Dental OSCE 2026 – 400 Free Practice Questions to Pass the Exam

The initial treatment for Acute Necrotizing Ulcerative Gingivitis (ANUG) focuses on debridement, which is essential for managing the condition effectively. ANUG is characterized by the presence of necrotic tissue and ulcers in the gingiva, often accompanied by pain and halitosis.

Debridement involves the removal of necrotic tissue, plaque, and bacteria from the affected areas, allowing for better healing and recovery. This process helps to reduce inflammation, control infection, and restore healthy gingival tissue. By providing clean margins, debridement creates an environment conducive to healing and improves patient comfort.

While antibiotic therapy, chlorhexidine rinses, and observation may have their roles in managing ANUG or supporting recovery after the initial treatment, they are not the first-line approach. Antibiotics can help in cases where systemic infection is a concern, and chlorhexidine may assist in maintaining oral hygiene, but these interventions do not address the underlying necrotic tissue that must be removed for effective treatment. Observation is inappropriate as ANUG typically requires proactive treatment to prevent progression and complications.