Q: Which risk factor is associated with necrotizing ulcerative gingivitis?
periodontology, trench mouth, Dental Hygiene Boards questions, prep questions, dental hygiene boards sample questions, mock exam, NBDHE, NDHCE, Local anesthesia, studentrdh

Q: Which risk factor is associated with necrotizing ulcerative gingivitis?

Mini Boards Reviews for the National + Local Anesthesia + CSCE Dental Hygiene Boards Exams!
periodontology, trench mouth, Dental Hygiene Boards questions, prep questions, dental hygiene boards sample questions, mock exam, NBDHE, NDHCE, Local anesthesia, studentrdh

(A). Gender
(B). Emotional stress
(C). Age
(D). Pregnancy

Trench mouth, also known as necrotizing ulcerative gingivitis (NUG), earned its nickname because of its prevalence among the World War I soldiers who were stuck in the trenches without the means to properly take care of their teeth. Trench mouth is not contagious. It is a severe form of gingivitis that causes painful, infected, bleeding gums, and ulcerations. Risk factors for NUG for the dental hygiene board exams (NBDHE, NDHCE, CSCE, WREB, CRDTS) include:

  • Poor oral hygiene. Failing to brush and floss regularly can lead to a buildup of plaque and debris that help harmful bacteria thrive.
  • Poor nutrition. Not getting enough nutrients can make it difficult for your body to fight infection. Malnourished children in developing countries are particularly at risk of trench mouth.
  • Smoking or chewing tobacco. These can harm the blood vessels of your gums, making it easier for bacteria to thrive.
  • Throat, tooth, or mouth infections. If you already have an active infection, such as gingivitis, and don’t treat it effectively, the infection can progress into trench mouth.
  • Emotional stress. Emotional stress can weaken your immune system, making it difficult for your body’s natural defenses to keep harmful bacteria in check. NUG is more common with young adults who are involved in professional studies.
  • Compromised immune system. People with illnesses that weaken the immune system or those who are undergoing treatment that can suppress the immune system are at a higher risk because their bodies may not be able to fight infections well. These may include people with HIV/AIDS, cancer, or mononucleosis.

Answer: (B). Emotional stress

As you can see, age and gender do NOT contribute to NUG. Now, the other condition to review is NUP (necrotizing ulcerative periodontitis) which is similar to NUG, except that the condition will show the destruction of the periodontium.

If you are studying for the dental hygiene board exams (NBDHE, NDHCE, CSCE, WREB, CRDTS), you can find more about periodontal diseases in the chapter on Periodontology. And of course, if you are not using StudentRDH dental hygiene board exam review courses, you can open other great textbooks and find information too. Know that you can always ask me questions at clairej@studentRDH.com. Have another great week!

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Written by
Claire Jeong, RDH, MS

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