| ID | 28 |
|---|---|
| Name | Bacterial Stomatitis/ Ulcerative Stomatitis/ Necrotizing Ulcerative Gingivitis |
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| Introduction | It is often caused by an infection of both spirochetes and fusiform bacilli-is common in young adults under stress and may associate with malnutrition and poor dental hygiene. Underlying systemic diseases may also predispose to this disorder. Clinically, there is painful acute gingival inflammation and ulcers are seen with irregular ragged necrotic margins anywhere inside the mouth cavity- often with bleeding, halitosis, fever, and cervical lymphadenopathy. In some of these cases Vincent’s spirochaete and fusiform bacilli are found from the ulcer and this type is known as Vincent’s an |
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| Treatment | Treatment: 1. The acute phase should be treated with- Penicillin 250mg 3 times daily orally for 10 days. And/Or, Metronidazole 200mg thrice daily for 4 to 5 days 2. Warm half-strength peroxide rinses may be helpful. 3. Oral hygiene should be maintained. Dental gingival curettage may improve the condition. 4. Removal of underlying factors & correcting dietary inadequacies, if any. 5. As the condition is infectious, proper sterilisation of the contaminated utensils should be done. |
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