Violation

A 22 year old patient, who is otherwise healthy, has severe pain and discomfort in the mouth. Clinical findings are gingival ulceration in the anterior region of both arches, gingiva covered by a yellow-grey slough, ulcerated papillae, gingival bleeding upon slight provocation, a fetid odor but no radiographic evidence of bone loss. What is the most probable diagnosis?

Necrotizing ulcerative gingivitis.

Necrotizing ulcerative periodontitis.

Localized aggressive gingivitis.

Localized aggressive periodontitis.

Please describe the matter of abuse