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Necrotizing gingivitis

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Many other historical names for this condition (and Vincent's angina) have occurred, including: "acute membranous gingivitis", "fusospirillary gingivitis", " fusospirillosis", "fusospirochetal gingivitis", "phagedenic gingivitis", "Vincent stomatitis", "Vincent gingivitis", and "Vincent infection".
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evolved because the disease was observed in front line soldiers during World War I, thought to be a result at least partly because of extreme psychologic stress they were exposed to. The same condition was appearing in civilians during periods of bombing raids, who were away from the front line, and
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Predisposing factors include smoking, viral respiratory infections and immune defects, such as in HIV/AIDS. Uncommon, except in lower socioeconomic classes, this typically affects adolescents and young adults, especially in institutions, armed forces, etc., or people with HIV/AIDS. The disease has
620:. Later in 1904, Vincent describes the same pathogenic organisms in "ulceronecrotic gingivitis". Vincent's angina is sometimes confused with NUG, however the former is tonsillitis and pharyngitis, and the latter involves the gums, and usually the two conditions occur in isolation from each other. 571:
In developed countries, this disease occurs mostly in young adults. In developing countries, NUG may occur in children of low socioeconomic status, usually occurring with malnutrition (especially inadequate protein intake) and shortly after the onset of viral infections (e.g.
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Necrotizing periodontitis (NP) is where the infection leads to attachment loss, and involves only the gingiva, periodontal ligament and alveolar ligament. Progression of the disease into tissue beyond the mucogingival junction characterizes necrotizing stomatitis.
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The 1999 American Academy of Periodontology Classification termed the condition "necrotizing ulcerative periodontitis". The "ulcerative" descriptor was removed from the name, because ulceration is considered to be secondary to the necrosis.
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who had relatively good diets during wartime due to rationing, so it is assumed that psychologic stress was the significant causative factor. It has also been associated with high tobacco use in the army.
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and can spread, as necrotizing stomatitis or noma, into neighbouring tissues in the cheeks, lips or the bones of the jaw. As stated, the condition can occur and be especially dangerous in people with
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observes sore mouth and foul smelling breath in Greek soldiers in the 4th century BC. Hunter describes the clinical features of necrotizing gingivitis in 1778, differentiating it from
3370: 1176: 1760: 515:. It is the most minor form of this spectrum, with more advanced stages being termed necrotizing periodontitis, necrotizing stomatitis, and the most extreme, cancrum oris. 3552: 1376: 1341: 487:
The following zones of infection have been described (superficial to deep): the bacterial zone, the neutrophil rich zone, the necrotic zone and the spirochetal zone.
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In the early stages some affected people may complain of a feeling of tightness around the teeth. Three signs/symptoms must be present to diagnose this condition:
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that occurs on a background of impaired local or systemic host defenses. The predisposing factors for necrotizing gingivitis are smoking, psychological stress,
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In the late 1980s-early 1990s, it was originally thought that some necrotizing periodontal diseases seen in severely affected AIDS patients were strictly a
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which is rarely painful. If NG is improperly treated or neglected, it may become chronic and/or recurrent. The causative organisms are mostly
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NYS Department of Health AIDS Institute. "Clinical Manifestations and Management of HIV-Related Periodontal Disease".
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A fairly mild presentation of necrotizing gingivitis at the typical site on the gums of the anterior mandibular teeth.
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as many soldiers developed the disease, probably because of the poor conditions and extreme psychological stress.
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Predisposing factors include poor oral hygiene, smoking, poor nutrition, psychological stress, and
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The often severe gum pain that characterizes NG distinguishes it from the more common
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This article is about the physiologic disorder. For the similarly named band, see
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Oral and maxillofacial medicine : the basis of diagnosis and treatment
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Necrotizing gingivitis may also be associated with diseases in which the
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tissue. The papillary necrosis of NG has been described as "punched out".
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Oral Health Care for People with HIV Infection: HIV Clinical Guidelines
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Diagnosis is usually clinical. Smear for fusospirochaetal bacteria and
408: 185: 3782: 3254: 2842: 2437: 951: 826:(2nd ed.). Edinburgh: Churchill Livingstone. pp. 101, 347. 593: 702:
Herrera, D., Retamal-Valdes, B., Alonso, B., Feres, M. (June 2018).
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is compromised, including HIV/AIDS. Necrotizing gingivitis is an
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Lindhe, Jan; Lang, Niklaus P.; Karring, Thorkild, eds. (2008).
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Necrotizing gingivitis is part of a spectrum of disease termed
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occurred in epidemic-like patterns, but it is not contagious.
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Untreated, the infection may lead to rapid destruction of the
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Profuse gum bleeding that requires little or no provocation.
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of necrotic areas (areas of dead and/or dying gum tissue),
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Other signs and symptoms may be present, but not always.
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Necrotizing gingivitis has been observed for centuries.
