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viva question and answers in Acute necrotizing ulcerative gingivitis

viva question and answers in Acute necrotizing ulcerative gingivitis

Acute necrotizing ulcerative gingivitis (ANUG) is a severe form of gingivitis characterized by rapid onset of symptoms such as severe pain, bleeding, and ulceration of the gums. Here are 20 viva questions and answers related to ANUG:

  1. What is acute necrotizing ulcerative gingivitis (ANUG)?
  • What are the common symptoms of ANUG?
  • Symptoms include severe pain, bleeding gums, ulceration, bad breath, and a distinct “punched-out” appearance of the gums.
  • What are the risk factors for developing ANUG?
  • Risk factors include poor oral hygiene, smoking, stress, malnutrition, and compromised immune system.
  • How does ANUG differ from chronic gingivitis?
  • ANUG is more severe and has a rapid onset compared to chronic gingivitis. It involves necrosis of gum tissue and may have systemic symptoms.
  • What is the role of bacteria in ANUG?
  • Bacterial overgrowth, particularly species like Fusobacterium and Prevotella, contributes to the development of ANUG.
  • How is ANUG diagnosed?
  • What is the primary goal of treatment for ANUG?
  • The primary goal is to control infection and manage symptoms. This involves improving oral hygiene, pain management, and, in severe cases, antibiotic therapy.
  • Why is oral hygiene crucial in the management of ANUG?
  • Proper oral hygiene helps remove bacterial plaque, a major contributor to ANUG. Regular brushing and flossing are essential.
  • What antibiotics are commonly prescribed for ANUG?
  • Metronidazole and penicillin are commonly prescribed antibiotics for ANUG.
  1. How does stress contribute to the development of ANUG?
  • Stress weakens the immune system, making individuals more susceptible to infections, including ANUG.
  1. Can ANUG be contagious?
  • No, ANUG itself is not contagious. However, the bacteria associated with ANUG can be transmitted through saliva.
  1. What is the significance of a “fetid” or foul odor in ANUG?
  • The foul odor is due to the presence of necrotic tissue and bacterial infection in the oral cavity.
  1. How often should a patient with ANUG follow up with a dentist?
  • Regular follow-ups are essential, and the frequency depends on the severity of the condition. Initially, more frequent visits may be required.
  1. What role does nutrition play in the management of ANUG?
  • Adequate nutrition is crucial for overall health and immune function. Malnutrition can exacerbate the severity of ANUG.
  1. Can ANUG lead to complications if left untreated?
  • Yes, untreated ANUG can lead to complications such as the spread of infection, systemic involvement, and even tooth loss.
  1. Why is smoking considered a risk factor for ANUG?
  • Smoking impairs the immune response and reduces blood flow to the gums, making smokers more susceptible to ANUG.
  1. Is ANUG more common in certain age groups?
  • ANUG can occur at any age, but it is more common in young adults and those with compromised immune systems.
  1. What is the role of warm saltwater rinses in the management of ANUG?
  • Warm saltwater rinses help reduce inflammation and promote healing of ulcerated gum tissue in ANUG.
  1. How long does it typically take for symptoms to improve with treatment?
  • With proper treatment, significant improvement in symptoms is often observed within a few days to a week.
  • Can ANUG recur?
  • Yes, ANUG can recur, especially if underlying risk factors such as poor oral hygiene are not addressed. Regular dental check-ups and good oral hygiene practices are crucial for prevention.

here are 10 viva questions and answers related to the causes of Acute Necrotizing Ulcerative Gingivitis (ANUG):

  1. Question: What are the primary causes of Acute Necrotizing Ulcerative Gingivitis (ANUG)?

Answer:

  • ANUG is primarily caused by the overgrowth of bacteria in the oral cavity, especially Gram-negative anaerobic bacteria. Poor oral hygiene is a key factor contributing to this bacterial proliferation. Viva Questions in Periapical Cyst
  • Question: Which specific bacteria are commonly associated with ANUG?

Answer:

  • Fusobacterium and Prevotella species are frequently associated with ANUG. These bacteria thrive in the presence of dental plaque and contribute to the development of the condition.
  • Question: How does poor oral hygiene contribute to the development of ANUG?

Answer:

  • Poor oral hygiene leads to the accumulation of dental plaque, providing an environment conducive to the rapid growth of pathogenic bacteria. This bacterial overgrowth triggers the inflammatory response seen in ANUG.
  • Question: Are there other risk factors besides poor oral hygiene that can contribute to ANUG?

Answer:

  • Yes, additional risk factors include smoking, stress, malnutrition, compromised immune system, and systemic conditions that may weaken the body’s defenses against infection.
  • Question: Why is smoking considered a risk factor for ANUG?

Answer:

  • Smoking has been shown to compromise blood flow to the gums, impair the immune response, and create an environment favorable for the development of ANUG.
  • Question: Can systemic conditions contribute to the onset of ANUG?

Answer:

  • Yes, systemic conditions such as HIV/AIDS and other immunocompromising conditions can increase the susceptibility to ANUG.
  • Question: How does stress play a role in the development of ANUG?

Answer:

  • Stress weakens the immune system, making an individual more susceptible to infections, including ANUG. Additionally, stress can contribute to unhealthy oral habits.
  • Question: Can ANUG be triggered by nutritional deficiencies?

