Chulalongkorn University Dental Journal

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Noma,which is derived from the Greek meaning the devour or galloping horse gangrene, was known in the times of Hippocrates, Galen and Celsen.(1) Lund(2), who after studying 11 cases of gangrene of the mouth in young children, proposed the name noma (necrosis). Furthermore, it also refered to as gangrenous stomatitis, cancrum oris or in Chiness, dzo-ma-gan (running horse gangrene). (2) Noma is a highly progressive and destructive disease occuring in debilitated person especially children in whom the constitution is altered be bad hygiene and certain infectious diseases. (1,3) It usually begins as a small ulcers of the gingival mucosa. However, it is a rare acute gangrenous disease(5) and essentially a group of gangrenous necrosis (4,6) compounding an early and coexisting inflammatory tissue reaction and perforate the skin on the face, discoloration and sloughing of tissue, exfoliation of teeth and destruction of alveolar bone occur as the process progress.



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