Trench mouth is a condition of the mouth also know as
VINCENT”S disease.

It is more accurately described as (ANUG).”Acute Necrotizing
Uncerative Gingivostomatitis. It is an infectious flare-up of an
very, unclean mouth.
It is not known to be contagious because it is never found in mouths
that have consistently had the benefit of good oral hygiene.

ANUG is more commonly found in unkept, filthy mouths of young
adolescents who have not yet been affected by periodontal disease.

Clinical features of necrotizing periodontal disease may include:
necrosis and/or ulceration of the interdental papillae
(“punched-out papillae”) or gingival margin pseudomembranous formation,
painful,bright, red, marginal gingiva that bleeds upon gentle manipulation
and halitosis.

Coincident factors may include heavy smoking and poor nutrition,
especially for those presenting with necrotizing ulcerative
periodontitis.

Although it is most annoying and extremely painful,its treatment
is usually quite simple.This treatment consists of cleaning up the
mouth, placing the patient on a regimen of warm water rinses and
good oral hygiene habits. One of the most characteristic sysmptoms of
ANUG is the foul odor that eminates from an infected mouth.The smell
is extremely offensive and quite recognizable.

When the gum tissue has settled down, a scaling and polishing of the
teeth should be done. Hydrogenperoxide (3%) mouth rinses are very
helpful for a limited time.

Antibiotics use for ANUG is contraindicated unless the acute
problem becomes uncontrollable using the conventional methods
of treatment suggested.

Routine preventive GUM care should include the scaling and
polishing of the teeth every three to six months depending on
the specific needs of the patient involved.

Remember, it is not normal for gum tissue to bleed on a regular
basis and if your dentist treats this chronic bleeding condition
with prefunctory cleaning and mouth rinses,it may be time to
change dentists.

Trench mouth should not be confused with periodontal disease.
Periodontal disease can run its course without an episode of ANUG.

If preventive measures are started early enough and maintained by
both the patient and dentist, no one should ever get ANUG or lose
any teeth due to “Pyorrhea.”

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