Hartnett A C, Shiloah J
University of Tennessee, Memphis 38163.
Quintessence Int. 1991 Feb;22(2):95-100.
The destruction of the interdental papillae and formation of permanent gingival craters are common sequelae of acute necrotizing ulcerative gingivitis. These craters can be disfiguring, especially in the anterior gingiva, and can act as a nidus for recurrent episodes. Traditional therapy has emphasized a surgical approach for elimination of these defects, often increasing the esthetic problems. The purpose of this paper is to review the treatment modalities of acute necrotizing ulcerative gingivitis and illustrate an alternative treatment approach of periodic scaling, root planing, and antimicrobial rinses with 0.12% chlorhexidine. With this therapeutic regimen, the disease process can be reversed and damaged papillae may regenerate.
牙间乳头破坏和永久性牙龈缺损形成是急性坏死性溃疡性龈炎的常见后遗症。这些缺损会影响美观，尤其是在前牙牙龈处，并且可能成为疾病复发的病灶。传统治疗方法强调采用手术方法消除这些缺损，这往往会加剧美观问题。本文旨在回顾急性坏死性溃疡性龈炎的治疗方式，并阐述一种替代性治疗方法，即定期进行龈上洁治、根面平整以及使用0.12%氯己定进行抗菌冲洗。通过这种治疗方案，疾病进程可以得到逆转，受损的乳头可能会再生。
