Skip to Main Content

We have a new app!

Take the Access library with you wherever you go—easy access to books, videos, images, podcasts, personalized features, and more.

Download the Access App here: iOS and Android. Learn more here!

For further information, see CMDT Part 8-19: Intraoral Ulcerative Lesions

Key Features

  • 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

  • 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

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.