The most fulminate form of gingivitis is necrotizing ulcerative gingivitis (NUG) (previously called acute NUG, "trench mouth" or "Vincent's infection"). It is a very painful, fetid, ulcerative disease that occurs most often in persons under severe stress with no or very poor oral hygiene. It is manifested by acutely tender, inflamed, bleeding gums associated with the interdental papillae necrosis and loss. Halitosis and fever are often present. Microbiological examinations of the bacterial biofilms found in NUG revealed high numbers of spirochetes and fusobacteria (39-41).

Another form of fulminate gingivitis is acute streptococcal gingivitis. It is caused by Group A beta-hemolytic streptococci (Streptococcus pyogenes) and is generally associated with acute streptococcal tonsillitis.

Bad Breath

Bad Breath

Have You Ever Noticed Why People Keep Their Distance From You? Discover How You Can Combat Bad Breath! Do You Find That you’re Not Able To Hold A Face-To-Face Conversation For A Certain Period Of Time? Well, you may have bad breath, but you probably already know that by now. Having chronic bad breath is not only embarrassing, it is also frustrating.

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