Treatment of Necrotizing Ulcerative Periodontitis

 Treatment options for necrotizing ulcerative periodontitis are highly dependent on the extent of periodontal damage or another concurrent periodontal disease.
      Removal of The Affected Teeth
Existing periodontal disease with osseous defects prior to the onset of necrotizing ulcerative periodontitis is likely to require removal of the affected teeth (Rutgers, 2017).

Pain is a common symptom of this disease and a prescription of analgesia is recommended. Patients may require liquid nutritional supplementation as chewing can be intolerable.
Use of Antiseptic Mouth Rinses
Antiseptic mouth rinses such as chlorohexidine gluconate can help reduce the population of pathogenic bacteria within the oral cavity itself (Rutgers, 2017). The established antibiotic treatment involves a seven to ten-day course of 1000mg metronidazole broken up into smaller doses either twice or four times daily (Patton, 2016).

Metronidazole is not always tolerated by individuals. In these situations, a four-time daily dose of 150mg clindamycin or a twice-daily dose of 875mg amoxicillin-clavulanate can be used (Patton, 2016).
Treatment Guide
Identification of necrotizing ulcerative periodontitis in a patient should prompt a consultation with the patient’s primary physician to properly guide treatment, including hospitalization and intravenous antibiotic treatment. This disease can cause septicemia, which should be treated as a medical emergency.

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