During exams, a 20-year-old student develops sudden, painful, bleeding gingiva with punched-out necrotic interdental papillae covered by a grey pseudomembrane and a foul odour. There is no clinical attachment loss. What is the most likely diagnosis?
- Correct answer
Necrotizing gingivitis
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Necrotizing periodontitis
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Primary herpetic gingivostomatitis
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Plaque-induced gingivitis
This question is one of 15 in AFK practice: Periodontics. Test yourself on all of them.
Practice quiz FlashcardsExplanations
Painful, bleeding gingiva with necrosis and ulceration of the interdental papillae, without attachment loss, defines necrotizing gingivitis; stress is a classic predisposing factor. Necrotizing periodontitis requires attachment and bone loss.
Source: Herrera et al., Acute periodontal lesions and endo-periodontal lesions (J Periodontol 2018) — oneguy
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