Vincent's stomatitis; Acute necrotizing ulcerative gingivitis Causes. The disease is also known by other names, including acute necrotizing ulcerative gingivitis.

Trench mouth begins as a bacterial infection that causes inflamed, bleeding gums. Eventually, large ulcers may form on your gums and between your teeth. These are often extremely painful and can cause bad breath and a foul taste in your mouth.

Although the exact cause isn't well understood, trench mouth seems to develop when factors such as poor oral hygiene, tobacco use and stress disrupt the balance between "good" and "bad" bacteria in your mouth. People whose immune systems are severely compromised by conditions such as HIV/AIDS are particularly at risk.

• Bad breath
• Gingivitis

When it's not treated, the infection can spread to your cheeks, lips or jawbones, where it may damage or destroy vital tissues. Fortunately, regular brushing and flossing, professional tooth cleaning, and antibiotic therapy can usually clear up the infection. And continuing to practice good oral hygiene can help prevent further problems.

Signs and symptoms

The first symptoms of trench mouth usually develop suddenly and include mouth pain and bad breath. Other signs and symptoms include:

• Severe bleeding from your gums at the slightest pressure

• Red, swollen gums and the destruction of gum tissue

• A gray film on your gums

• Crater-like sores (ulcers) between your teeth and on your gums that are filled with food debris and plaque — a sticky, colorless film of bacteria

• A foul taste in your mouth

• Fever or swollen lymph nodes in your head and neck

• Bad breath

• fever

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