NUG/NUP Treatment
- Oral health care providers should treat NUG and NUP to prevent the destruction of periodontal tissues. X-rays will determine the severity of the periodontal bone loss. (A2)
- Oral health care providers should treat the acute stage of NUG/NUP in the clinical setting as soon as possible after diagnosis; treatment should include superficial debridement of infected areas, scaling, and root planing, and lavage/irrigation with an antimicrobial rinse (see text for antimicrobial irrigation options). (A2)
- Oral health care providers should provide patients with a treatment plan for follow-up home care that includes daily antimicrobial rinses (see text for antimicrobial irrigation options) and instructions for and reinforcement of the importance of good oral hygiene and maintenance following treatment of acute disease and thereafter. (A2)
- For patients with severe or nonresponding NUG/NUP, oral health care providers should prescribe systemic antibiotics and concurrent treatment with an antifungal agent, as specified below. (A3)
NUG/NUP Follow-Up
- Oral health care providers should evaluate healing within 7 days of treatment and perform additional debridement if necessary. (A3)
- Clinicians should reevaluate the patient 2 months after treatment to determine the need for further intervention. (A3)
