Infectious Disease Compendium

Gingivitis

Diagnosis

Acute or chronic inflammation of the gingiva, with foul breath and easy bleeding. Acute necrotizing ulcerative gingivitis is Vincent's disease, or trench mouth, and is associated with pain with chewing, fever and local adenopathy.

Epidemiologic Risks

Microbiology

Anaerobes.

Empiric Therapy

Vincent's: local debridement and lavage with oxidizing agents, which brings relief from pain within 24 hours combined with penicillin or metronidazole.

Pearls

Severe disease may be manifestation of immunodeficiency.

Rants

Who kisses these folks?

ICD9 Codes (Soon to be supplanted by ICD10)

Gingivitis 523.1; acute 523.0; necrotizing 101; chronic 523.1; necrotizing, acute 101; pellagrous 265.2; ulcerative 523.1; acute necrotizing 101; Vincent's 101.