Ulcerative stomatitis symptoms and treatment. What causes ulcerative stomatitis and how to treat it. Mild treatment

044 337-93-60

Ulcerative necrotic stomatitis of Vincent is an acute infectious disease that manifests itself in the mouth with characteristic elements of the lesion - ulcers. An ulcer is more serious damage compared to ordinary erosion, because, unlike the latter, it damages not only the epithelium of the mucous membranes, but also the underlying tissues. If the disease is not dealt with, ulcerative stomatitis can even cause bone damage.

The immediate cause of the disease is the symbiosis of fusobacteria and Vincent's spirochete. This stomatitis is named after the scientist who first discovered such a symbiosis in 1898. Normally, these bacteria are representatives of the normal microflora of the oral cavity. They live in gum pockets, teeth, palatine tonsils. its pathogenic activity. These bacteria show up when the immune system is weakened.

Most often children and young people are ill. There is an opinion that initially the process is caused by other bacteria - streptococci, and fuso-spirillary symbiosis appears in the focus of infection later. This issue is still being studied.

Since fusobacteria and spirochetes are obligatory inhabitants of the microflora of the oral cavity, the disease can be considered not contagious. Sometimes in children's groups there may be outbreaks of the disease, but such cases are more likely to be associated with adverse conditions in the places of stay of children, which lead to a drop in immunity.

It is noteworthy that ulcerative stomatitis does not occur in infants and in persons with a complete absence of teeth. Most likely, the largest number of causative microorganisms lives in the teeth and periodontal pockets, therefore, in the absence of favorite places for the colonization of fusobacteria, the number of bacteria decreases and the likelihood of developing the disease is extremely small.

Very often, ulcerative stomatitis can appear when a wisdom tooth erupts, especially in the lower jaw.

Predisposing factors for the development of the disease:

recent severe illness;
malnutrition;
exhaustion;
lack of vitamins;
smoking;
alcohol abuse;
the presence of dystopic eighth teeth;
broken teeth with sharp edges.

All of the above factors lead to a weakening of the body's natural defenses. The main condition for the development of ulcerative necrotic stomatitis is non-compliance with the rules of hygienic care for the oral cavity and teeth. With insufficient cleaning of the teeth, an increased growth in the number of bacteria occurs, which, at the first suitable occasion, will cause an inflammatory process.

Most often, the disease occurs in the autumn-winter period. At this time of the year, there is a high frequency of colds, which inevitably reduce the protective properties of the immune system. Ulcers can be localized on the mucous membranes of the cheeks, tongue, soft and hard palate. In parallel, the gums and tonsils may be involved. In case of damage to the gums, the disease is called ulcerative necrotic gingivitis, with lesions of the tonsils - ulcerative necrotic tonsillitis.

Clinical manifestations of ulcerative stomatitis

At the onset of the disease, a crater-like ulcer appears. It is covered with dirty yellow necrotic masses. They are easily separated, exposing a slightly bleeding surface. The edges of the ulcer have uneven, torn outlines, red. The diameter is 2-4 cm, the bottom of the ulcer is not thickened.

The tissues around the ulcer are edematous and hyperemic, smaller ulcers may appear on the periphery. The inflammatory process is based on necrosis, which in some cases affects the submucosal tissues, muscles and bone. In this regard, ulcers that are located on the hard palate are the most dangerous, since the smallest volume of soft tissues is concentrated in the palate and there is a high probability of bone tissue being involved in the pathological process.

The patient is concerned about pain when eating and when opening the mouth. Over time, all discomfort disappears, only the smell remains. Regional lymph nodes enlarge and become painful. The first 2-3 days can keep the temperature within 38 ° C.

After 2-3 weeks, the disease resolves. The acute stage of the disease lasts about two weeks, but with treatment it can be reduced to one week. The mucous membrane loses its bright red color, the ulcers begin to heal.

In the absence of treatment, the recovery period is lengthened and the disease can take a chronic course. After healing of the main ulcer, a necrotic process along the gingival margin may remain for a long time.

