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BMJ Case Reports 2009; doi:10.1136/bcr.06.2008.0290
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Ecstasy (3, 4-methylenedioxymethamphetamine, MDMA) related necrotising ulcerative gingivitis

  1. Jaume Miranda-Rius1,
  2. Lluis Brunet-Llobet2,
  3. Eduard Lahor-Soler1
  1. 1
    Departament d’Odontoestomatologia. Universitat de Barcelona & Clínics Associats, Sant Llorenç, 53 -Terrassa 08221- Barcelona, Spain
  2. 2
    Hospital Universitari Sant Joan de Déu. Universitat de Barcelona & Clínics Associats, Sant Llorenç, 53 -Terrassa 08221- Barcelona, Spain
  1. Jaume Miranda-Rius, clinics{at}clinicsassociats.cat
  • Published 12 July 2009

Necrotizing ulcerative gingivitis (NUG) is an acute and occasionally recurrent infection of complex aetiology which is characterised by the sudden occurrence of gingival pain, necrosis of interdental tissue, and bleeding.1

The bacterial flora develops as the result of an altered host response, especially in teenagers and young adults. Precipitating factors reported include: stress, smoking, poor dietary habits, and oral hygiene.1

A 19-year-old male presented with a 1 …

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