Trench mouth natural history, complications, and prognosis

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Farwa Haideri [2]

Overview

Natural History, Complications and Prognosis

Natural History

In the early stages some patients may complain of a feeling of tightness around the teeth. If three signs are present, the diagnosis of trench mouth can be assumed. These include:[1]

Complications

Prognosis

Untreated, the infection can lead to rapid destruction of the periodontium and can spread, as necrotizing stomatitis or noma, into neighbouring tissues in the cheeks, lips or the bones of the jaw. As stated, the condition can occur and be especially dangerous in people with weakened immune systems. This progression to noma is possible in malnourished susceptible individuals, with severe disfigurement possible.[2]

References

  1. Karring, Thorkild (2008). Clinical Periodontology and Implant Dentistry. New Jersey: Wiley-Blackwell. ISBN 978-1405160995.
  2. Johnson BD, Engel D (1986). "Acute necrotizing ulcerative gingivitis. A review of diagnosis, etiology and treatment". J. Periodontol. 57 (3): 141–50. doi:10.1902/jop.1986.57.3.141. PMID 3514841.

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