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Necrotizing periodontal disease — NDEB AFK MCQ

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ModeratePeriodonticsNecrotizing periodontal diseaseNDEB AFK

A 28-year-old under significant stress presents with severe gingival pain, halitosis, fever, and punched-out interdental papillae. There is grey pseudomembrane and spontaneous bleeding. What is the most likely diagnosis?

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Correct answer: E — Necrotizing gingivitis

Pain, fetor, necrotic punched-out papillae, fever, and pseudomembrane are characteristic of necrotizing gingivitis. Plaque-induced gingivitis can bleed but is not typically acutely painful with papillary necrosis. The pearl is to assess immunosuppression, smoking, stress, and nutritional factors while providing urgent debridement and supportive care.

Reference: AAP/EFP periodontal classification; NDEB KSAs 2024