Herpetic Gingivostomatitis
Characteristics acute herpetic gingivostomatitis
- herpes simplex virus (HSV I)
- systemic symptoms
- children
- heals without scars in 7-10 days
signs & symptoms of herpetic gingivostomatitis
- pain
- malaise
- lymphadenopathy
- elevated body temperature
- swelling
- redness
- vesicles
- painful oral ulcers with red halo
- lips, palate, tongue & gingiva
Treatment of herpetic gingivostomatitis
- palliative measures
- fluid, rest
remove plaque & debris
topical local anesthetic
systemic NSAID
- postpone extensive perio tx
- local or systemic antibiotics if opportunistic infection exists over the ulcerated area occur
- refer to a physician if lesions last more than 2 weeks
Considerations in dental treatment of patients with herpetic gingivostomatitis
- contagious
- Watch your fingers!
- herpetic whitlow
aphthous stomatitis
- recurrent in the mouth
- 3 types
- major; large, 6 wks to heal
- minor
- herpetiform; painful clusters
- heals in 10 – 14 days
- fibropurulent membrane with red halo
