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Vincent Stomatitis

Elisa R. Wing, MD and Daniel V. Girzadas, Jr., MD, RDMS Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Inflammatory infection of the gingiva, characterized by pain, ulcerations, and necrotizing damage to interdental papillae

  • Caused by an imbalance of oral flora, resulting in a predomin...

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

Elimination of tobacco, improved nutritional status, and improved immunologic status will increase rate of healing and reduce risk of future gingival disease. 

MEDICATION

Most ...

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
Hodgdon A. Dental and related infections. Emerg Med Clin North Am.  2013;31(2):465–480. [View Abstract on OvidMedline]
2
Atout RN, Todescan S. Managing patients with necrotizing ulcerat...

ADDITIONAL READING

  • Campbell CM, Stout BM, Deas DE. Necrotizing ulcerative gingivitis: a discussion of four dissimilar presentations. Tex Dent J.  2011;128(10):1041–1051. [View Abstract on OvidMed...

CODES

ICD10

A69.1 Other Vincent’s infections 

ICD9

101 Vincent’s angina 

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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