Which physical findings are characteristic of acute necrotizing ulcerative gingivitis (ANUG)?

Updated: Jan 18, 2018
  • Author: James M Stephen, MD, FAAEM, FACEP; Chief Editor: Jeff Burgess, DDS, MSD  more...
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Acute necrotizing ulcerative gingivitis

  • Fever, halitosis, marked gingival edema, and ulceration, especially in the interdental papillae, may be present.

  • A grey pseudomembrane may be present.

  • Infection may spread to adjacent soft tissues of the mouth, with noticeable erythema, edema, tenderness, and induration of affected areas.

Reaction to oral contraceptives (see Causes)

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