What is the most important treatment for Acute Necrotizing Ulcerative Gingivitis (ANUG)?

The most important treatment for Acute Necrotizing Ulcerative Gingivitis (ANUG) is debridement. This condition, often characterized by the sudden onset of painful gingival ulceration and necrosis, requires thorough removal of necrotic tissue to promote healing. Debridement allows for the elimination of pathogens, reduces inflammation, and helps to provide relief from pain and discomfort.

Effective debridement also facilitates the re-establishment of healthy gingival tissue and removes the biofilm that contributes to the disease. While antibiotic therapy can be beneficial as a supportive treatment, especially in cases with systemic involvement, it is not a first-line approach. Procedures like gingivectomy and scaling and root planing may be considered in different contexts, but during an acute phase like ANUG, immediate debridement is key to managing the condition effectively.

By focusing on debriding affected areas, the practitioner can directly address the necrotic tissue, thus allowing for improved healing and restoration of oral health.