Necrotising periodontal diseases

Question 1

Necrotising stomatitis features

Answer 1

Progression of necrotising periodontal disease beyond mucogingival junction

Question 2

Necrotising periodontal disease - risk factors

Answer 2

• stress
• sleep deprivation
• poor oral hygiene
• smoking
• immunosuppression
• malnutrition

Question 3

Necrotising periodontal disease - treatment

Answer 3

• careful superficial debridement to remove soft and mineralised tissues (ultrasonic recommended)
• repeat daily for as long as acute phase lasts (2-4 days)
• recommend use of 0.12% chorhexidine mouthwash 2 x a day

if unsatisfactory response to debridement or systemic effects e.g. fever:
- 400mg metronidazole 3x a day for 3 days
- OR
- 500mg amoxycillin 3x a day for 3 days