Answer:

  • Yes, malnutrition, especially deficiencies in essential vitamins like vitamin C, can weaken the immune system and contribute to the development of ANUG.
  • Question: What is the significance of local trauma in the context of ANUG?

Answer:

  • Local trauma, such as injury to the gums, can create a breach in the protective barrier of the oral tissues, making it easier for pathogenic bacteria to invade and cause ANUG.
  1. Question: Can ANUG be associated with certain medications?

Answer:

  • Yes, medications that reduce saliva flow or have immunosuppressive effects may contribute to the development of ANUG. For example, certain antihypertensive medications and immunosuppressive drugs.

These questions and answers provide an overview of the various factors that contribute to the onset of ANUG, emphasizing the importance of maintaining good oral hygiene and addressing underlying risk factors. Viva Questions in Periapical Abscess

Here are 10 viva questions and answers related to the treatment of Acute Necrotizing Ulcerative Gingivitis (ANUG):

  1. Question: What is the primary goal of treatment for ANUG?

Answer:

  • The primary goal of ANUG treatment is to control the infection, alleviate symptoms, and promote the healing of the affected gum tissues.
  • Question: How is ANUG initially managed in terms of oral hygiene?

Answer:

  • Initial management involves improving oral hygiene. This includes thorough scaling and cleaning of teeth, along with instructing the patient on proper brushing and flossing techniques.
  • Question: What role do antibiotics play in the treatment of ANUG?

Answer:

  • Antibiotics are often prescribed to control the bacterial infection in ANUG. Commonly used antibiotics include metronidazole and penicillin.
  • Question: How do warm saline rinses contribute to ANUG treatment?

Answer:

  • Warm saline rinses help reduce inflammation and promote the healing of ulcerated gum tissues in ANUG. Rinsing with a saline solution can also assist in maintaining oral hygiene.
  • Question: Why is pain management important in ANUG treatment?

Answer:

  • Pain management is crucial to improve the patient’s comfort. Analgesics or pain relievers may be prescribed to alleviate the severe pain associated with ANUG.
  • Question: Is hospitalization necessary for all cases of ANUG?

Answer:

  • Hospitalization is typically reserved for severe cases of ANUG where there is a risk of systemic complications. Most cases can be managed on an outpatient basis.
  • Question: Can ANUG treatment involve the removal of necrotic tissue?

Answer:

  • Yes, in some cases, the removal of necrotic tissue may be necessary for proper healing. This procedure is usually performed by a dentist or oral surgeon.
  • Question: How often should follow-up appointments occur during ANUG treatment?

Answer:

  • Follow-up appointments are essential, and the frequency depends on the severity of the condition. Initially, more frequent visits may be required to monitor progress.
  • Question: What is the importance of addressing underlying risk factors in ANUG treatment?

Answer:

  1. Question: Can lifestyle changes contribute to the success of ANUG treatment?

Answer:

  • Yes, lifestyle changes, including maintaining good oral hygiene practices, quitting smoking, managing stress, and ensuring a nutritious diet, play a significant role in the success of ANUG treatment and prevention of recurrence.

These questions and answers cover various aspects of the treatment protocol for ANUG, highlighting the importance of a comprehensive approach to address both the acute symptoms and underlying causes.

Here are 10 viva questions and answers related to the symptoms of Acute Necrotizing Ulcerative Gingivitis (ANUG):

  1. Question: What are the primary clinical symptoms of Acute Necrotizing Ulcerative Gingivitis (ANUG)?

Answer:

  • The primary symptoms of ANUG include severe pain, gingival ulceration, bleeding gums, and a distinctive “punched-out” appearance of the gum tissue.
  • Question: How does the pain in ANUG differ from regular gingivitis?

Answer:

  • The pain in ANUG is often severe and disproportionate to the degree of gingival inflammation. It can be described as throbbing and may interfere with eating and speaking.
  • Question: What is the characteristic appearance of the gums in ANUG?

Answer:

  • The gums in ANUG have a distinct “punched-out” or crater-like appearance, with areas of necrotic tissue and ulceration.
  • Question: Why is bleeding from the gums a prominent symptom of ANUG?

Answer:

  • Question: Is bad breath a common symptom of ANUG?

Answer:

  • Yes, ANUG is often associated with halitosis or bad breath. The foul odor is due to the presence of necrotic tissue and the release of volatile sulfur compounds by bacteria.
  • Question: How does the appearance of the gums in ANUG differ from regular gingivitis or periodontitis?

Answer:

  • In ANUG, the gums may have a distinctive grayish pseudomembrane covering ulcerated areas, which is not typically seen in regular gingivitis or periodontitis.
  • Question: Can systemic symptoms be associated with ANUG?

Answer:

  • Yes, systemic symptoms such as fever, malaise, and swollen lymph nodes may be present in severe cases of ANUG.
  • Question: Why do patients with ANUG often report difficulty in swallowing or speaking?

Answer:

  • The pain and ulceration in ANUG can make swallowing and speaking uncomfortable, and patients may experience difficulty in these activities.
  • Question: How does the appearance of the gums change with the progression of ANUG?

Answer:

  • As ANUG progresses, the gingival tissue may become more swollen, and the characteristic ulcerations and necrotic areas may increase in size.
  1. Question: Can ANUG affect both the upper and lower gums simultaneously?

Answer:

These questions and answers provide insights into the various symptoms associated with ANUG, emphasizing the severity and distinct features that differentiate it from other forms of gingivitis.

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