Gingivitis, Necrotizing Ulcerative

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

Painful acute gingival inflammation and necrosis, often with bleeding

Halitosis

Fever

Cervical lymphadenopathy

Clinical

Warm half-strength peroxide rinses and penicillin (250 mg three times daily orally for 10 days) may help

Dental gingival curettage may prove necessary