Template:ANUG Treatment
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- Organisms involved are polymycrobial but often include Fusobacterium necrophorum, Treponema spp, Selenomonas, and Prevotella
Uncomplicated Disease
- Antibiotics
- Amoxicillin 250mg 3 x daily for 7 days and/or
- Metronidazole 250mg 3 x daily for 7 days[1]
Complicated Disease
- Antibiotics
- Penicillin V 500mg PO q6 hours AND metronidazole 500mg PO q8 hours x 10 days or
- Amoxicillin 500mg PO TID for 10d plus metronidazole 250mg PO TID for 10d or
- Amoxicillin-clavulanate 500mg/125mg PO TID or 875mg/125mg PO BID for 10d or
- Clindamycin 150-300mg PO TID for 10d or
- Doxycycline 100mg PO BID for 10d[2]
Additional
- Oral Treatment
- Chlorhexidine 0.01% oral rinse BID
- Hydrogen peroxide swishing (cheap home remedy)
- Pain
- Ibuprofen 400-600mg 3 times daily
- Magic Mouthwash (multiple variations) - 300cc of 1:1:1 viscous lidocaine 2%, Maalox, diphenhydramine 12.5mg/5ml elixir
- HIV+
- In addition to antibiotic regimen consider an oral anti-fungal or nystatin
- Fluconazole 200mg PO daily for 14 days
- ↑ 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
- ↑ Stephen J. et al Acute Necrotizing Ulcerative Gingivitis Empiric Therapy. http://emedicine.medscape.com/article/2028117-overview. Accessed April 2015