Observations of Necrotizing Gingivitis in 870 Military Trainees

Social gradients in periodontal diseases among adolescents

“…However, bleeding is common to other periodontal diseases and while it is probable that pain is a frequent symptom of NUG patients who seek treatment for their problem, it is less clear whether pain is important among NUG cases identified in epidemiological studies. Hence, Grupe and Wilder (57), and Barnes et al (58) found that most NUG cases present only mild or no gingival pain. Additionally, in a comprehensive review of acute necrotizing ulcerative gingivitis, Johnson and Engel (59) warned against categorizing NUG too rigidly on the basis of gradation of symptoms, as we may fail to properly diagnose cases in subjects who do not present with all of the ‘typical’ signs and symptoms.…”

Cannabis use and destructive periodontal diseases among adolescents

“…However, while it is clear that pain is a critical symptom among patients seeking treatment, and hence come to the attention of dental professionals, it remains unclear whether pain is a key sign among cases identified in population‐based studies. Hence, some authors report that subjective complaints are unusual and that the previously described classical symptoms of Vincent's infection, including pain, are present in a surprisingly small number of cases (Grupe & Wilder 1956). Similarly, Barnes et al (1973) have reported that 14% of cases of acute NUG (ANUG) had no pain and another 40% suffered only mild pain.…”

Global epidemiology of periodontal diseases in children and young persons

“…However, the prevalence of these diseases has declined significantly during the course of the twentieth century. A high prevalence of NUG, estimated at about 14% of subjects, has been reported in military and civilian populations in European countries during the second world war (57, 78, 86), and a moderate rate of around 2% of subjects has been reported in North‐American populations in the 1950s (40). A further decline in the prevalence of necrotizing periodontal diseases occurred during the last two decades of the twentieth century in industrialized countries.…”