What is it?

Vincent gingivitis, also called tooth margins and gums that is caused by the symbiotic microorganisms Bacillus fusiformis and Borrelia vincentii. The chief symptoms are painful, swollen, bleeding gums; small, painful ulcers covering the gums and tooth margins; and characteristic fetid breath. The ulcers may spread to the throat and tonsils. Fever and malaise may also be present. Vincent gingivitis can occur after a prolonged failure to brush one’s teeth, though there are many other predisposing factors, such as vitamin deficiencies, emotional stress, and so on.

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Additional names

This group contains additional names:
- Acute necrotizing ulcerative gingivitis

Signs & symptoms

Symptoms may include:
- Pain in the gums
- Gums that bleed easily
- Bad taste in the mouth; extremely bad breath
- Red and swollen gums
- Gray residue on the gums
- Large ulcers or loss of gum tissue in between teeth
- Fever
- Discomfort
- Swollen lymph nodes

Diagnosis

You will be asked about your symptoms and medical history. A dental exam will be done.Images may be taken of your teeth and face. This can be done with x-rays.

Treatment

Treatment for Acute necrotizing ulcerative gingivitis may include:
- Antibacterial mouthwash
- Pain control with nonsteroidal anti-inflammatory drugs (NSAIDs)
- Dental surgery
- Regular dental cleanings
- Antibiotics to treat infection
- Changes in diet

☝️ This is not a substitute for professional medical advice. Please consult with your physician before making any medical decision.

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