Trench mouth medical therapy
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Supportive therapy for trench mouth includes analgesics and either salt water or hydrogen peroxide-based rinses. Antimicrobial therapy is indicated among patients with signs of systemic involvement.
Medical therapy
The simple reduction of bacteria, through improved oral cleaning and salt water, or hydrogen peroxide-based rinses, is the best treatment option available. Additionally, Chlorhexidine or Metronidazole can also be used. The goals of treatment are to cure the infection and relieve symptoms. A healthcare provider can also prescribe antibiotics if symptoms of a fever are present. Good oral hygiene is vital to the treatment. Brushing and flossing teeth thoroughly as often as possible, at least twice a day, is preferable. Salt water rinses may soothe sore gums. Hydrogen peroxide, used to rinse the gums, is often recommended to remove dead or dying gum tissue. Over-the-counter pain relievers (analgesics) may reduce discomfort. Soothing rinses or coating agents may reduce pain, especially before eating. Application of lidocaine to the gums for severe pain is also an option.[1]
Antimicrobial regimen
- For any signs of systemic involvement, the recommended antibiotics are:
- Preferred regimen: Amoxicillin, 250 mg 3 x daily for 7 days ± Metronidazole, 250 mg 3 x daily for 7 days