Acute Necrotising Ulcerative Gingivitis (Vincents Gingivitis, Trench Mouth) | Medtick

Acute Necrotising Ulcerative Gingivitis (Vincents Gingivitis, Trench Mouth)

What is it?

Rare severe bacterial gum disease.


Diagnosis tests

Test Purpose
Clinical oral examination (main diagnostic method) Identifies characteristic signs: painful bleeding gums, ulceration and necrosis of interdental papillae, “punched-out” papillae, grey pseudomembrane, bad breath (halitosis), and gum tenderness.
Periodontal probing Assesses gingival destruction, bleeding, and periodontal involvement.
Bacterial smear (Gram stain) from gingival lesions May show mixed bacterial flora, especially fusiform bacteria and spirochetes associated with ANUG.
Bacterial culture May be used in severe, recurrent, or atypical cases to identify organisms.
Complete blood count (CBC/FBC) May be performed if systemic symptoms are present; can show signs of infection or immune problems.
Blood glucose testing (fasting glucose/HbA1c) Recurrent or severe cases to screen for undiagnosed diabetes.
HIV testing or immune evaluation If condition is severe, persistent, recurrent, or associated with immune suppression risk factors.
Dental X-rays (radiographs) Used to assess bone loss or progression to necrotising periodontitis.

ChatGPT can make mistakes. the purpose of  this table above is to show the diagnosis tests available only.

Cause

Syndromes

Symptoms

  • Difficulty eating?
  • Difficulty swallowing?
  • Difficulty talking?
  • High fever, feeling hot sweaty and clammy?
  • Metallic taste in mouth?
  • Mouth ulcers?
  • Swollen glands at sides of neck, below your ears?
  • Swollen, painful and bleeding gums?

Complications /Information to beware of/General tips:

Medical Emergency Condition

And/or do not wait. phone for an ambulance if have or develop:


This condition can lead to if untreated:

  • Reoccurring symptoms of the above?
  • Gums between teeth are destroyed?
  • Loose teeth and can fall out?
  • Ulcers causing holes in the gums?
  • Gangrene on gums (Noma, a very severe condition when gum tissue starts to die and is destroyed)?

This condition can lead to:


This condition can show similar symptoms to:

Please talk to your healthcare professional (i.e. Medical Doctor/Pharmacist) for further advice

Detailed Information

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