Oral Health and Dental Management

Abstract

Necrotizing Ulcerative Gingivitis in the Setting of Vitamin B12 Deficiency: A Case Report

Matthew A Loeb, Michael Reid, William Buchanan, Jennifer Bain

Necrotizing gingival disorders are rare conditions of the gingival tissues. Patients typically present with severe discomfort, halitosis, bleeding, and ulcerated oral tissues. This condition will typically present in patients who are under psychological stress, malnourished, and/or who are immunosuppressed. This case report will present a patient with acute ulcerative necrotizing gingivitis (ANUG) who was later diagnosed with vitamin B12 deficiency. This case emphasizes the importance of investigating underlying conditions in patients who present with necrotizing gingival disorders.