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Necrotizing periodontal diseases are caused by a mixed
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Non-contagious, painful bacterial infection of the gums
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Periodontitis as a manifestation of systemic disease
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Dentistry involving supporting structures of teeth (
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Archived from 604:, a French physician working at the Paris 51: 28: 864: 719: 419:are rare (unlike the typical features of 4185:Oral manifestations of systemic disease 3334:Acute necrotizing ulcerative gingivitis 1197:Combined periodontic-endodontic lesions 681: 3371:As a manifestation of systemic disease 1586:Subepithelial connective tissue graft 7: 3217:Gums and tooth-supporting structures 1172:Generalized aggressive periodontitis 310:, one of the three general types of 3868:Papillary cystadenoma lymphomatosum 3711:Temporomandibular joint dysfunction 4215:Conditions of the mucous membranes 2985:Maxillary lateral incisor agenesis 2469:Inflammatory papillary hyperplasia 1167:Localized aggressive periodontitis 847:Taylor, FE; McKinstry, WH (1917). 527:Treatment includes irrigation and 14: 1490:Full mouth ultrasonic debridement 4087:Cutaneous sinus of dental origin 4024:Obesity hypoventilation syndrome 4019:Central hypoventilation syndrome 3901:Carcinoma ex pleomorphic adenoma 3329:Necrotizing periodontal diseases 3309:Hereditary gingival fibromatosis 2221:Oral and maxillofacial pathology 1187:Necrotizing periodontal diseases 513:necrotizing periodontal diseases 3933:Chronic sclerosing sialadenitis 3570:Osteoporotic bone marrow defect 3024:Keratocystic odontogenic tumour 417:cervical lymph node enlargement 308:necrotizing periodontal disease 182:necrotizing periodontal disease 3918:Sclerosing polycystic adenosis 3753:Benign lymphoepithelial lesion 889:"Definition of Vincent angina" 1: 4112:Melkersson–Rosenthal syndrome 4061:Soft tissues around the mouth 3758:Ectopic salivary gland tissue 1192:Abscesses of the periodontium 3282:Gingival cyst of the newborn 2891:Failure of eruption of teeth 2595:Hand, foot and mouth disease 2580:Focal epithelial hyperplasia 2518:Angina bullosa haemorrhagica 2464:Palatal cysts of the newborn 2387:Transient lingual papillitis 2169:Streptobacillus moniliformis 535:instruction and the uses of 213:Based on clinical findings ( 3810:Salivary gland diverticulum 3773:Necrotizing sialometaplasia 2784:Smokeless tobacco keratosis 2696:Basaloid squamous carcinoma 1928:Louse borne relapsing fever 404:Bad taste (metallic taste). 4241: 3820:Salivary gland hyperplasia 3768:HIV salivary gland disease 3277:Gingival cyst of the adult 2723:Oral florid papillomatosis 1952:Tick borne relapsing fever 1546:Guided tissue regeneration 346:removal of dead gum tissue 256:mucous membrane pemphigoid 252:herpetic gingivostomatitis 18: 4165: 4154: 4067: 4059:Orofacial soft tissues – 4053: 3994: 3977: 3825:Salivary gland hypoplasia 3748: 3735: 3639: 3614: 3553:Bisphosphonate-associated 3447:Idiopathic osteosclerosis 3422: 3400: 3223: 3190: 2918:Dentinogenesis imperfecta 2854: 2828: 2508: 2491: 2444: 2431: 2382:Median rhomboid glossitis 2332: 2319: 2240: 2227: 2160:Fusobacterium polymorphum 2141:Fusobacterium necrophorum 2107:Capnocytophaga canimorsus 1516:Coronally positioned flap 822:Scully, Crispian (2008). 708:Journal of Periodontology 484:, and immunosuppression. 382:Interdental papillae are 59: 50: 4132:Orofacial granulomatosis 3911:Mucoepidermoid carcinoma 3896:Adenoid cystic carcinoma 3830:Salivary gland neoplasms 3621:Temporomandibular joints 3592:Periapical periodontitis 3324:Linear gingival erythema 3092:Regional odontodysplasia 2938:Enamel hypocalcification 2114:Porphyromonas gingivalis 2063:Lymphogranuloma venereum 1571:Pocket reduction surgery 1551:Enamel matrix derivative 1541:Guided bone regeneration 1506:Apically positioned flap 1480:Scaling and root planing 1386:Treatment and prevention 1347:Linear gingival erythema 1302:Clinical attachment loss 1216:A. actinomycetemcomitans 503:or herpetic stomatitis. 342:a weakened immune system 4029:Obstructive sleep apnea 3795:Salivary duct stricture 3575:Paget's disease of bone 3072:Pulp canal obliteration 2913:Dentin hypersensitivity 2859:Amelogenesis imperfecta 2711:Squamous cell carcinoma 2691:Adenosquamous carcinoma 2678:Squamous cell papilloma 2655:Melanocytic oral lesion 2153:Fusobacterium nucleatum 1624:Important personalities 1485:Full mouth disinfection 1448:Host modulatory therapy 1413:Chlorhexidine gluconate 1393:Periodontal examination 859:(Laryngol Sect): 43–8. 