Necrotising Periodontitis
Description General and supportive measures Medicine treatment Referral ICD-10 code: K05.6 DESCRIPTION An acute very painful infection of the gingival margin characterised by: foul smelling breath, loss of gingiva and supporting bone around teeth, and presence of underlying disease, e.g. HIV. May lead to loss of surrounding lips and cheeks if not adequately treated. GENERAL AND SUPPOR
Description
General and supportive measures
Medicine treatment
Referral
ICD-10 code: K05.6
DESCRIPTION
An acute very painful infection of the gingival margin characterised by:
- foul smelling breath,
- loss of gingiva and supporting bone around teeth, and
- presence of underlying disease, e.g. HIV.
May lead to loss of surrounding lips and cheeks if not adequately treated.
GENERAL AND SUPPORTIVE MEASURES
- Advice on improving and maintaining oral hygiene. See: Gingivitis, uncomplicated. General and supportive measures.
MEDICINE TREATMENT
- Amoxicillin/clavulanic acid, oral, 45 mg/kg/dose of the amoxicillin component 12 hourly for 5 days. See annexure 1: Amoxicillin/Clavulanic weight band dosing table.
- Chlorhexidine 0.2%, 15 mL as a mouthwash, 2–4 times daily 30 minutes after brushing and flossing.
- Continue for 5 days.
For pain:
- Paracetamol, oral, 15 mg/kg/dose 6 hourly when required, to a maximum of 4 doses per 24 hours.
REFERRAL
For dental treatment:
- No improvement within 5 days.
Standard Treatment Guidelines and Essential Medicines List for South Africa Paediatric Hospital _2023, 5th edition_Updated July 2024
Chapter 2: Alimentary Tract, 2.1 Dental & Oral Disorders, 2.1.3 Necrotising Periodontitis