Trench mouth: Difference between revisions

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   MeshID        = D005892 |
   MeshID        = D005892 |
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==Overview==
==[[Trench mouth overview|Overview]]==
'''Trench mouth'''  is a polymicrobial [[infection]] of the [[gums]] leading to inflammation, bleeding, deep [[ulcer]]ation and [[necrotic]] gum tissue; there may also be fever.  
'''Trench mouth'''  is a polymicrobial [[infection]] of the [[gums]] leading to inflammation, bleeding, deep [[ulcer]]ation and [[necrotic]] gum tissue; there may also be fever.  


==Terminology==
==Terminology==
It is also known as "[[H. Vincent|Vincent's]] [[stomatitis]]", "Vincent's [[Angina pectoris|angina]]", or "[[acute necrotizing ulcerative gingivitis]]" ('''ANUG'''). The common name was probably coined during World War I when many soldiers suffered from the condition. There are a number of other theories to the origin of the name. Vincent's angina was named after French physician [[Jean Hyacinthe Vincent]] (1862-1950).
It is also known as "[[H. Vincent|Vincent's]] [[stomatitis]]", "Vincent's [[Angina pectoris|angina]]", or "[[acute necrotizing ulcerative gingivitis]]" ('''ANUG'''). The common name was probably coined during World War I when many soldiers suffered from the condition. There are a number of other theories to the origin of the name. Vincent's angina was named after French physician [[Jean Hyacinthe Vincent]] (1862-1950).
==[[Trench mouth risk factors|Risk Factors]]==


==Causes==
==[[Trench mouth causes|Causes of Trench mouth]]==
Causative organisms include anaerobes such as ''[[Bacteroides]]'' and ''[[Fusobacterium]]'' as well as [[spirochetes]] (''[[Borrelia]]'' and ''[[Treponema]]'' spp.).
Causative organisms include anaerobes such as ''[[Bacteroides]]'' and ''[[Fusobacterium]]'' as well as [[spirochetes]] (''[[Borrelia]]'' and ''[[Treponema]]'' spp.).


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==Treatment==
==Treatment==
==[[Trench mouth medical therapy|Medical Therapy]]==
Treatment is by the simple reduction of the bacteria through improved oral cleaning and salt water or [[hydrogen peroxide]]-based rinses. [[Chlorhexidine]] or [[metronidazole]] can also be used in addition.
Treatment is by the simple reduction of the bacteria through improved oral cleaning and salt water or [[hydrogen peroxide]]-based rinses. [[Chlorhexidine]] or [[metronidazole]] can also be used in addition.


==Prognosis==
==[[Trench mouth natural history, complications, and prognosis|Natural history, Complications, and Prognosis]]==
Untreated, the infection may lead to rapid destruction of the [[periodontium]] and can spread, as [[necrosis|necrotizing]] [[stomatitis]], into neighbouring tissues in the cheeks, lips or the bones of the jaw. The condition can occur and be especially dangerous in people with weakened [[immune system]]s.
Untreated, the infection may lead to rapid destruction of the [[periodontium]] and can spread, as [[necrosis|necrotizing]] [[stomatitis]], into neighbouring tissues in the cheeks, lips or the bones of the jaw. The condition can occur and be especially dangerous in people with weakened [[immune system]]s.



Revision as of 19:30, 6 February 2012

For patient information click here

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]


Trench mouth
ICD-10 A69.1
ICD-9 101
DiseasesDB 13866
MeSH D005892

Overview

Trench mouth is a polymicrobial infection of the gums leading to inflammation, bleeding, deep ulceration and necrotic gum tissue; there may also be fever.

Terminology

It is also known as "Vincent's stomatitis", "Vincent's angina", or "acute necrotizing ulcerative gingivitis" (ANUG). The common name was probably coined during World War I when many soldiers suffered from the condition. There are a number of other theories to the origin of the name. Vincent's angina was named after French physician Jean Hyacinthe Vincent (1862-1950).

Risk Factors

Causes of Trench mouth

Causative organisms include anaerobes such as Bacteroides and Fusobacterium as well as spirochetes (Borrelia and Treponema spp.).

The condition is caused by an overpopulation of established mouth bacteria due to a number of interacting factors such as poor hygiene, poor diet, smoking, other infections.

Treatment

Medical Therapy

Treatment is by the simple reduction of the bacteria through improved oral cleaning and salt water or hydrogen peroxide-based rinses. Chlorhexidine or metronidazole can also be used in addition.

Natural history, Complications, and Prognosis

Untreated, the infection may lead to rapid destruction of the periodontium and can spread, as necrotizing stomatitis, into neighbouring tissues in the cheeks, lips or the bones of the jaw. The condition can occur and be especially dangerous in people with weakened immune systems.

See also

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