561:weakened immune systems 478:opportunistic infection 4175:Hemifacial hypertrophy 4142:Pyostomatitis vegetans 3815:Salivary gland fistula 3805:Salivary gland atresia 3800:Salivary gland aplasia 3654:Mandibular dislocation 3625:muscles of mastication 3503:Calcifying odontogenic 3132:Vertical root fracture 3127:Cracked tooth syndrome 3102:Shovel-shaped incisors 2997:Wisdom tooth impaction 2879:Early childhood caries 2745:Benign mucous membrane 2706:Spindle cell carcinoma 2615:Intraoral dental sinus 2533:Burning mouth syndrome 1987:Leptospira interrogans 1342:Horizontal bony defect 602:Jean Hyacinthe Vincent 296:Necrotizing gingivitis 247:Differential diagnosis 32:Necrotizing gingivitis 4210:Periodontal disorders 3984:Stomatognathic system 3886:Acinic cell carcinoma 3508:Glandular odontogenic 2660:Molluscum contagiosum 2121:Prevotella intermedia 2052:Chlamydia trachomatis 1566:Open flap debridement 1561:Lateral pedicle graft 1162:Chronic periodontitis 1122:Mucogingival junction 1117:Junctional epithelium 598:chronic periodontitis 596:(avitaminosis C) and 323:chronic periodontitis 140:and compromised host 122:Prevotella intermedia 4127:Oral Crohn's disease 4082:Basal cell carcinoma 3721:Condylar hyperplasia 3706:Maxillary hypoplasia 3272:Gingival enlargement 3205:periodontal ligament 2811:Verruciform xanthoma 2543:Condyloma acuminatum 2100:Tannerella forsythia 2093:Bacteroides fragilis 2043:Chlamydia pneumoniae 1923:Borrelia recurrentis 1891:Borrelia burgdorferi 1696:Paul Roscoe Stillman 1671:Willoughby D. Miller 1641:Per-Ingvar BrĂĄnemark 1468:Conventional therapy 1377:Vertical bony defect 1322:Gingival enlargement 1272:Entamoeba gingivalis 1127:Periodontal ligament 1097:Free gingival margin 721:10.1002/JPER.16-0642 304:interdental papillae 284:debridement (dental) 166:psychological stress 4137:Perioral dermatitis 3873:Pleomorphic adenoma 3853:Monomorphic adenoma 3843:Canalicular adenoma 3716:Condylar hypoplasia 3649:Condylar resorption 3493:Lateral periodontal 3452:Mandibular fracture 3351:Periodontal abscess 2948:Turner's hypoplasia 2716:Verrucous carcinoma 2665:Morsicatio buccarum 2645:Lupus erythematosus 2558:Erythema multiforme 2474:Stomatitis nicotina 2146:Lemierre's syndrome 1869:Treponema denticola 1711:James Leon Williams 1576:Socket preservation 1526:Free gingival graft 1408:Bleeding on probing 1362:Periodontal disease 1132:Sulcular epithelium 441:bacterial infection 421:herpetic stomatitis 264:toothbrush abrasion 223:interdental papilla 118:bacterial infection 4180:Facial hemiatrophy 4034:Periodic breathing 3965:Sjögren's syndrome 3838:Basal cell adenoma 3602:Torus mandibularis 3580:Periapical abscess 3563:Osteoradionecrosis 3488:Buccal bifurcation 3467:Intraosseous cysts 3356:Periodontal trauma 3260:Pyogenic granuloma 3107:Supernumerary root 3060:Pulp calcification 3048:Premature eruption 3019:Odontogenic tumors 2816:White sponge nevus 2789:Submucous fibrosis 2733:Smoker's melanosis 2620:Irritation fibroma 2459:High-arched palate 2367:Foliate papillitis 2357:Cunnilingus tongue 2342:Black hairy tongue 2272:Congenital lip pit 2031:Chlamydia psittaci 1857:Treponema carateum 1834:Treponema pallidum 1784:Bacterial diseases 1357:Periodontal pocket 1332:Gingival recession 1223:Capnocytophaga sp. 1004:External resources 368:Signs and symptoms 327:anaerobic bacteria 260:pemphigus vulgaris 4197: 4196: 4193: 4192: 4150: 4149: 4049: 4048: 3973: 3972: 3878:Sebaceous adenoma 3731: 3730: 3610: 3609: 3521:Median mandibular 3516:Nasopalatine duct 3432:Alveolar osteitis 3396: 3395: 3383:Perio-endo lesion 3265:Congenital epulis 3186: 3185: 2943:Enamel hypoplasia 2824: 2823: 2799:Riga–Fede disease 2650:Melanocytic nevus 2590:Hairy leukoplakia 2553:Epulis fissuratum 2487: 2486: 2427: 2426: 2377:Geographic tongue 2315: 2314: 2187: 2186: 2078: 2077: 2005: 2004: 2001: 2000: 1961: 1960: 1750: 1749: 1725:Other specialties 1681:John Mankey Riggs 1666:Preston D. Miller 1631:Tomas Albrektsson 1619: 1618: 1556:Implant placement 1531:Gingival grafting 1521:Crown lengthening 1456: 1455: 1423:Hydrogen peroxide 1280:Trichomonas tenax 1027: 1026: 606:Pasteur Institute 314:(periodontitis). 