Case history
Case history
A 35-year-old man presents with a chief complaint of minor bleeding from the gums during tooth brushing, as evidenced by blood on the toothbrush and on expectoration during tooth brushing, and on use of dental floss to clean between the teeth. There is no pain, lymphadenopathy, fever, or other systemic manifestation of disease. Visual examination of the teeth and gums reveals reddened, mild-to-moderately swollen gingiva throughout the mouth. Dental plaque is visible on the teeth.
Other presentations
Necrotising gingivitis (NG) is characterised by pain, necrosis, and ulceration of the tips of the gum tissue between the teeth, bright red colour of the gingiva, presence of a pseudomembrane of bacteria and debris on the teeth and gingiva, and bleeding on slight manipulation of the gingiva. Halitosis, often associated with NG, is not pathognomonic of this form of gingivitis as it can also be found in other pathological conditions of the oral cavity, including chronic periodontitis. Other less common findings include the presence of lymphadenopathy, moderate fever, and malaise.
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