Necrotizing periodontal disease is an acute, painful breakdown of the gingiva caused by microbial dysbiosis and a compromised immune response. Classic signs include punched-out, cratered papillae, spontaneous bleeding, a gray pseudomembrane, severe pain, and a distinct fetid odor. As it progresses, attachment and bone loss can occur, and systemic signs like fever and lymphadenopathy may appear. It is rapid inflammatory destruction that requires early recognition and intervention. #DentalHygiene
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