Necrotizing ulcerative gingivitis (NUG) and acute herpetic gingivostomatitis can be differentiated clinically by (the)
pain
location of the lesions
temperature of the patient.
lymphadenopathy.
1 explanations
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Necrotizing ulcerative gingivitis (NUG) and acute herpetic gingivostomatitis can be differentiated clinically by the location of the lesions.
Necrotizing ulcerative gingivitis (NUG) is a severe form of gingivitis that typically presents with painful, bleeding gums, bad breath, and the presence of necrotic (dead) tissue in the gums. The lesions in NUG are typically located in the interdental papillae (the areas of gum tissue between the teeth), and they may appear as crater-like depressions in the gum tissue.
Acute herpetic gingivostomatitis, on the other hand, is a viral infection caused by the herpes simplex virus (HSV) that typically presents with fever, lymphadenopathy, and painful mouth sores. The lesions in acute herpetic gingivostomatitis are typically located on the gums, tongue, and inside of the cheeks.
Therefore, the correct answer is A. location of the lesions. The location of the lesions in NUG is in the interdental papillae, while in acute herpetic gingivostomatitis, the lesions are located on the gums, tongue, and inside of the cheeks.
Option B is incorrect because the temperature of the patient is not a reliable clinical feature for distinguishing between these two conditions.
Option C is incorrect because pain can be present in both conditions, although the type of pain and the location of the lesions may differ.
Option D is also incorrect because lymphadenopathy (swollen lymph nodes) can be present in both conditions, although the location of the lymph nodes may differ.
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