Trench mouth natural history, complications, and prognosis: Difference between revisions
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{{Trench mouth}} | {{Trench mouth}} | ||
{{CMG}}; {{AE}} {{FH}} | |||
==Overview== | |||
==Natural History, Complications and Prognosis== | ==Natural History, Complications and Prognosis== | ||
===Natural History=== | |||
In the early stages some patients may complain of a feeling of tightness around the [[teeth]]. If three signs are present, the diagnosis of trench mouth can be assumed. These include:<ref>{{cite book | last = Lindhe | first = Jan | last = Lang | first = Niklaus | last = Karring | first = Thorkild | title = Clinical Periodontology and Implant Dentistry| publisher = Wiley-Blackwell| location = New Jersey | year = 2008 | isbn = 978-1405160995 }}</ref> | |||
*Severe [[gingival]] [[pain]] | |||
*Profuse gingival [[bleeding]] that requires little or no provocation | |||
*[[Ulcerated]] interdental [[papillae]] with necrotic slough. | |||
===Complications=== | ===Complications=== | ||
* Dehydration | *[[Dehydration]] | ||
* Loss of teeth | *Loss of [[teeth]] | ||
* Pain | *[[Pain]] | ||
* Periodontitis | *[[Periodontitis]] | ||
* Spread of infection | *Spread of [[infection]] | ||
===Prognosis=== | ===Prognosis=== | ||
Untreated, the infection can lead to rapid destruction of the [[periodontium]] and can spread, as necrotizing [[stomatitis]] or [[noma]], into neighbouring tissues in the [[cheeks]], [[lips]] or the bones of the [[jaw]]. As stated, the condition can occur and be especially dangerous in people with weakened [[immune systems]]. This progression to noma is possible in [[malnourished]] susceptible individuals, with severe disfigurement possible.<ref name="pmid3514841">{{cite journal |vauthors=Johnson BD, Engel D |title=Acute necrotizing ulcerative gingivitis. A review of diagnosis, etiology and treatment |journal=J. Periodontol. |volume=57 |issue=3 |pages=141–50 |year=1986 |pmid=3514841 |doi=10.1902/jop.1986.57.3.141 |url=}}</ref> | |||
==References== | ==References== | ||
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[[Category:Otolaryngology]] | [[Category:Otolaryngology]] | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Latest revision as of 21:10, 8 November 2016
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Farwa Haideri [2]
Overview
Natural History, Complications and Prognosis
Natural History
In the early stages some patients may complain of a feeling of tightness around the teeth. If three signs are present, the diagnosis of trench mouth can be assumed. These include:[1]
- Severe gingival pain
- Profuse gingival bleeding that requires little or no provocation
- Ulcerated interdental papillae with necrotic slough.
Complications
- Dehydration
- Loss of teeth
- Pain
- Periodontitis
- Spread of infection
Prognosis
Untreated, the infection can lead to rapid destruction of the periodontium and can spread, as necrotizing stomatitis or noma, into neighbouring tissues in the cheeks, lips or the bones of the jaw. As stated, the condition can occur and be especially dangerous in people with weakened immune systems. This progression to noma is possible in malnourished susceptible individuals, with severe disfigurement possible.[2]
References
- ↑ Karring, Thorkild (2008). Clinical Periodontology and Implant Dentistry. New Jersey: Wiley-Blackwell. ISBN 978-1405160995.
- ↑ Johnson BD, Engel D (1986). "Acute necrotizing ulcerative gingivitis. A review of diagnosis, etiology and treatment". J. Periodontol. 57 (3): 141–50. doi:10.1902/jop.1986.57.3.141. PMID 3514841.