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Treatment of NUG depends on its severity, but should be rapid to prevent the destruction of the interdental papillae, and includes:

 Stopping smoking and using recreational drugs (if applicable).

 Scaling – as soon as possible (on the first visit). An ultrasonic scaler makes the process quicker, gentler, and more tolerable for the patient.

 Hydrogen peroxide mouthwash – due to its mechanical cleaning properties and its ability to release oxygen into the area, killing the anaerobic bacteria.

 Chlorhexidine mouthwash – effective in reducing plaque formation as the patient may find it too painful to clean mechanically.

 Antibiotics (metronidazole, tetracycline) – if the patient shows signs of being generally ill with fever or severe lymph gland involvement.

 Emphasis on excellent oral hygiene.

 Reducing stress levels, regular rest.

 A healthy well‐balanced diet (see Chapter 9).

 Regular dental appointments to treat and monitor the condition.