293: 292: 227:gingival bleeding 209:Diagnostic method 170:sleep deprivation 26:Medical condition 4232: 4156: 4055: 3979: 3848:Ductal papilloma 3737: 3616: 3513:Non-odontogenic: 3498:Globulomaxillary 3437:Buccal exostosis 3402: 3346:Peri-implantitis 3192: 2908:Dentin dysplasia 2830: 2806:Verruca vulgaris 2701:Mucosal melanoma 2548:Darier's disease 2523:Behçet's disease 2493: 2449:Bednar's aphthae 2433: 2321: 2307:Trumpeter's wart 2229: 2214: 2207: 2200: 2191: 2016: 1972: 1947:Borrelia parkeri 1941:Borrelia duttoni 1935:Borrelia hermsii 1913:Neuroborreliosis 1908:Erythema migrans 1897:Borrelia afzelii 1819: 1810: 1777: 1770: 1763: 1754: 1742:Prosthodontology 1701:Dennis P. Tarnow 1646:Robert Gottsegen 1465: 1317:Furcation defect 1150: 1054: 1047: 1040: 1031: 931: 919: 918: 910: 904: 903: 901: 900: 885: 879: 878: 868: 844: 838: 837: 819: 788: 787: 771: 761: 734: 733: 723: 699: 651:is compromised. 618:Vincent's angina 614:palatine tonsils 376:Severe gum pain. 55: 29: 4240: 4239: 4235: 4234: 4233: 4231: 4230: 4229: 4200: 4199: 4198: 4189: 4161: 4146: 4102:Ludwig's angina 4063: 4045: 4004:Mouth breathing 3990: 3969: 3790:Pneumoparotitis 3763:Frey's syndrome 3744: 3742:Salivary glands 3727: 3635: 3606: 3585:Phoenix abscess 3418: 3414:hard tissues – 3392: 3314:Hypercementosis 3233:Cementoblastoma 3219: 3182: 2896:Dens evaginatus 2850: 2820: 2772:Denture-related 2757:Plasmoacanthoma 2683:Keratoacanthoma 2504: 2502:Lining of mouth 2483: 2479:Torus palatinus 2440: 2423: 2404:Lingual thyroid 2362:Fissured tongue 2352:Crenated tongue 2328: 2311: 2297:Nasolabial cyst 2282:Herpes labialis 2236: 2223: 2218: 2188: 2183: 2178:Haverhill fever 2126: 2074: 1997: 1957: 1874: 1814:Spirochaetaceae 1799: 1781: 1751: 1746: 1720: 1651:Gary Greenstein 1615: 1494: 1452: 1381: 1352:Occlusal trauma 1327:Gingival pocket 1285: 1201: 1141: 1112:Gingival sulcus 1107:Gingival fibers 1065: 1058: 1028: 1023: 1022: 999: 998: 942: 928: 923: 922: 912: 911: 907: 898: 896: 887: 886: 882: 846: 845: 841: 834: 821: 820: 791: 784: 763: 762: 737: 701: 700: 683: 678: 661: 586: 569: 553: 541:pain medication 525: 509: 493: 437: 370: 329:, particularly 176:, pre-existing 142:immune response 27: 24: 17: 12: 11: 5: 4238: 4236: 4228: 4227: 4225:Trench warfare 4222: 4217: 4212: 4202: 4201: 4195: 4194: 4191: 4190: 4188: 4187: 4182: 4177: 4172: 4170:Eagle syndrome 4166: 4163: 4162: 4159: 4152: 4151: 4148: 4147: 4145: 4144: 4139: 4134: 4129: 4124: 4119: 4114: 4109: 4104: 4099: 4094: 4092:Cystic hygroma 4089: 4084: 4079: 4074: 4068: 4065: 4064: 4058: 4051: 4050: 4047: 4046: 4044: 4043: 4038: 4037: 4036: 4031: 4026: 4021: 4016: 4006: 4001: 3995: 3992: 3991: 3982: 3975: 3974: 3971: 3970: 3968: 3967: 3962: 3960:Sialolithiasis 3957: 3952: 3947: 3942: 3937: 3936: 3935: 3930: 3920: 3915: 3914: 3913: 3908: 3903: 3898: 3893: 3891:Adenocarcinoma 3888: 3880: 3875: 3870: 3865: 3860: 3858:Myoepithelioma 3855: 3850: 3845: 3840: 3827: 3822: 3817: 3812: 3807: 3802: 3797: 3792: 3787: 3786: 3785: 3775: 3770: 3765: 3760: 3755: 3749: 3746: 3745: 3740: 3733: 3732: 3729: 3728: 3726: 3725: 3724: 3723: 3718: 3708: 3703: 3702: 3701: 3696: 3691: 3686: 3681: 3676: 3671: 3666: 3656: 3651: 3646: 3640: 3637: 3636: 3619: 3612: 3611: 3608: 3607: 3605: 3604: 3599: 3594: 3589: 3588: 3587: 3577: 3572: 3567: 3566: 3565: 3560: 3555: 3545: 3540: 3535: 3534: 3533: 3531:Traumatic bone 3528: 3526:Median palatal 3523: 3518: 3510: 3505: 3500: 3495: 3490: 3485: 3480: 3464: 3459: 3454: 3449: 3444: 3439: 3434: 3429: 3423: 3420: 3419: 3405: 3398: 3397: 3394: 3393: 3391: 3390: 3385: 3380: 3379: 3378: 3373: 3368: 3358: 3353: 3348: 3343: 3338: 3337: 3336: 3326: 3321: 3319:Hypocementosis 3316: 3311: 3306: 3305: 3304: 3299: 3294: 3284: 3279: 3274: 3269: 3268: 3267: 3262: 3252: 3247: 3242: 3241: 3240: 3230: 3224: 3221: 3220: 3195: 3188: 3187: 3184: 3183: 3181: 3180: 3179: 3178: 3173: 3168: 3163: 3153: 3152: 3151: 3141: 3140: 3139: 3134: 3129: 3124: 3114: 3109: 3104: 3099: 3094: 3089: 3084: 3079: 3074: 3069: 3068: 3067: 3057: 3056: 3055: 3053:Neonatal teeth 3045: 3040: 3039: 3038: 3028: 3027: 3026: 3016: 3011: 3006: 3001: 3000: 2999: 2989: 2988: 2987: 2977: 2972: 2967: 2962: 2957: 2952: 2951: 2950: 2940: 2935: 2933:Ectopic enamel 2930: 2925: 2920: 2915: 2910: 2905: 2904: 2903: 2893: 2888: 2883: 2882: 2881: 2871: 2866: 2861: 2855: 2852: 2851: 2833: 2826: 2825: 2822: 2821: 2819: 2818: 2813: 2808: 2803: 2802: 2801: 2791: 2786: 2781: 2780: 2779: 2774: 2769: 2759: 2754: 2749: 2748: 2747: 2737: 2736: 2735: 2728:Oral melanosis 2725: 2720: 2719: 2718: 2713: 2708: 2703: 2698: 2693: 2685: 2680: 2667: 2662: 2657: 2652: 2647: 2642: 2637: 2632: 2627: 2622: 2617: 2612: 2607: 2602: 2597: 2592: 2587: 2582: 2577: 2576: 2575: 2565: 2560: 2555: 