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Vincent Stomatitis

Daniel V. Girzadas, MD, Jr. and Nicolas Semenchuk, M.S., M.D. Reviewed 04/2024
 


BASICS

A distinct form of periodontal disease due to inflammatory infection of the gingiva, characterized by pain, ulcerations, and necrotizing damage to interdental papillae 

DESCRIPTION

  • Caused by an i...

DIAGNOSIS

HISTORY

  • Presentation typically includes the triad of rapid onset of gingival pain, bleeding, and ulcerations/necrosis of interdental papillae (4)

  • Fetid odor of breath, metallic taste in the m...

TREATMENT

Goals of care include sequential steps of alleviating the acute phase, management of pre-existing conditions, and treating disease sequelae (2

GENERAL MEASURES

  • The initial phase of treatmen...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Close dental follow-up

  • Specialty follow-up (if underlying immunodeficiency)

DIET

  • Soft diet until healed

  • Balanced nutritional diet with multivitamin supplementation

PATIENT EDUCATION

REFERENCES

1
Dufty J, Gkranias N, Donos N. Necrotising Ulcerative Gingivitis: a literature review.Oral Health Prev Dent. 2017;15(4):321-327.
2
Malek R, Gharibi A, Khlil N, et al. Necrotizing Ulcerative G...

CODES

ICD10

A69.1 Other Vincent’s infections 

SNOMED

  • 409865002 Vincent’s disease (disorder)

  • 173599005 Acute necrotizing ulcerative gingivostomatitis (disorder)

CLINICAL PEARLS

  • Diagnosis is largely clinical based on symptoms of oral pain, fetid breath, gingival ulcerations, interdental papillary necrosis, and grayish exudate on the gingival surface.

  • Immunosupp...

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