This article is about the physiological disorder. For the similarly-named band, see Trenchmouth.
Trench mouth Classification & external resources
Trench mouth is a polymicrobial infection of the gums leading to inflammation, bleeding, deep ulceration and necrotic gum tissue; there may also be fever.
Additional recommended knowledge
It is also known as "Vincent's stomatitis", "Vincent's
angina", or "acute necrotizing ulcerative gingivitis" ( ANUG).
The common name was probably coined during World War I when many soldiers suffered from the condition. There are a number of other theories to the origin of the name. Vincent's angina was named after French physician Jean Hyacinthe Vincent (1862-1950).
Causative organisms include anaerobes such as
and Bacteroides as well as Fusobacterium spirochetes ( and Borrelia spp.).
The condition is caused by an overpopulation of established mouth
bacteria due to a number of interacting factors such as poor hygiene, poor diet, smoking, other infections.
Treatment is by the simple reduction of the bacteria through improved oral cleaning and salt water or
hydrogen peroxide-based rinses. Chlorhexidine or metronidazole can also be used in addition.
Untreated, the infection may lead to rapid destruction of the
periodontium and can spread, as necrotizing stomatitis, into neighbouring tissues in the cheeks, lips or the bones of the jaw. The condition can occur and be especially dangerous in people with weakened immune systems.
Bacterial diseases (primarily A00-A79, 001-041,080-109) G+/ Firmicutes ( Clostridium Pseudomembranous colitis, Botulism, Tetanus, Gas gangrene) - ( Streptococcus A and B Scarlet fever, Erysipelas) - ( Staphylococcus Toxic shock syndrome) - Bacilli ( Anthrax, Listeriosis) G+/ Actinobacteria Mycobacterium: Tuberculosis (Ghon focus, Ghon's complex, Tuberculous meningitis, Pott's disease, Scrofula, Bazin disease, Lupus vulgaris, Miliary tuberculosis) - Leprosy - Lady Windermere syndrome - Buruli ulcer - Actinomycetales: Actinomycosis - Nocardiosis - Diphtheria - Erythrasma G-/ Spirochetal Syphilis ( Bejel) - Yaws - Pinta - Relapsing fever - Noma - Trench mouth - Lyme disease - Rat-bite fever ( Sodoku) - Leptospirosis G-/ Chlamydiae ( Chlamydophila Psittacosis) - Chlamydia ( Chlamydia, Lymphogranuloma venereum, Trachoma) G-/α Proteobacteria Rickettsioses ( Typhus, Scrub typhus, Rocky Mountain spotted fever, Boutonneuse fever, Q fever, Trench fever, Rickettsialpox) - Brucellosis - Cat scratch fever Bartonellosis ( Bacillary angiomatosis) G-/β&γ Proteobacteria ( Salmonella Typhoid fever, Paratyphoid fever, Salmonellosis) - other intestinal ( Cholera, Shigellosis) - ( Zoonotic Bubonic plague, Tularemia, Glanders, Melioidosis, Pasteurellosis) - Other: Pertussis - ( Meningococcus Meningococcemia, Waterhouse-Friderichsen syndrome) - Legionellosis - Brazilian purpuric fever - Chancroid - Donovanosis - Gonorrhea