2550: 2545: 2540: 2535: 2530: 2528:Bohn's nodules 2525: 2520: 2515: 2513:Amalgam tattoo 2509: 2506: 2505: 2496: 2489: 2488: 2485: 2484: 2482: 2481: 2476: 2471: 2466: 2461: 2456: 2451: 2445: 2442: 2441: 2436: 2429: 2428: 2425: 2424: 2422: 2421: 2416: 2411: 2406: 2401: 2396: 2391: 2390: 2389: 2384: 2379: 2369: 2364: 2359: 2354: 2349: 2344: 2339: 2333: 2330: 2329: 2324: 2317: 2316: 2313: 2312: 2310: 2309: 2304: 2299: 2294: 2289: 2284: 2279: 2274: 2269: 2264: 2263: 2262: 2257: 2252: 2241: 2238: 2237: 2232: 2225: 2224: 2219: 2217: 2216: 2209: 2202: 2194: 2185: 2184: 2182: 2181: 2174:Rat-bite fever 2164: 2163: 2156: 2149: 2136: 2134: 2132:Fusobacteriota 2128: 2127: 2125: 2124: 2117: 2110: 2103: 2096: 2088: 2086: 2080: 2079: 2076: 2075: 2073: 2072: 2071: 2070: 2065: 2060: 2047: 2046: 2039: 2026: 2024: 2013: 2007: 2006: 2003: 2002: 1999: 1998: 1996: 1995: 1982: 1980: 1969: 1967:Leptospiraceae 1963: 1962: 1959: 1958: 1956: 1955: 1931: 1918: 1917: 1916: 1915: 1910: 1905: 1886: 1884: 1876: 1875: 1873: 1872: 1865: 1853: 1852: 1851: 1846: 1829: 1827: 1816: 1807: 1801: 1800: 1792:proteobacteria 1782: 1780: 1779: 1772: 1765: 1757: 1748: 1747: 1745: 1744: 1739: 1737:Orthodontology 1734: 1728: 1726: 1722: 1721: 1719: 1718: 1713: 1708: 1703: 1698: 1693: 1688: 1683: 1678: 1673: 1668: 1663: 1658: 1653: 1648: 1643: 1638: 1633: 1627: 1625: 1621: 1620: 1617: 1616: 1614: 1613: 1612: 1611: 1606: 1601: 1596: 1588: 1583: 1578: 1573: 1568: 1563: 1558: 1553: 1548: 1543: 1538: 1533: 1528: 1523: 1518: 1513: 1508: 1502: 1500: 1496: 1495: 1493: 1492: 1487: 1482: 1477: 1471: 1469: 1462: 1458: 1457: 1454: 1453: 1451: 1450: 1445: 1440: 1435: 1430: 1425: 1420: 1415: 1410: 1405: 1400: 1395: 1389: 1387: 1383: 1382: 1380: 1379: 1374: 1369: 1364: 1359: 1354: 1349: 1344: 1339: 1334: 1329: 1324: 1319: 1314: 1309: 1304: 1299: 1293: 1291: 1287: 1286: 1284: 1283: 1276: 1268: 1261: 1254: 1247: 1240: 1233: 1226: 1219: 1211: 1209: 1203: 1202: 1200: 1199: 1194: 1189: 1184: 1179: 1174: 1169: 1164: 1158: 1156: 1147: 1143: 1142: 1140: 1139: 1134: 1129: 1124: 1119: 1114: 1109: 1104: 1099: 1094: 1089: 1087:Biologic width 1084: 1079: 1073: 1071: 1067: 1066: 1062:Periodontology 1059: 1057: 1056: 1049: 1042: 1034: 1025: 1024: 1021: 1020: 1008: 1007: 1005: 1001: 1000: 997: 996: 985: 974: 959: 943: 938: 937: 935: 934:Classification 927: 926:External links 924: 921: 920: 905: 880: 839: 832: 789: 782: 735: 680: 679: 677: 674: 673: 672: 667: 660: 657: 585: 582: 568: 565: 552: 549: 524: 521: 508: 507:Classification 505: 492: 489: 443:that includes 436: 433: 406: 405: 402: 392: 391: 380: 377: 369: 366: 331:Fusobacteriota 291: 290: 281: 277: 276: 271: 267: 266: 249: 243: 242: 235:pseudomembrane 211: 205: 204: 151: 145: 144: 115: 111: 110: 107: 101: 100: 80: 74: 73: 71:Periodontology 68: 62: 61: 57: 56: 48: 47: 38: 34: 33: 25: 15: 13: 10: 9: 6: 4: 3: 2: 4237: 4226: 4223: 4221: 4218: 4216: 4213: 4211: 4208: 4207: 4205: 4186: 4183: 4181: 4178: 4176: 4173: 4171: 4168: 4167: 4164: 4157: 4153: 4143: 4140: 4138: 4135: 4133: 4130: 4128: 4125: 4123: 4120: 4118: 4115: 4113: 4110: 4108: 4105: 4103: 4100: 4098: 4095: 4093: 4090: 4088: 4085: 4083: 4080: 4078: 4075: 4073: 4072:Actinomycosis 4070: 4069: 4066: 4062: 4056: 4052: 4042: 4039: 4035: 4032: 4030: 4027: 4025: 4022: 4020: 4017: 4015: 4012: 4011: 4010: 4007: 4005: 4002: 4000: 3997: 3996: 3993: 3989: 3985: 3980: 3976: 3966: 3963: 3961: 3958: 3956: 3953: 3951: 3950:Sialodochitis 3948: 3946: 3943: 3941: 3938: 3934: 3931: 3929: 3926: 3925: 3924: 3921: 3919: 3916: 3912: 3909: 3907: 3904: 3902: 3899: 3897: 3894: 3892: 3889: 3887: 3884: 3881: 3879: 3876: 3874: 3871: 3869: 3866: 3864: 3861: 3859: 3856: 3854: 3851: 3849: 3846: 3844: 3841: 3839: 3836: 3833: 3832: 3831: 3828: 3826: 3823: 3821: 3818: 3816: 3813: 3811: 3808: 3806: 3803: 3801: 3798: 3796: 3793: 3791: 3788: 3784: 3781: 3780: 3779: 3776: 3774: 3771: 3769: 3766: 3764: 3761: 3759: 3756: 3754: 3751: 3750: 3747: 3743: 3738: 3734: 3722: 3719: 3717: 3714: 3713: 3712: 3709: 3707: 3704: 3700: 3697: 3695: 3692: 3690: 3687: 3685: 3682: 3680: 3677: 3675: 3672: 3670: 3667: 3665: 3662: 3661: 3660: 3657: 3655: 3652: 3650: 3647: 3645: 3642: 3641: 3638: 3634: 3630: 3629:malocclusions 3626: 3622: 3617: 3613: 3603: 3600: 3598: 3597:Stafne defect 3595: 3593: 3590: 3586: 3583: 3582: 3581: 3578: 3576: 3573: 3571: 3568: 3564: 3561: 3559: 3556: 3554: 3551: 3550: 3549: 3548:Osteonecrosis 3546: 3544: 3543:Osteomyelitis 3541: 3539: 3536: 3532: 3529: 3527: 3524: 3522: 3519: 3517: 3514: 3511: 3509: 3506: 3504: 3501: 3499: 3496: 