Necrotizing ulcerative gingivitis in drug addict patients being withdrawn from drugs

Davis, Robert K.; Baer, Paul N.

doi:10.1016/0030-4220(71)90074-0

Cited by 16 publications

(9 citation statements)

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“…7 It is well documented that the prevalence of NUG in the military increases under conditions which produce high levels of acute stress 4,19,22,52 and in drug addicts during periods of drug withdrawal. 8 Additionally, it is not uncommon to have outbreaks of NUG among college students during examinations. 9 During periods of psychological stress, oral hygiene measures may decrease, nutrition may become inadequate, tobacco smoking may increase, and immune function may be suppressed.…”

Section: Etiologymentioning

confidence: 99%

“…[1][2][3][4][5][6] The onset of NUG is associated with increased psychological stress, increased physical demand, and decreased nutrient intake. [1][2][3][4][5][6][7][8][9][10] It is not surprising that early historical documentations of NUG were made in the military and especially at times of war. The first reference to an oral disease distinguished by these clinical signs and symptoms is credited to the historical war records of Xenophon's troops during the fourth century BC.…”

Section: Introductionmentioning

confidence: 99%

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Necrotizing Ulcerative Gingivitis

Rowland

1999

Ann Periodontol

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Necrotizing periodontal diseases are unique in their clinical presentation and course. Data suggest that the etiology and pathogenesis of necrotizing periodontal diseases may also be distinctive from other periodontal diseases. Necrotizing ulcerative gingivitis (NUG) is a type of necrotizing periodontal disease in which the necrosis is limited to the gingival tissues. Three specific clinical characteristics must be present to diagnose NUG, pain (usually of rapid onset) interdental necrosis, and bleeding. Epidemiological and prospective clinical studies have found an altered ability to cope with psychological stress, immunosuppression, and tobacco use to be strongly associated with the onset of NUG.

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Section: Etiologymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Necrotizing Ulcerative Gingivitis

Rowland

1999

Ann Periodontol

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“…The pattern is typically one of adult periodontitis, although acute necrotizing gingivitis has also been reported. 35,36 It seems that the effects on the periodontium due to a high rate of plaque accumulation, resulting from neglect and xerostomia, may be exacerbated by the immuno-suppressive effects of opioids and potentially altered microbial profiles.…”

Section: Oral Conditionsmentioning

confidence: 99%

Impact of Opioid Use on Dentistry

Ferguson

2002

Australian Dental Journal

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The oral consequences of opioid drug use are commonly attributed to personal neglect of general health and financial constraint. These factors are compounded by the increasingly recognized range of physical effects exerted by opioid drugs. The dental management of opioid drug dependents is further complicated by a variety of infections and behavioural modifications commonly associated with opioid use. Adequate strategies for the oral care of opioid users need to take cognisance of the broad medical issues for these people along with an appropriate personal approach.

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“…Moulton et al (1952), in a study which involved 6 cases, noted that the most outstanding characteristic of ANUG was the precipitation of the disease by acute anxiety. Otherreports have related ANUG to emotional stress in college students , stress associated with drug addiction (Davis & Baer 1971), and certain personality variables (Formicola et al 1970).…”

mentioning

confidence: 99%

Demographic and clinical data associated with acute necrotizing ulcerative gingivitis in a dental school population*

Stevens

Cogen

Cohen-Cole

et al. 1984

J Clinic Periodontology

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This study was undertaken to determine the prevalence of demographic and clinical factors of patients diagnosed as having ANUG as determined by the presence of painful, bleeding, necrotic and ulcerated interproximal gingival papillae. Results showed that ANUG patients were evenly divided between males and females relative to the general clinic population. 58% of the patients with ANUG were under 25 years of age as compared to 31% under 25 in the general clinic population. Overall, the ANUG group accounted for 1.4% of the under 34 age group in the general clinic population. 76% of the ANUG group had a high school education or less with 67% having less than $5,000 annual income. Only 20% presented with elevated temperature. Only 6% of the patients with ANUG were non-smokers as compared to 63% in a matched control group. Of great significance was the fact that only 1 patient with ANUG was black as compared to a 41% black population in the clinic population.

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Necrotizing ulcerative gingivitis in drug addict patients being withdrawn from drugs

Cited by 16 publications

References 0 publications

Necrotizing Ulcerative Gingivitis

Necrotizing Ulcerative Gingivitis

Impact of Opioid Use on Dentistry

Demographic and clinical data associated with acute necrotizing ulcerative gingivitis in a dental school population*

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