Acute Necrotising Gingivitis

Acute Necrotising Gingivitis

I have had very severe pain, ulcers and bleeding gums for the past three days. My whole mouth is sore and I cannot eat properly. My spouse tells me I have bad breath. What could I be suffering from?

The condition you describe is termed Acute Necrotising Gingivitis. You will need to see a dentist for gum treatment or, if necessary, be referred to a gum specialist.

Features:

  • ulcers on tips of gum between teeth and along gum line
  • bleeding gums
  • sudden onset and pain
  • foul odour
  • increased salivation
  • metallic taste
  • repeated infections lead to bone loss or periodontitis, with additional features:
  • enlarged gum margins
  • triangular gaps between teeth
  • gum recession (teeth appear longer)

Causes:

  • bacterial infection
  • Factors that increase your risk:
  • poor oral hygiene
  • smoking
  • systemic diseases e.g. diabetes
  • stress

Management:

  • proper tooth brushing and mouth rinse
  • professional cleaning of gum areas
  • antibiotics
  • oxidising antiseptics
  • gum surgery