Acute Necrotising Ulcerative Gingivitis

NHSL Antimicrobial Guidelines
NHS Lanarkshire

Acute necrotising ulcerative gingivitis

Commence metronidazole and refer to dentist for scaling and oral hygiene advice.

Use in combination with antiseptic mouthwash if pain limits oral hygiene.

Drug details

Drug

Metronidazole

Dosage

400mg TDS

Duration

3 days

Drug

Chlorhexidine
or
Hydrogen Peroxide

Dosage

See above dosing in mucosal ulceration.

Duration

Until oral hygiene possible.

Editorial Information

Last reviewed: 22/03/2021

Next review date: 22/03/2024

Author(s): NHS Lanarkshire Antimicrobial Management Committee, Dr Dundas, Dr Hylands, S McCormick.

Approved By: AMC; ADTC

Reviewer name(s): NHS Lanarkshire Antimicrobial Management Committee.