Ulcerative gingivitis

This is trench mouth, a progressive painful infection with ulceration, swelling and sloughing off of dead tissue from the mouth and throat due to the spread of infection from the gums. Certain germs (including fusiform bacteria and spirochetes) have been thought to be involved, but the full story behind this long- known disease is still not clear. This condition is also called Vincent’s angina after the French physician Henri Vincent (1862-1950). The word “angina” comes from the Latin “angere” meaning “to choke or throttle.” As with most poorly understood diseases, ulcerative gingivitis goes by many other names including acute necrotizing ulcerative gingivitis (ANUG), acute membranous gingivitis, fusospirochetal gingivitis, fusospirillosis, fusospirochetal gingivitis, fusospirochetal gingivitis, phagedenic gingivitis, Vincent’s gingivitis, Vincent’s infection, and Vincent’s stomatitis.

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acute painful gingivitis with ulceration, in which the tissues of the gums are rapidly destroyed. Occurring mainly in debilitated patients, it is associated with anaerobic microorganisms (see Fusobacterium, Bacteroides) and is accompanied by an unpleasant odour. Treatment is with metronidazole and a careful and thorough regime of oral hygiene supplemented with oxidizing mouthwashes. In the past ulcerative gingivitis has been called Vincent's angina; in its severe form it is known as noma.