Diagnosis
Acute or chronic inflammation of the gingiva, with foul breath and easy bleeding. Acute necrotizing ulcerative gingivitis is Vincent's disease, or trench mouth, and is associated with pain with chewing, fever and local adenopathy.
Epidemiologic Risks
Poor dental hygiene.
Microbiology
Empiric Therapy
Vincent's: local debridement and lavage with oxidizing agents, which brings relief from pain within 24 hours combined with penicillin or metronidazole.
Pearls
Severe disease may be a manifestation of immunodeficiency.
Rants
Who kisses these folks?
Last Update: 07/29/18.