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Keep Alert for this Extreme Form of Gingivitis

KeepAlertforthisExtremeFormofGingivitis

It takes only a few days of inadequate oral hygiene for bacterial plaque to trigger the periodontal (gum) disease gingivitis. Though sometimes subtle, there are signs to watch for like inflamed, reddened or bleeding gums.

Untreated gingivitis can develop into more advanced forms of gum disease that infect deeper levels of the gums and supporting bone and ultimately cause bone and tooth loss. Fortunately, though, prompt treatment by a dentist removing plaque from teeth and gums, along with you reinstituting daily brushing and flossing, can stop gingivitis and help restore health to your gums.

If you’re under acute stress or anxiety, however, basic gingivitis can develop into something much more serious and painful, a condition called Acute Necrotizing Ulcerative Gingivitis (ANUG). It’s also known as “trench mouth” from its common occurrence among World War I soldiers experiencing stressful periods in front line trenches without the means for proper oral hygiene.

ANUG develops from a “perfect storm” of conditions: besides anxiety and deficient hygiene practices, ANUG has a high occurrence risk in people who smoke (which dries the mouth and changes the normal populations of oral bacteria) or have issues with general health or nutrition.

In contrast to many cases of basic gingivitis, ANUG can produce highly noticeable symptoms. The gum tissues begin to die and become ulcerative and yellowish in appearance. This can create very bad breath and taste along with extreme gum pain.

The good news is ANUG can be treated and completely reversed if caught early. In addition to plaque removal, the dentist or periodontist (a specialist in the treatment of gum disease) may prescribe antibiotics along with an antibacterial mouthrinse to reduce bacteria levels in the mouth. A person with ANUG may also need pain relief, usually with over-the-counter drugs like aspirin or ibuprofen.

It’s important that you seek treatment as soon as possible if you suspect you have ANUG or any gum disease. It’s possible to lose tissue, particularly the papillae (the small triangle of tissue between teeth), which can have an adverse effect on your appearance. You can also reduce your risk by quitting smoking, addressing any stress issues, and practicing diligent, daily oral hygiene and visiting your dentist for cleanings and checkups twice a year or more if needed.

If you would like more information on the signs and treatments for gum disease, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Painful Gums in Teens & Adults.”

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  • "a month ago
    Travis Watson was truly the most kind, compassionate, honest, and detail-oriented dentist that I have ever been to. I have had work done by at least a half dozen or more dentists over the years, and Dr. Watson was BY FAR the most compassionate, kind, and caring when it came to my procedure and dental work needs. I couldn't possibly recommend. Dr. Watson and Pinon Hills Dental any higher. Five stars isn't enough. Dr. Watson should get 10 stars. If there was a Nobel Prize for dentistry, Dr. Watson should win it--and many times over. If you're considering a dentist in the Farmington area--or beyond (I came from Durango)--Dr. Watson should be your choice. Beyond belief, you'll actually look forward going to the dentist. I'm forever grateful for Dr. Watson's skill, compassion, and kindness--and you will be too."
    Peter Barr- Google Dec 2020
  • "I visited Pinion Hills Dental for the first time yesterday to get a cleaning and check up. I have nothing but great things to say about the experience that I had and quality of service. I had a great interaction with everyone involved from the front desk, to the hygienist Yvette and Dr. Watson himself. Highly recommend!"
    Colby Gibson-Google Oct 2020
  • "The staff here are very friendly and accommodating. I was in a decent amount of pain so they moved my appointment up and kept me from hurting for an extra 5 days. Dr. Watson personally called me to check on me and make sure things we're ok. It means a lot that he didn't have an assistant or secretary make that call."
    Kev Sharp-GoogleNov2020
  • "Dr. Watson is absolutely incredible in every way! We have always been treated with the utmost respect, compassion and expertise. He has gone out of his way to treat our family in emergency situations. In each instant, he provided amazing and excellent care when other dentists could not. He is always positive and reassuring in all situations! His office staff, dental assistants and hygienists are incredible in every way! The atmosphere in the office is peaceful, positive and upbeat! We highly recommend Pinon Hills!!!"
    Angela McDaniels- GoogleDec2020
  • "The politeness and care of the dentist, dental hygienist and the staff wowed me today. Dr. Watson and Dr. Weber really have a vested interest in your teeth. They are very concerned to the point that I brush and floss so I won't let them down.
    You never feel belittled by anyone in the office and they only encourage you when you need to do a little better. I used to worry about going to the dentist but now I know I have people who want the best for me in the doctors office."
    Kevin Jaramillo