TRENCH MOUTH

(Necrotizing Ulcerative Gingivitis; Vincent's Disease)

 Basic information

description

Trench mouth is an infection and inflammation of the gums. It is rare and not contagious or cancerous. It affects both sexes and all ages, but is most common in young adults (20 to 40 years).

FREQUENT SIGNS & SYMPTOMS

• Painful gums.
• Gums that bleed when pressed.
• Excess saliva.
• Bad breath.
• Ulcers (sores) covered with gray membrane on the gums.
• Swallowing with difficulty.
• Speaking difficulty.

causes

Overgrowth of the normal bacteria found in the mouth, causing an infection of the gums.

risk increases with

• Poor nutrition.
• Weak immune system due to illness or drugs.
• Smoking.
• Stress.
• Poor oral hygiene. Tartar, plaque, or food debris between teeth.

PREVENTIVE MEASURES

• Maintain good oral hygiene
  • Brush teeth twice a day or after each meal. Use a soft bristle toothbrush or a power toothbrush. A fluoride toothpaste is often recommended.
  • Floss teeth at least once a day with waxed or unwaxed dental floss or use an interdental cleaner. An oral irrigator may be used in addition to flossing.
  • A tongue scraper can be used to clean the tongue.
  • Use an antiseptic mouthwash if desired.
• Get regular professional dental cleanings.
• Eat a well-balanced diet.
• Don't smoke.

expected outcomes

Usually curable in two weeks with treatment. Frequent dental check-ups, up to once a month, are recommended after treatment.

possible complications

Infection may spread to other areas of the face (cheeks, lips, and jawbone) and cause tissue damage, periodontal disease, and loss of teeth.

 diagnosis & treatment

general measures

• Your dental care provider or health care provider will do an exam of the gums. Dental x-rays or facial x-rays may be done.
• Treatment involves curing the infection and relieving symptoms. Treatment may include drug therapy, oral hygiene care, and professional dental cleaning.
• Rinse your mouth with warm salt water a few times a day. Use one-half teaspoon of salt in one cup of water.
• Follow steps listed in Preventive Measures on how to brush and floss your teeth.
• Don't smoke. Find a way to quit that works for you.
• Find ways to reduce stress in your life.
• Avoid any gum irritation until gums heal completely.

medications

• Antibiotics may be prescribed for infection.
• You may use nonprescription drugs, such as acetaminophen, for minor pain.
• A topical pain reliever to apply to the gums may be prescribed.

activity

Usually no limits.

diet

• A liquid or soft diet may be necessary for two or three days because of gum tenderness. When pain subsides, eat a normal, healthy diet. Avoid spicy or hot (temperature) food.
• Drink plenty of fluids each day.

 notify our office if

• You or a family member has symptoms of trench mouth.
• One or more of the following occur during treatment:
  • Fever.
  • Swelling of neck or face.
  • Swallowing difficulty.
  • Inability to eat.

Special Notes: