Template:ANUG Treatment
Revision as of 16:46, 18 January 2019 by Ostermayer (talk | contribs)
Organisms involved are polymycrobial but often include Fusobacterium necrophorum, Treponema spp, Selenomonas, and Prevotella
Uncomplicated Disease
- Amoxicillin/Clavulanate 875 mg PO two times daily AND
- Metronidazole 500mg PO three times daily x 7 days [1] OR
- Clindamycin 300mg PO three times daily OR
- Doxycycline 100 mg PO BID x 10 days[2]
- If allergic to penicillin, the use [[Ciprofloxacin 500mg twice daily AND metronidazole 500mg PO three times daily
Additional Therapies for the immunocompromised
For patient with AIDS or immunocompromised with risk of oral candidal infection then add:
- Nystatin oral rinse four times daily x 14 days OR
- [[Fluconazole] 200mg PO daily x 14 days
Additional Therapies for all patients
- Chlorhexidine 0.01% oral rinse BID
- Hydrogen peroxide swishing (innexpensive home remedy)
- Ibuprofen 400-600mg 3 times daily for pain
- Magic Mouthwash (multiple variations) - 300cc of 1:1:1 viscous lidocaine 2%, Maalox, diphenhydramine 12.5mg/5ml elixir
- ↑ Atout R. N. et al. Managing Patients with Necrotizing Ulcerative Gingivitis. J Can Dent Assoc 2013;79:d46. http://www.jcda.ca/article/d46. Accessed April 2015
- ↑ Walker C. et al. Rationale for use of antibiotics in periodontics. J Periodontol. 2002. 73(1):1188-96