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Vincent Stomatitis

Daniel V. Girzadas, MD, Jr. and Edward N Northrup, MD Reviewed 06/2022
 


BASICS

DESCRIPTION

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

  • Caused by an im...

DIAGNOSIS

HISTORY

  • Acute onset of oral pain

  • Gingival ulcerations

  • Fetid odor of breath

  • Bleeding and necrosis of interdental papillae

  • Cervical adenopathy

  • Fever

  • Malaise

  • Immunosuppression

  • Chemotherapy

  • Active herpesv...

TREATMENT

GENERAL MEASURES

  • Multimodal treatment approach with superficial debridement, oral hygiene, antimicrobial mouthwash, and consideration for oral antibiotics in those with poor response to debri...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Close dental follow-up

  • Primary care follow-up

  • Specialty follow-up (if underlying immunodeficiency)

DIET

  • Soft diet until healed

  • Balanced nutritional diet

  • Multivitamin su...

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, Kissa J. Necrotizing Ulcerative...

ADDITIONAL READING

SEE ALSO

  • Hegde S, Madhurkar JG, Sruthi G, Rajesh KS, Kumar MSA. Conservative Management Of Necrotizing Gingival Disease - A Case Report. IOSR Journal of De...

CODES

ICD10

A69.1 Other Vincent’s infections 

SNOMED

  • 409865002 Vincent’s disease (disorder)

  • 173599005 Acute necrotizing ulcerative gingivostomatitis (disorder)

CLINICAL PEARLS

  • Immunosuppression, malnourishment, smoking, and poor oral hygiene are key risk factors for necrotizing ulcerative gingivitis.

  • Diagnosis is largely clinical based on symptoms of oral pai...

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