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

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Treatment

Depending on the severity of your condition, your dentist may begin treatment by gently removing any dead gum tissue (debridement) to help alleviate your pain. Your mouth may also be rinsed with an antiseptic solution such as povidone iodine (Betadine).

When your gums are less tender, you're likely to have a type of tooth cleaning called scaling and root planing. In this procedure, your dentist or dental hygienist removes plaque and tartar from beneath your gumline using either an instrument similar to a fish scaler or an ultrasonic instrument that literally vibrates hardened deposits from your teeth. Because scaling leaves a rough tooth surface, the treated areas are then planed and smoothed.

Right after cleaning, your gums will be quite tender, and your dentist will probably advise you to rinse your mouth with a hydrogen peroxide mouthwash instead of brushing, which can irritate your gums further. Once your gums begin to heal, however, you'll need to brush and floss at least twice a day, and preferably three times daily, to prevent future problems.

Although professional cleaning is the first-line defense against trench mouth, your doctor may prescribe antibiotics if you have a fever, a severe infection or a compromised immune system. Metronidazole (Flagyl) is often the drug of choice, but penicillin (Amoxil, Cleocin) may be recommended if you have a fever.

Although your gums are likely to heal and return to their normal shape with professional cleaning and proper home care, you may need surgery if you have extensive damage to your gums. In that case, your options include:

  • Bone grafting. If the bone surrounding your tooth root has been destroyed, your dentist can secure sterilized bone segments from a bone bank to fill the space and keep your tooth in place.

  • Guided tissue regeneration. This technique allows bone destroyed by bacteria to regrow. Your dentist places a special piece of biocompatible fabric between existing bone and your tooth. This material prevents unwanted tissue from entering the healing area, thereby encouraging the bone to grow back.

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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.
In no event will The DrEddyClinic.com be liable for any decision made or action taken in reliance upon the information provided through this web site.

 


 



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Last Modified : 03/15/08 02:30 AM