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Both HSV-1, and HSV-2 can be the cause of herpetic gingivostomatitis, [5] although HSV-1 is the source of infection in around 90% of cases. [6] Herpetic gingivostomatitis infections can present as acute or recurrent. Acute infection refers to the first invasion of the virus, and recurrent is when reactivation of the latent virus occurs. [7]
The main symptom of oral infection is inflammation of the mucosa of the cheek and gums—known as acute herpetic gingivostomatitis—which occurs within 5–10 days of infection. Other symptoms may also develop, including headache, nausea, dizziness and painful ulcers—sometimes confused with canker sores—fever, and sore throat. [14]
The symptoms range from a minor nuisance to being disabling in their impact on eating, swallowing, and talking, and the severe forms can cause people to lose weight. There is no cure for aphthous stomatitis, [ 5 ] and therapies are aimed at alleviating the pain, reducing the inflammation and promoting healing of the ulcers, but there is little ...
Other signs and symptoms may be present, but not always. [2] Foul breath. Bad taste (metallic taste). [3] Malaise, fever and/or cervical lymph node enlargement are rare (unlike the typical features of herpetic stomatitis). [3] Pain is fairly well localized to the affected areas. [3] Systemic reactions may be more pronounced in children. [2]
Treatment of the acute disease is by debridement and antibiotics, usually metronidazole. Poor oral hygiene and other predisposing factors may need to be corrected to prevent recurrence. Necrotizing gingivitis is also known as trench mouth, as it was observed to occur in the mouths of front line soldiers during World War I.
"Primary herpetic gingivostomatitis. That's a mouthful. "I remember being at the hotel and just lying there. My fever would get too high and Wally would say, 'You need to get in the swimming pool ...
If your symptoms persist for more than 10 days If you experience difficulty breathing, develop a severe cough, notice thick green or yellow mucus, run a fever, and/or feel extremely fatigued
When left untreated too long, treatment must come from professional dental care. Though gingival diseases can be easily prevented with good daily oral maintenance. The ADA recommends five preventatives that are essential to supporting healthy oral health: Brush teeth twice daily with an ADA-recommended fluoride toothpaste for 2 minutes