{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T17:30:05Z","timestamp":1786728605239,"version":"build-2736575974"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract:<\/jats:title>\n                  <jats:p>Necrotizing periodontal disease encompasses a range of conditions marked by necrosis and ulceration. Necrotizing ulcerative gingivitis is a unique type of periodontal disease that starts quickly and severely. It is caused by a number of risk factors, including stress, poor nutrition, conditions that weaken the immune system, and bad oral hygiene. The 2017 classification has redefined this condition as \u201cnecrotizing gingivitis (NG),\u201d which clinically presents as a generalized lesion primarily in the anterior mandible, characterized by inflamed interdental papillae, gingival bleeding, necrosis, and often accompanied by pain. Recently, NG is deemed infrequent owing to the availability of diverse oral hygiene agents, potentially resulting in misdiagnosis as alternative infectious lesions. A comprehensive understanding of the disease is essential for precise diagnosis and effective treatment planning. This case illustrates a distinctive manifestation of NG in a healthy young girl who experienced this uncommon occurrence. A precise diagnostic method accompanied by a range of conservative treatment options has been provided.<\/jats:p>","DOI":"10.4103\/jisp.jisp_104_24","type":"journal-article","created":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T15:01:16Z","timestamp":1778684476000},"page":"165-169","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Atypical manifestation of necrotizing ulcerative gingivitis in a healthy patient"],"prefix":"10.4103","volume":"30","author":[{"given":"Prasannasrinivas","family":"Deshpande","sequence":"first","affiliation":[{"name":"Department of Oral Medicine and Radiology, JSS Dental College and Hospital, JSS Academy of Higher Education and Research, Mysore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karthikeya","family":"Patil","sequence":"additional","affiliation":[{"name":"Department of Oral Medicine and Radiology, JSS Dental College and Hospital, JSS Academy of Higher Education and Research, Mysore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sathish","family":"Radhakrishna","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, JSS Dental College and Hospital, JSS Academy of Higher Education and Research, Mysore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mannar Naidu Monica","family":"Mirnalini","sequence":"additional","affiliation":[{"name":"Department of Oral Medicine and Radiology, JSS Dental College and Hospital, JSS Academy of Higher Education and Research, Mysore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,5,13]]},"reference":[{"key":"R1-20260514","doi-asserted-by":"crossref","first-page":"3341","DOI":"10.3889\/oamjms.2019.689","article-title":"Oral ulcers presentation in systemic diseases: An update","volume":"7","author":"Minhas","year":"2019","journal-title":"Open Access Maced J Med Sci"},{"key":"R2-20260514","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1016\/j.cxom.2017.04.012","article-title":"Oral complications of systemic bacterial and fungal infections","volume":"25","author":"Bugshan","year":"2017","journal-title":"Atlas Oral Maxillofac Surg Clin North Am"},{"key":"R3-20260514","article-title":"NUG-necrotizing ulcerative gingivitis: A review","volume":"31","author":"Mizrahi","year":"2014","journal-title":"Refuat Hapeh Vehashinayim (1993)"},{"key":"R4-20260514","doi-asserted-by":"crossref","first-page":"101668","DOI":"10.1016\/j.pdpdt.2020.101668","article-title":"Bactericidal and clinical efficacy of photochemotherapy in acute necrotizing ulcerative gingivitis","volume":"29","author":"Siddiqui","year":"2020","journal-title":"Photodiagnosis Photodyn Ther"},{"key":"R5-20260514","first-page":"468","article-title":"Oral medicine case book 65: Necrotising stomatitis","volume":"69","author":"Khammissa","year":"2014","journal-title":"SADJ"},{"key":"R6-20260514","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1902\/annals.1999.4.1.65","article-title":"Necrotizing ulcerative gingivitis","volume":"4","author":"Rowland","year":"1999","journal-title":"Ann Periodontol"},{"key":"R7-20260514","first-page":"2","article-title":"Anil Melath RP. 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A study of some of the contributing factors and their validity in an Army population","volume":"48","author":"Shields","year":"1977","journal-title":"J Periodontol"},{"key":"R9-20260514","doi-asserted-by":"crossref","first-page":"81","DOI":"10.5856\/JKDS.2016.9.2.81","article-title":"Effective management of acute necrotizing ulcerative gingivitis with proper diagnosis and immediate treatment","volume":"9","author":"Kwon","year":"2016","journal-title":"J Korean Dent Sci"},{"key":"R10-20260514","doi-asserted-by":"crossref","first-page":"1935","DOI":"10.1007\/s00784-016-1979-9","article-title":"Prevalence and treatment of necrotizing ulcerative gingivitis (NUG) in the British Armed forces: A case-control study","volume":"21","author":"Dufty","year":"2017","journal-title":"Clin Oral Investig"},{"key":"R11-20260514","first-page":"28","article-title":"Acute gingivitis;manifestation of many underlying diseases with 2 case reports","volume":"10","author":"Raju","year":"2022","journal-title":"J Adv Med Dent Sci Res"},{"key":"R12-20260514","first-page":"2438","article-title":"Necrotizing ulcerative gingivitis: A case report","volume":"8","author":"Rhalimi","year":"2023","journal-title":"Ann Clin Case Rep"}],"container-title":["Journal of Indian Society of Periodontology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jisp.jisp_104_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T16:29:11Z","timestamp":1786724951000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jisp.jisp_104_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":12,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/jisp.jisp_104_24","relation":{},"ISSN":["0972-124X","0975-1580"],"issn-type":[{"value":"0972-124X","type":"print"},{"value":"0975-1580","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2024-03-18","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-29","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}