A pt age of 67 male complaint of burning sensation all over d gum , sensitive to touch and bleeding gum during brushing from past 1 year . On examination reddish pink color of gingiva is seen, bleeding on probing present , no pocket is present, no calculus, mild plaque deposition, no medical history, normal CBC report but HIV report awaited. what is the diagnosis? on second visit I think it's look like a case of ANUG because pseudomembre was scrabing out on gum surface so I removed it completely n advice 3% h2o2 mouthwash , metrogyl ,amoxilline for 5 days. n recalled after 5 day but again a thin layer over d gum surface is visible. please suggest.

(Edited)

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Provide a proper oral prophylaxis... Check for pockets after that... Prescribe chlorhexidine mouthwash... And oxitard to avoid any nutritional deficiencies causing burning sensation, gum paint as well... Then follow up.... also try taking a smear... it may help you for a clearer diagnosis

No periodontal pocket
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Rectify occlusion...Looks more of traumatic occlusion ..U can do everything all the doctors have advised u on top of that relive the occulsal truma...Adv him PSG test to rule out bruxsim due to sleep apnea. All the best ..

Desquamative gingivitis? Cgg

Looks like desqumative gingivitis ( autoimmune disease) from explanation , no specific treatment. Go for palliative care .

Thank you doctor
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This looks like desquamative gingivitis. Apply Kenacort .1% ointment for 2 weeks. Then review the case.

Thank you doctor
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DESQUAMATIVE GINGIVITIS (?) [ Desquamative gingivitis is only a descriptive term of nonspecific clinical expression in thegingiva (redness, burning, erosion, pain) of several dermato-mucous disorders - cicatricial and bullous pemphigoid, pemphigus vulgaris, erosive lichen planus, erythema multiforme, psoriasis, and allergy.]

I agree
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Chronic gingivitis. First of all do scaling and deep curettage with the patient. Advice opg to see the bone loss. There are no pockets but recession is visible. Change his brush and tell him to use soft bristled brush Guide him proper brushing technique show him modified bass method. Repeat scaling if the bleeding doesnt stop after a week. Give him orahelp gel to be applied before food Ornigreat gel to be applied after food. Glycerin ointment. Augmentin 625 BD for 5 days. And glycerine based mouthwash.

No bone loss seen in opg. No deposit only mild amount of plaque is present only in lower anterior.
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Check the periodontal status of all the teeth Mobility, pocket etc. Advice.doxycycline 100mg, metronidazole 400mg, Chlorhexidine mouth wash Scaling and curettage should be done Extract the teeth with poor prognosis,if present.

No mobility no pocket
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doxycycline 200mg BD for 2 week than doxy 100 mg for one week as a mentinance dose. chlorhexidine mouthwash twice daily for 2 weeks.vitamin c rich food to take and instruct to the pt.for oral hygiene.

Thnk you doctor
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Start with doxy 200mg stat the loading dose ...and 100mg od for the next 4 days as maintainance dose....tab.combiflam TDs ....vit.c rich diet or supplements.... chlorhexidine mouth wash Start with scaling and polishing ....looks somewhat like ANUG....keep on follow up

Thnk you doctor
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