NUS/NS Treatment
- Oral health care providers should perform a biopsy and refer patients to an oral surgeon, clinical pathologist, or oral medicine specialist when NUS/NS is diagnosed. (A2)
- Oral health care providers should treat NUS/NS with debridement of necrotic bone and soft tissue and concurrent antimicrobial therapy, as specified below. (A3)
- Clinicians should include the following as part of the treatment plan for patients with periodontal disease:
- Use of a pre-procedural antimicrobial rinse. (A2)
- Local debridement and disinfection using a 0.12% chlorhexidine gluconate or 10% povidone-iodine. (A2)
- Removal of necrotic debris and sequestration, along with scaling and root planing, with local anesthesia to proceed as tolerated by the patient but no later than within 7 days of diagnosis. (A2)
- Reinforcement of oral hygiene and home care instructions and prescriptions, including:
- Daily use of an antimicrobial rinse for 30 days.
- Antibacterial therapy.
- Nutritional supplementation/advice.
- Periodontal prescriptions. (B2)
