Acute Necrotizing Ulcerative Gingivitis (ANUG)
Acute Necrotizing Ulcerative Gingivitis (ANUG)
Acute Necrotizing Ulcerative Gingivitis (ANUG)

    This rapidly progressing infection is characterized by acute fiery-red gingivitis, soft-tissue necrosis with formation of a necrotic surface layer (referred to as a pseudomembrane), and cratering of the interproximal papillae, referred to as "punched-out papillae."

Image courtesy of Craig Fowler, DDS.