the gingival margins, and if left untreated rapidly progresses to cause severe destruction of the periodontium.


° Dr.Shine S Kanjiraparambil / Dr.Pooja Jain / Dr.Prakhar Agrawal / Dr. Pranav Kumar Thakur
° JOSR Journal of Dental and Medical Sciences (IOSR-JDMS)

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