3494: 3491: 3489: 3486: 3484: 3481: 3479: 3476: 3474: 3470: 3469: 3468: 3465: 3463: 3460: 3458: 3455: 3453: 3450: 3448: 3445: 3443: 3440: 3438: 3435: 3433: 3430: 3428: 3425: 3424: 3421: 3417: 3416:Bones of jaws 3413: 3409: 3403: 3399: 3389: 3386: 3384: 3381: 3377: 3374: 3372: 3369: 3367: 3364: 3363: 3362: 3361:Periodontitis 3359: 3357: 3354: 3352: 3349: 3347: 3344: 3342: 3341:Pericoronitis 3339: 3335: 3332: 3331: 3330: 3327: 3325: 3322: 3320: 3317: 3315: 3312: 3310: 3307: 3303: 3300: 3298: 3297:Granulomatous 3295: 3293: 3290: 3289: 3288: 3285: 3283: 3280: 3278: 3275: 3273: 3270: 3266: 3263: 3261: 3258: 3257: 3256: 3253: 3251: 3250:Eruption cyst 3248: 3246: 3243: 3239: 3236: 3235: 3234: 3231: 3229: 3226: 3225: 3222: 3218: 3214: 3210: 3206: 3202: 3198: 3193: 3189: 3177: 3174: 3172: 3169: 3167: 3164: 3162: 3159: 3158: 3157: 3154: 3150: 3147: 3146: 3145: 3142: 3138: 3135: 3133: 3130: 3128: 3125: 3123: 3120: 3119: 3118: 3115: 3113: 3110: 3108: 3105: 3103: 3100: 3098: 3095: 3093: 3090: 3088: 3085: 3083: 3080: 3078: 3077:Pulp necrosis 3075: 3073: 3070: 3066: 3063: 3062: 3061: 3058: 3054: 3051: 3050: 3049: 3046: 3044: 3041: 3037: 3036:Dens in dente 3034: 3033: 3032: 3029: 3025: 3022: 3021: 3020: 3017: 3015: 3012: 3010: 3007: 3005: 3002: 2998: 2995: 2994: 2993: 2990: 2986: 2983: 2982: 2981: 2978: 2976: 2973: 2971: 2968: 2966: 2963: 2961: 2958: 2956: 2953: 2949: 2946: 2945: 2944: 2941: 2939: 2936: 2934: 2931: 2929: 2928:Discoloration 2926: 2924: 2921: 2919: 2916: 2914: 2911: 2909: 2906: 2902: 2899: 2898: 2897: 2894: 2892: 2889: 2887: 2884: 2880: 2877: 2876: 2875: 2872: 2870: 2867: 2865: 2862: 2860: 2857: 2856: 2853: 2848: 2844: 2840: 2836: 2831: 2827: 2817: 2814: 2812: 2809: 2807: 2804: 2800: 2797: 2796: 2795: 2792: 2790: 2787: 2785: 2782: 2778: 2775: 2773: 2770: 2768: 2765: 2764: 2763: 2760: 2758: 2755: 2753: 2750: 2746: 2743: 2742: 2741: 2738: 2734: 2731: 2730: 2729: 2726: 2724: 2721: 2717: 2714: 2712: 2709: 2707: 2704: 2702: 2699: 2697: 2694: 2692: 2689: 2686: 2684: 2681: 2679: 2676: 2673: 2672: 2671: 2668: 2666: 2663: 2661: 2658: 2656: 2653: 2651: 2648: 2646: 2643: 2641: 2638: 2636: 2635:Lichen planus 2633: 2631: 2628: 2626: 2623: 2621: 2618: 2616: 2613: 2611: 2610:Herpes zoster 2608: 2606: 2603: 2601: 2598: 2596: 2593: 2591: 2588: 2586: 2585:Fordyce spots 2583: 2581: 2578: 2574: 2571: 2570: 2569: 2566: 2564: 2563:Erythroplakia 2561: 2559: 2556: 2554: 2551: 2549: 2546: 2544: 2541: 2539: 2536: 2534: 2531: 2529: 2526: 2524: 2521: 2519: 2516: 2514: 2511: 2510: 2507: 2503: 2499: 2494: 2490: 2480: 2477: 2475: 2472: 2470: 2467: 2465: 2462: 2460: 2457: 2455: 2452: 2450: 2447: 2446: 2443: 2439: 2434: 2430: 2420: 2417: 2415: 2412: 2410: 2407: 2405: 2402: 2400: 2397: 2395: 2392: 2388: 2385: 2383: 2380: 2378: 2375: 2374: 2373: 2370: 2368: 2365: 2363: 2360: 2358: 2355: 2353: 2350: 2348: 2347:Caviar tongue 2345: 2343: 2340: 2338: 2337:Ankyloglossia 2335: 2334: 2331: 2327: 2322: 2318: 2308: 2305: 2303: 2302:Sun poisoning 2300: 2298: 2295: 2293: 2290: 2288: 2285: 2283: 2280: 2278: 2275: 2273: 2270: 2268: 2265: 2261: 2258: 2256: 2253: 2251: 2248: 2247: 2246: 2243: 2242: 2239: 2235: 2230: 2226: 2222: 2215: 2210: 2208: 2203: 2201: 2196: 2195: 2192: 2179: 2175: 2171: 2170: 2166: 2165: 2162: 2161: 2157: 2155: 2154: 2150: 2147: 2143: 2142: 2138: 2137: 2135: 2133: 2129: 2123: 2122: 2118: 2116: 2115: 2111: 2109: 2108: 2104: 2102: 2101: 2097: 2095: 2094: 2090: 2089: 2087: 2085: 2081: 2069: 2066: 2064: 2061: 2059: 2056: 2055: 2054: 2053: 2049: 2048: 2045: 2044: 2040: 2037: 2033: 2032: 2028: 2027: 2025: 2023: 2022: 2017: 2014: 2012: 2008: 1993: 1992:Leptospirosis 1989: 1988: 1984: 1983: 1981: 1979: 1978: 1973: 1970: 1968: 1964: 1953: 1949: 1948: 1943: 1942: 1937: 1936: 1932: 1929: 1925: 1924: 1920: 1919: 1914: 1911: 1909: 1906: 1904: 1901: 1900: 1899: 1898: 1893: 1892: 1888: 1887: 1885: 1883: 1882: 1877: 1871: 1870: 1866: 1863: 1859: 1858: 1854: 1850: 1847: 1845: 1841: 1838: 1837: 1836: 1835: 1831: 1830: 1828: 1826: 1825: 1820: 1817: 1815: 1811: 1808: 1806: 1805:Spirochaetota 1802: 1797: 1793: 1789: 1788:gram negative 1785: 1778: 1773: 1771: 1766: 1764: 1759: 1758: 1755: 1743: 1740: 1738: 1735: 1733: 1732:Endodontology 1730: 1729: 1727: 1723: 1717: 1716:W. J. Younger 1714: 1712: 1709: 1707: 1704: 1702: 1699: 1697: 1694: 1692: 1689: 1687: 1684: 1682: 1679: 1677: 1676:Carl E. Misch 1674: 1672: 1669: 1667: 1664: 1662: 1659: 1657: 1654: 1652: 1649: 1647: 1644: 1642: 1639: 1637: 1634: 1632: 1629: 1628: 1626: 1622: 1610: 1607: 1605: 1602: 1600: 1597: 1595: 1592: 