04 December 2017

Oral Ulceration Treatment | Oral Medicine | Dentist Auckland

Post by Dr. Clarence P. Tam, HBSc, DDS, FIADFE, AAACD

Afternoon People,

This is an interesting non-restorative case - a 10 year old boy who presented with extreme tenderness and ulcerative necrosis of his attached gingiva from 21-24 (#9-12).  This was sporadic in appearance but persisted for slightly longer than 2 weeks without resolution this time, which prompted the attendance.  Differential diagnoses could include pemphigus, pemphigoid, erosive lichen planus, primary herpetic gingivostomatitis, ANUG - I thought it could be the latter, so treated this like a Gram-negative anaerobic infection: normally if cultured, NUG would include Prevotella intermediaTreponema pallidum and spirochetes.

Rx: 1) Amoxicillin (500mg) q8h x 7 days, 2) Metronidazole (200mg) q8h x 7 days.

He presented after 5 days of antibiotic use, with this result.  The area is still red, but definitely on the mend.  Cervitec gel has been used twice a day on the area, and he continues to improve.

Best,

Clarrie 

#OralMedicine #NUG #ANUG #OralUlcerations



 

 

Recent blog posts

17 July 2018 – Beautiful Lithium Disilicate Crowns | Restorative Dentist Auckland

17 July 2018 – Replacing Unsightly Old Fillings | Tam Dental Group Auckland

17 July 2018 – Root canal fillings | Making Teeth Look Like Teeth | Dentist Auckland

17 July 2018 – Composite Artistry | Dentist Auckland

13 July 2018 – Composite Crowns | Tam Dental Group Auckland

 

Share your thoughts

  • Comment

Site by Andrea Wong Design