坏死性溃疡性龈炎：四种不同表现的探讨。
Necrotizing ulcerative gingivitis: a discussion of four dissimilar presentations.
作者信息
Campbell Casey M, Stout Bradshaw M, Deas David E
机构信息
Department of Periodontics, Wilford Hall USAF Medical Center, Lackland AFB, Texas 78236, USA.
出版信息
Tex Dent J. 2011 Oct;128(10):1041-51.
BACKGROUND
Necrotizing ulcerative gingivitis (NUG) is a periodontal disease characterized by pain, bleeding, and necrosis of interdental papillae. This series details treatment of four cases, followed by a discussion of the disease.
CASE DESCRIPTION
Four patients presented to four practitioners for treatment of severe gingival pain, each eventually being diagnosed with NUG. All patients in this series were successfully treated using accepted protocols, and though each was different with regard to presenting signs and symptoms, all responded similarly to treatment. Similar to the patients described in this series, NUG cases in general can present with varying degrees of involvement from barely-noticeable to starkly severe.
CLINICAL IMPLICATIONS
The most severe cases of NUG are often more destructive in appearance than those most commonly seen in textbooks, while in the mildest cases the appearance can almost be mistaken for health.
背景
坏死性溃疡性龈炎（NUG）是一种以疼痛、出血和龈乳头坏死为特征的牙周疾病。本系列详细介绍了4例病例的治疗情况，随后对该疾病进行了讨论。
病例描述
4名患者因严重牙龈疼痛就诊于4位医生处，最终均被诊断为NUG。本系列所有患者均采用公认的方案成功治疗，尽管每位患者的体征和症状有所不同，但对治疗的反应相似。与本系列描述的患者相似，一般来说，NUG病例的受累程度各不相同，从几乎不易察觉至极其严重。
临床意义
NUG最严重的病例在外观上往往比教科书中最常见的病例更具破坏性，而在最轻微的病例中，外观几乎可被误认为是健康状态。
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