1591: 1589: 1587: 1584: 1582: 1579: 1577: 1574: 1572: 1569: 1567: 1564: 1562: 1559: 1557: 1554: 1552: 1549: 1547: 1544: 1542: 1539: 1537: 1534: 1532: 1529: 1527: 1524: 1522: 1519: 1517: 1514: 1512: 1509: 1507: 1504: 1503: 1501: 1497: 1491: 1488: 1486: 1483: 1481: 1478: 1476: 1473: 1472: 1470: 1466: 1463: 1459: 1449: 1446: 1444: 1441: 1439: 1436: 1434: 1431: 1429: 1426: 1424: 1421: 1419: 1416: 1414: 1411: 1409: 1406: 1404: 1401: 1399: 1396: 1394: 1391: 1390: 1388: 1384: 1378: 1375: 1373: 1370: 1368: 1367:Periodontitis 1365: 1363: 1360: 1358: 1355: 1353: 1350: 1348: 1345: 1343: 1340: 1338: 1335: 1333: 1330: 1328: 1325: 1323: 1320: 1318: 1315: 1313: 1310: 1308: 1305: 1303: 1300: 1298: 1295: 1294: 1292: 1288: 1282: 1281: 1277: 1274: 1273: 1269: 1267: 1266: 1262: 1260: 1259: 1255: 1253: 1252: 1248: 1246: 1245: 1244:P. intermedia 1241: 1239: 1238: 1237:P. gingivalis 1234: 1232: 1231: 1227: 1225: 1224: 1220: 1218: 1217: 1213: 1212: 1210: 1208: 1204: 1198: 1195: 1193: 1190: 1188: 1185: 1183: 1182:Periodontosis 1180: 1178: 1175: 1173: 1170: 1168: 1165: 1163: 1160: 1159: 1157: 1155: 1151: 1148: 1144: 1138: 1135: 1133: 1130: 1128: 1125: 1123: 1120: 1118: 1115: 1113: 1110: 1108: 1105: 1103: 1100: 1098: 1095: 1093: 1090: 1088: 1085: 1083: 1082:Alveolar bone 1080: 1078: 1075: 1074: 1072: 1068: 1063: 1055: 1050: 1048: 1043: 1041: 1036: 1035: 1032: 1019: 1015: 1014: 1010: 1009: 1006: 1002: 995: 991: 990: 986: 984: 980: 979: 975: 973: 969: 968: 964: 960: 958: 954: 953: 949: 945: 944: 941: 936: 932: 925: 917:. p. 31. 916: 909: 906: 895:on 2011-06-05 894: 890: 884: 881: 876: 872: 867: 862: 858: 854: 850: 843: 840: 835: 833:9780443068188 829: 825: 818: 816: 814: 812: 810: 808: 806: 804: 802: 800: 798: 796: 794: 790: 785: 783:9781405160995 779: 775: 770: 769: 760: 758: 756: 754: 752: 750: 748: 746: 744: 742: 740: 736: 731: 727: 722: 717: 713: 709: 705: 698: 696: 694: 692: 690: 688: 686: 682: 675: 671: 668: 666: 663: 662: 658: 656: 652: 650: 649:immune system 646: 642: 638: 633: 629: 626: 621: 619: 615: 611: 607: 603: 599: 595: 591: 583: 581: 577: 575: 566: 564: 562: 558: 550: 548: 546: 545:metronidazole 542: 538: 534: 530: 522: 520: 516: 514: 506: 504: 502: 498: 490: 488: 485: 483: 479: 475: 474:immune system 470: 468: 467: 462: 458: 457: 456:Fusobacterium 452: 451: 450:P. intermedia 446: 442: 434: 432: 430: 426: 422: 418: 414: 410: 403: 400: 397: 396: 395: 389: 385: 381: 378: 375: 374: 373: 367: 365: 363: 360:arose during 359: 355: 354:metronidazole 351: 347: 343: 338: 336: 332: 328: 324: 320: 315: 313: 309: 305: 301: 297: 289: 288:metronidazole 285: 282: 278: 275: 272: 268: 265: 261: 257: 253: 250: 248: 244: 240: 236: 232: 228: 224: 220: 216: 212: 210: 206: 203: 199: 195: 191: 187: 183: 180:, history of 179: 175: 172:, inadequate 171: 167: 163: 159: 155: 152: 150: 146: 143: 139: 135: 134:Fusobacterium 131: 127: 123: 119: 116: 112: 108: 106: 105:Complications 102: 99: 96: 92: 88: 84: 81: 79: 75: 72: 69: 67: 63: 58: 54: 49: 46: 42: 39: 35: 30: 22: 4060: 3987: 3923:Sialadenitis 3882: 3834: 3699:Scissor bite 3694:Retrognathia 3679:Overeruption 3659:Malocclusion 3632: 3512: 3471: 3462:Micrognathia 3415: 3406:Periapical, 3292:Desquamative 3216: 3197:Periodontium 3171:Acid erosion 3112:Taurodontism 3043:Open contact 2955:Enamel pearl 2923:Dilaceration 2886:Concrescence 2687: 2674: 2501: 2454:Cleft palate 2414:Microglossia 2409:Macroglossia 2394:Glossoptosis 2292:Microcheilia 2287:Macrocheilia 2167: 2158: 2151: 2139: 2119: 2112: 2105: 2098: 2091: 2084:Bacteroidota 2050: 2041: 2029: 2019: 1985: 1975: 1945: 1939: 1933: 1921: 1903:Lyme disease 1895: 1889: 1879: 1867: 1855: 1832: 1822: 1706:Hom-Lay Wang 1691:Jørgen Slots 1661:Brian Mealey 1536:Gingivectomy 1438:Tetracycline 1433:Oral hygiene 1278: 1270: 1263: 1258:T. denticola 1256: 1251:T. forsythia 1249: 1242: 1235: 1230:F. nucleatum 1228: 1221: 1214: 1077:Periodontium 1011: 987: 976: 961: 946: 914: 908: 897:. Retrieved 893:the original 883: 856: 852: 842: 823: 767: 714:: S85–S102. 