What is the recommended technique when managing the soft tissue in ANUG patients?

• A. Routine scaling
• B. Using soft bristle toothbrushes
• C. Conducting regular periodontal maintenance
• D. Implementing thorough debridement

Answer: (D)

In the context of managing soft tissue in patients with Acute Necrotizing Ulcerative Gingivitis (ANUG), thorough debridement is the recommended technique. ANUG is characterized by the necrosis of the gingival tissues, often accompanied by pain, bleeding, and a foul odor. The goal of debridement is to remove necrotic tissue and plaque from the gums, which can help alleviate symptoms and promote healing.

Thorough debridement involves the careful removal of dead tissues and biofilm associated with the condition, which can significantly reduce inflammation and support the regeneration of healthy gum tissue. This process is critical in managing the infection and helping the patient recover effectively.

While options such as routine scaling and periodontal maintenance are important components of overall dental care, they may not address the immediate needs of an individual with ANUG, whose condition requires a focus on removing necrotic tissue rather than routine maintenance. Soft bristle toothbrushes can help reduce trauma during brushing, but they play a supportive role rather than directly addressing the necrotizing tissue that needs to be managed.

The focus on thorough debridement ensures that the primary cause of irritation and infection is addressed promptly, facilitating the healing process in the affected gingival areas.