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Trench mouth - Vincent's stomatitis
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Trench mouth - Vincent's stomatitis

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When to seek medical advice

See your dentist if you suddenly develop mouth pain, swollen, bleeding gums or unusually bad breath. Often, these may be symptoms of a gum problem other than trench mouth, such as gingivitis or periodontitis. But all forms of gum disease can be serious and most tend to get progressively worse. The sooner you seek care, the better your chance of returning your gums to a healthy state and preventing loss of teeth and the destruction of bone or other tissue.

Diagnosing trench mouth isn't complicated — your dentist can usually detect the disease simply by examining your teeth and gums. Sometimes you may need dental X-rays to determine the extent of the infection and whether any tissue damage has occurred.


Trench mouth can be so painful it causes you to have trouble eating or swallowing. What's more, the infection can sometimes spread to other parts of your face and neck, destroying tissue in your cheeks, lips and even your jawbone. In some cases, it may enter your bloodstream and travel to other parts of your body.

People with HIV/AIDS may develop unusually large ulcers on their gums and the roof of the mouth (palate) — a condition known as necrotizing stomatitis. Unless it's treated promptly, necrotizing stomatitis can severely damage bone and gum tissue.


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This information is provided for general medical education purposes only and is not meant to substitute for the independent medical judgment of a physician relative to diagnostic and treatment options of a specific patient's medical condition.
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Last Modified : 03/15/08 02:30 AM