711: 707: 653: 634: 630: 625:trench mouth 622: 587: 578: 570: 567:Epidemiology 557:periodontium 554: 537:mouth rinses 533:oral hygiene 526: 517: 510: 494: 486: 482:malnutrition 471: 464: 454: 448: 438: 425:Cancrum oris 407: 393: 371: 358:trench mouth 357: 339: 316: 299: 295: 294: 274:oral hygiene 202:orthodontics 174:oral hygiene 162:malnutrition 149:Risk factors 45:Trench mouth 44: 40: 4117:Microstomia 4107:Macrostomia 4097:Gnathophyma 4014:Catathrenia 4009:Sleep apnea 3940:Sialectasis 3483:Dentigerous 3473:Odontogenic 3302:Plasma cell 3238:Gigantiform 3014:Microdontia 3004:Macrodontia 2975:Hyperdontia 2670:Oral cancer 2630:Leukoplakia 2538:Candidiasis 2498:Oral mucosa 2419:Rhabdomyoma 2399:Hypoglossia 2260:Plasma cell 2036:Psittacosis 2011:Chlamydiota 1686:Jay Seibert 1636:Frank Beube 1475:Debridement 1265:Red complex 1013:MedlinePlus 670:Mouth ulcer 665:Canker sore 529:debridement 461:spirochetes 459:as well as 399:Foul breath 362:World War I 350:antibiotics 237:formation, 200:ethnicity, 138:Spirochetes 130:Selenomonas 109:Progression 37:Other names 21:Trenchmouth 4204:Categories 4077:Angioedema 3883:Malignant: 3863:Oncocytoma 3689:Prognathia 3478:periapical 3457:Microgenia 3408:mandibular 3366:Aggressive 3287:Gingivitis 3228:Cementicle 3166:Abfraction 3156:Tooth wear 3149:Edentulism 3144:Tooth loss 3097:Resorption 3082:Pulp polyp 3065:Pulp stone 3009:Meth mouth 2980:Hypodontia 2970:Gemination 2901:Talon cusp 2794:Ulceration 2762:Stomatitis 2740:Pemphigoid 2688:Malignant: 2640:Linea alba 2625:Leukoedema 2605:Herpangina 2573:Giant-cell 1977:Leptospira 1656:Jan Lindhe 1581:Sinus lift 1511:Bone graft 1398:Ante's law 1337:Gingivitis 1307:Edentulism 989:DiseasesDB 899:2010-02-13 676:References 645:prevalence 497:leukocytes 463:, such as 335:spirochete 319:gingivitis 270:Prevention 178:gingivitis 87:bad breath 3945:Sialocele 3928:Parotitis 3669:Open bite 3664:Crossbite 3442:Cherubism 3412:maxillary 3245:Cementoma 3176:Attrition 2992:Impaction 2960:Fluorosis 2869:Anodontia 2864:Ankylosis 2752:Pemphigus 2372:Glossitis 2267:Cleft lip 2245:Cheilitis 2058:Chlamydia 2021:Chlamydia 1824:Treponema 1461:Treatment 1443:Triclosan 1428:Mouthwash 1275:(amoebic) 1207:Infection 1154:Diagnoses 1137:Stippling 730:0022-3492 623:The term 551:Prognosis 523:Treatment 491:Diagnosis 466:Treponema 445:anaerobes 384:ulcerated 352:(usually 337:species. 280:Treatment 239:halitosis 126:Treponema 66:Specialty 4220:Necrosis 3955:Sialosis 3906:Lymphoma 3778:Mucocele 3674:Overbite 3427:Agnathia 3388:Teething 3213:alveolus 3209:cementum 3161:Abrasion 3137:Occlusal 3122:Avulsion 3087:Pulpitis 3031:Odontoma 2777:Herpetic 2767:Aphthous 2277:Eclabium 2068:Trachoma 1881:Borrelia 1840:Syphilis 1599:Membrane 1418:Flossing 1403:Brushing 1312:Fremitus 1297:Calculus 1092:Cementum 875:19979715 659:See also 590:Xenophon 501:leukemia 447:such as 429:HIV/AIDS 215:necrosis 95:bleeding 78:Symptoms 4041:Snoring 3999:Bruxism 3835:Benign: 3684:Overjet 3644:Bruxism 3538:Osteoma 3376:Chronic 3201:gingiva 2675:Benign: 2568:Fibroma 2255:Angular 2250:Actinic 1786:due to 1594:Curette 1499:Surgery 1146:Disease 1102:Gingiva 1070:Anatomy 983:D005892 866:2017821 776:, 459. 637:sequela 610:pharynx 584:History 574:measles 415:and/or 409:Malaise 190:alcohol 186:tobacco 3783:Ranula 3255:Epulis 3117:Trauma 2965:Fusion 2874:Caries 2847:enamel 2843:dentin 2438:Palate 2326:Tongue 1609:Scaler 1590:Tools 1372:Plaque 1018:001044 873:  863:  830:  780:  728:  594:scurvy 435:Causes 114:Causes 4160:Other 2835:Teeth 1862:Pinta 1844:bejel 1604:Probe 1290:Other 994:13866 957:A69.1 413:fever 386:with 219:ulcer 198:white 194:youth 192:use, 136:spp, 91:fever 4122:Noma 3627:and 3410:and 3215:) – 2839:pulp 2234:Lips 1849:Yaws 1790:non- 978:MeSH 967:9-CM 871:PMID 828:ISBN 778:ISBN 726:ISSN 612:and 539:and 453:and 388:dead 348:and 333:and 231:pain 188:and 158:AIDS 98:gums 83:pain 1796:BV4 972:101 963:ICD 948:ICD 861:PMC 774:413 716:doi 641:HIV 639:of 576:). 321:or 221:of 154:HIV 120:by 4206:: 3986:– 3631:– 3623:, 3211:, 3207:, 3203:, 2845:, 2841:, 2500:– 1016:: 992:: 981:: 970:: 955:: 952:10 869:. 857:10 855:. 851:. 792:^ 738:^ 724:. 712:89 710:. 706:. 684:^ 600:. 469:. 431:. 411:, 300:NG 286:, 262:, 258:, 254:, 233:, 229:, 225:; 217:, 196:, 184:, 168:, 164:, 160:, 132:, 128:, 124:, 93:, 89:, 85:, 43:, 41:NG 3475:: 3199:( 2849:) 2837:( 2213:e 2206:t 2199:v 2180:) 2176:/ 2172:( 2148:) 2144:( 2038:) 2034:( 1994:) 1990:( 1954:) 1950:( 1944:/ 1938:/ 1930:) 1926:( 1894:/ 1864:) 1860:( 1842:/ 1798:) 1794:( 1776:e 1769:t 1762:v 1064:) 1053:e 1046:t 1039:v 965:- 950:- 940:D 902:. 877:. 836:. 786:. 732:. 718:: 401:. 298:( 241:) 156:/ 23:.

Index

Trenchmouth

Specialty
Periodontology
Symptoms
pain
bad breath
fever
bleeding
gums
Complications
bacterial infection
Prevotella intermedia
Treponema
Selenomonas
Fusobacterium
Spirochetes
immune response
Risk factors
HIV
AIDS
malnutrition
psychological stress
sleep deprivation
oral hygiene
gingivitis
necrotizing periodontal disease
tobacco
alcohol
youth

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