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Which of the following describes a severe form of gum disease featuring painful ulcers?

  1. Aphthous ulcers

  2. Necrotizing Ulcerative Gingivitis

  3. Gingivitis

  4. Periodontitis

The correct answer is: Necrotizing Ulcerative Gingivitis

The correct choice, depicting a severe form of gum disease marked by painful ulcers, is specifically Necrotizing Ulcerative Gingivitis. This condition is characterized by the rapid destruction of gum tissue and is often accompanied by symptoms such as severe pain, bad breath, and the presence of necrotic lesions or ulcers in the gums. It is typically associated with factors like stress, poor oral hygiene, and underlying health issues that impair the immune system. Aphthous ulcers, while painful, are not a form of gum disease but rather are canker sores that can occur on the soft tissues inside the mouth. Gingivitis refers to the inflammation of the gums and is generally less severe than necrotizing ulcerative gingivitis, typically presenting with symptoms like mild swelling and bleeding during brushing. Periodontitis is a more advanced stage of gum disease that affects the supporting structures of the teeth, but it does not specifically feature the painful ulcers that are characteristic of necrotizing ulcerative gingivitis.