Untimely diagnosis and treatment of periodontal tissue diseases can lead to tooth loss! Self-healing doesn't work! Contact PerioCenter specialists!

044 337-93-60

How to distinguish Vincent's ulcerative stomatitis from other diseases

In cases where, in addition to stomatitis, Vincent's angina is observed, differential diagnosis with diphtheria is necessary. In severe cases, the doctor may send the patient for bacteriological examination. A bacterial culture of scrapings from the surface of the ulcer is carried out. If a diphtheria bacillus is found in the culture, the patient is definitely hospitalized in the infectious diseases department, where diphtheria is treated.

Erosive and ulcerative lesions in leukemia and agranulocytosis are very similar to acute ulcerative stomatitis, therefore, before treating ulcerative stomatitis, it is necessary to pass a general detailed blood test. If this disease is ulcerative necrotic stomatitis, there will be minor changes in the blood: an increase in ESR, a slight leukocytosis with a shift towards young forms.

In the case of blood diseases, there will be serious disturbances in the leukocyte formula: a significant increase in the number of leukocytes or their strong decrease, the appearance of pathological forms of blood cells.

Treatment of ulcerative stomatitis

How to treat ulcerative stomatitis? Treatment of a disease such as ulcerative stomatitis can be local and general.

Local treatment

Local treatment is aimed at eliminating visible symptoms. Begin treatment of the oral cavity with irrigation with antiseptic solutions and the appointment of rinses at home. The next stage of treatment is associated with the removal of necrotic plaque and tartar. Before removing plaque, areas of the mucosa with ulcers are anesthetized. Dead areas of the mucosa are removed with a cotton swab dipped in either an antibiotic solution or an enzyme solution. The bottom of the ulcer is exposed and conditions are created for access to the affected areas of oxygen.

Under the influence of oxygen, the anaerobic microflora dies and healing is accelerated. Before carrying out further treatment of ulcerative necrotic stomatitis, it is necessary to remove tartar, since representatives of pathogenic organisms can also live in it.

After removal of all necrotic masses, applications of antibacterial gels or antibiotics can be carried out. Literally 2-3 days after the start of local therapy and the patient fulfills all the doctor's recommendations, the symptoms disappear: severe soreness disappears, bad breath.

With a mild course, epithelization begins on the third day, with a more severe course, on the fifth or sixth. With the beginning of the healing period, you can start using keratoplasty - Solcoseryl jelly, oil solutions of vitamins A and E, various oils.

General treatment

The general treatment of ulcerative stomatitis depends on the severity. With mild symptoms of intoxication, it is enough to correct the diet and drink plenty of water. You need a fortified drink, carrot and apple juices, berry jelly are perfect. Food should be soft and easy to digest.

Herculean porridges have a suitable consistency. From protein foods, preference should be given to fish and poultry meat. Spices and refined carbohydrates should be avoided. Vitamin complexes are prescribed inside. When the temperature rises above 38 ° C, it is necessary to take non-steroidal anti-inflammatory drugs - Paracetamol or Ibuprofen.

With a significant number of ulcers, antibacterial drugs are prescribed: Metronidazole or Tinidazole tablets, antibiotics. With a significant deterioration in the general condition, hospitalization with detoxification therapy is necessary.

In the acute stage, it is necessary to refrain from surgical interventions: tooth extraction, curettage, etc. All manipulations associated with dental treatment, removal of tartar, it is desirable to carry out after a decrease in temperature and the extinction of catarrhal phenomena. While ulcerative stomatitis is expressed, treatment is mainly aimed at neutralizing inflammatory changes.

What can be done at home

In order to avoid the unpleasant phenomena caused by ulcerative stomatitis, it is necessary to strictly follow the rules for hygienic care of the oral cavity, treat all carious teeth and monitor a balanced diet. The food should contain all the necessary vitamins and minerals.

