Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content + Download Section PDF Listen ++ For further information, see CMDT Part 8-19: Intraoral Ulcerative Lesions + Key Features Download Section PDF Listen +++ ++ Trench mouth, Vincent infection Often caused by an infection with both spirochetes and fusiform bacilli Is common in young adults under stress (classically at examination time) Underlying systemic diseases may also predispose to this disorder + Clinical Findings Download Section PDF Listen +++ ++ Painful acute gingival inflammation and necrosis, often with bleeding Halitosis Fever Cervical lymphadenopathy + Diagnosis Download Section PDF Listen +++ ++ Clinical + Treatment Download Section PDF Listen +++ ++ Warm half-strength peroxide rinses and penicillin (250 mg three times daily orally for 10 days) may help Dental gingival curettage may prove necessary