A COMPERATIVE CLINICAL STUDY OF MECHANICAL THERAPY AND MECHANICAL THERAPY ADJUNCTUD TO METRONIDAZOLE IN ACUT NECROTIZING ULCERATIVE GINGIVITIS CASES Anahtar Kelimeler : ANUG, mekanik tedavi, metronidazol. Klinik degerlendirme yontemlerine ve subjektif verilere dayali olarak ANUG teshisi konan 18 hasta 2 gruba ayrilarak, 10 kisiden olusan ilk gozlem grubuna basvuru gununden itibaren gunde 750 mg. metronidazol verilmis ve akut faz sonrasi mekanik tedaviye gecilmistir. Buna karsin 8 kisinin olusturdugu diger gruba ise baslangic gununden itibaren sadece mekanik tedavi uygulanmistir. 7 gunluk gozlem suresi sonucunda, metronidazol ile desteklenmis mekanik tedavi uygulanan grupta, digerlerine gore agri, kanama, agiz kokusu gibi sikayetlerin daha cabuk azaldigi ve klinik iyilesmenin daha iyi oldugu bulgulanmistir. Bu arastirmanin sonuclarina gore, ANUG tedavisinde mekanik yontemin kemoterapotik tedavi ile birlikte olmasi gerektigi gorulmustur. Key words: ANUG, mechanical debridement, metronidazole. 18 patients who were diagnosed as ANUG by clinical methods and subjective criteria were divided into 2 groups. In the first group there were 10 patients who were given metronidazole (750 mg) daily, starting from the beginning of the treatment, in the second group there were 8 patients who were treated by mechanical treatment. At the and of 7 days observation, in metronidazole group, clinical healing and patients discomforts as pain, gingival bleeding, halitosis were in a better sitation. This study revieled that the mechanical treatment of ANUG patients must be adjuncted to chemotherepetic agents.