Vincent's ulcerative necrotic stomatitis is easily confused with symptoms of serious blood diseases, diphtheria, so it is better not to try to treat the disease yourself. Before going to the doctor, the best thing to do is to ensure that you are getting enough fluids into your body. You can rinse your mouth with antiseptic solutions. Antiseptics will prevent secondary infection of ulcers.

Contact the clinic "" - our specialists will correctly diagnose and carry out all the necessary treatment.

Untimely diagnosis and treatment of periodontal tissue diseases can lead to tooth loss! Self-healing doesn't work! Contact PerioCenter specialists!

044 337-93-60

The pathology of the oral cavity, accompanied by inflammation and the appearance of ulcers on the mucous membrane, is called ulcerative stomatitis.

Concomitant manifestations - edema, hyperemia, fever, halitosis.

They themselves cause severe pain, covered with a light coating on top. The disease manifests itself not only in children, but also in adults.

Ulcerative stomatitis is tolerated with difficulty and pain, treatment in adults takes up to eight days, sometimes additional medical supervision is required for up to a year.

rinses

As one of the main methods, doctors prescribe mouth rinses.

The procedure is necessary when the ulcers have been treated and the mouth needs to be covered with anesthetic, antimicrobial, and antiviral drugs.

Suitable for rinsing with ulcerative stomatitis:

Furacilin, Chlorhexidine or Rivanol. The rinsing procedure is performed during the day;
A weak solution of potassium permanganate, which is diluted immediately before the procedure. Treat the oral cavity twice a day;
Hydrogen peroxide is highly effective in the treatment of such diseases;
Rotokan solution, Forest balm, Novocain. Used in finished form;
Miramistin and Malavit in the amount of 10 drops are added to a glass of water.

With such preparations, if necessary, you can not only rinse your mouth, but also treat sores. The frequency of procedures should be selected according to the recommendations of drug manufacturers, as well as the degree of mucosal damage.

Medical treatment

Immediately after the specialist confirms suspicions of ulcerative stomatitis, medical treatment should be started.

Drug treatment consists in the treatment of wounds with special preparations.

Procedures are performed at intervals of at least three hours. Medications are selected only by the attending specialist, this cannot be done independently.

For the treatment of ulcerative stomatitis, the doctor prescribes the use of:

anesthetics to relieve pain - Trimecaine, Lidocaine, Benzocaine, Tantum Verde spray;
anti-inflammatory– Ingalipt, Pro-ambassador;
antibacterial- , Sodium tetraborate, ;
antiseptics- Blue iodine, Zelenka, Geksoral;
antimicrobial- Lugol's solution, Fukortsin;
drugs that improve the functioning of the immune system- vitamin and mineral complexes, echinacea extract, Immudon, brewer's yeast;
wound healing agents- Carotolin, sea buckthorn oil, Vinylin, Solcoseryl, rosehip oil.

Proper use of these drugs can significantly reduce the treatment of ulcerative stomatitis. Additionally, drug treatment of the underlying pathology that provokes stomatitis is performed.

Powders and ointments

Along with the main course of drug treatment, the use of powders and ointments is acceptable.

For some time they are superimposed on painful areas of the mucosa:

ointments- oxolinic, bonafton, Acyclovir, interferon, Metrogyl Denta, nystatin, propolis, tebrofen, florenal, Kamistad gel;
powders- crushed streptocide tablet, baking soda.

The substances are applied to the ulcers themselves, kept for about half an hour and removed, but if possible, they are kept longer - it depends on where the ulcers appeared (on or under the tongue, under the lip, on the cheek).

Folk remedies

A lot of ways to treat ulcerative stomatitis can be found in the "encyclopedia" of traditional medicine.

Similar recipes are based on rinsing with decoctions of medicinal herbs, baking soda, treatment with ointments and other home-made products:

the soft part of the leaves of aloe, Kalanchoe is applied to the ulcers;
squeeze fresh juice of aloe and carrots, plantain leaves, kalanchoe, dilute it all with an equal amount of boiled chilled water, and rinse;
the surface of the sores is covered with finely chopped raw potatoes for half an hour;
every two hours you need to rinse your mouth with a solution obtained by combining a chicken egg with 100 grams of water;
a tablespoon of honey and up to five drops of Novocain are often added to the egg solution;
prepare decoctions for rinsing from herbs - chamomile, calendula, St. John's wort, oak bark, horsetail, yarrow, sage;
Dissolve a teaspoon of baking soda in a glass of water at room temperature. It is recommended to do no more than two times during each hour.

