In our book on page 53, there are several treatment options for NUG (Topical antimicrobial, Systemic antimicrobial(if there is systemic involvement), Systemic analgesic (if pain is severe), Debridegement, considering medical evaluation). My question is should we add topical anesthetic to them as well? My question is based on the information from the Neville, B.W. (2016). Oral & maxillofacial pathology. (4th ed.): Treatment of NUG:
"Topical or local anesthetic often is required before the clinician can débride the tissues adequately. " CHAPTER 4 Periodontal Diseases, page 145
No. The statement indicates a pre-procedural technique to reduce the pain "while" you are debriding the lesions