Denying she has ever used drugs, a 45 year old woman, appears to have “meth mouth.” What is an alternative explanation?
  1. Acute necrotizing ulcerative gingivitis (ANUG)
  2. Bulbous interproximal papillae
  3. Ascher’s syndrome
  4. Peripheral giant cell granuloma
Explanation
Answer: A - Denying she has ever used drugs, a 45 year old woman appears to have “meth mouth”, an alternative explanation is acute necrotizing ulcerative gingivitis. “Meth mouth” is a condition that is due to drug abuse and appears as ANUG. However, ANUG is a condition that is mostly suffered by those in excessive poverty conditions who have poor nutrition, a compromised immune system, poor oral hygiene and stress. Signs and symptoms include gingivitis, irregular gingiva borders, excessive plaque, extensive tooth decay, broken teeth, abscessed teeth, bacterial infection, and headaches. Bruxing may be prominent due to high levels of stress.
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