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Dental anatomy
 
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Trench mouth

Alternative names:

acute necrotizing ulcerative gingivitis; stomatitis; Vincent's stomatitis

Symptoms:

  • painful gums
  • profuse gum bleeding in response to any pressure or irritation
  • gums appear reddened and swollen
  • grayish film on the gums
  • crater-like ulcers in-between the teeth on the gum papillae
  • foul taste in the mouth
  • bad breath

Note: Symptoms often begin suddenly.

Additional symptoms that may be associated with this disease:

Signs and tests:

Examination of the mouth shows inflamed gums with destruction of gum tissue around the teeth. Crater-like ulcers fill with plaque and food debris. There may be a gray film caused by decomposed gum tissue. Occasionally, fever may be present or lymph nodes of the head and neck may be swollen.

Dental X-rays or facial X-rays may be performed to determine the extent of infection and tissue destruction. This disease may also alter the results of a throat swab culture.


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