Solutions and decoctions used in rinsing the mouth to eliminate ulcerative stomatitis should be prepared for one use, and during use should be warm and filtered if prepared on the basis of herbs.

Useful video

What is ulcerative stomatitis, treatment in adults, symptoms and prevention of the disease - a useful video from the official channel of the doctor Konstantin Aidin:

https://youtu.be/YLrc1JSVtOM

Knowing the methods of treating such pathologies, the disease can be completely cured on its own at home. However, to confirm the diagnosis and the chosen method of treatment, you must first consult with an experienced specialist.

Ulcerative stomatitis in children- an inflammatory disease that affects the oral mucosa, accompanied by the appearance of ulcers. The disease has other names: ulcerative-membranous and ulcerative-necrotic stomatitis of Vincent.

Doctors have not identified the main causes contributing to the occurrence of ulcerative stomatitis in children. It is recommended to stick to the most common:

weak immunity;
lack of vitamins;
problems with the gastrointestinal tract (GIT);
cancerous tumors;
anemia;
injuries of the oral cavity (scratches, thermal burns, etc.);
heredity;
problems with disorders of the nervous system;
cardiovascular diseases;
metabolic disorder;
bacteria and microorganisms that contribute to the spread of infection;
violation in the hormonal background;

Ulcerative necrotizing stomatitis in children may appear (to a lesser extent) from:

the presence of dental diseases (caries, periodontal disease and others);
allergic reactions to drugs (usually of penicillin origin);
allergies to certain types of foods;
poorly installed prostheses, bracket systems;
dysbacteriosis;
stress;
hypothermia;
lack of or insufficient hygiene;
unbalanced diet;
improper treatment (its absence) of catarrhal.

Symptoms

Ulcerative necrotic stomatitis Vincent has the main symptom - the presence of ulcers on the gums, inner lip and other areas of the oral cavity. Depending on the severity of the disease, the symptoms of stomatitis can range from mild to severe.

Light degree

pain in the mouth;
bleeding gums when the child eats;
high salivation;
swelling of the gums, with their palpation there is severe pain.

Average degree

the edge of the gum has a wound covered with a necrotic crust;
severe bleeding from the mouth even when food is not consumed;
offensive smell in mouth, with a feeling of putrefaction;
discharge of pus from the periodontal canals;
swollen lymph nodes (their increased mobility is observed, pain occurs when touched);
weakness;
lack of appetite;
capriciousness;
temperature 38 or more degrees.

Complex degree

weakness;
a sharp change in body temperature from 35 to 40 degrees;
the depth of the ulcers can reach the jawbones;
nausea, vomiting;
stomach ache.

Treatment

Ulcerative stomatitis should be treated under medical supervision. If stomatitis overtook your child, contact Laura. The doctor will examine the child, prescribe adequate treatment. Usually assigned combined treatment depending on the severity of the disease and the age of the children.

Stages:

Anesthesia.
Softening of erosive-coated tissues in the mouth.
Antimicrobial and antibacterial therapy.
Vitamin and strengthening therapy.

Anesthesia

anestezin in glycerin () is much more preferable due to the mild effect on the mucous membrane;
lidocaine hydrochloride (used as a last resort, as it irritates wounds).

Removal of necrotic lesions

the imposition of bandage, cotton swabs soaked in a solution of proteolytic enzymes (trypsin, chymopsin, chymotrypsin). The preparations have a softening effect on erosively affected tissues without affecting healthy ones;
cleansing of inflamed areas in the mouth from ulcerative crusts with the help of antimicrobial, antiseptic drugs (combined treatment with trichopolum (metronidazole) with chlorhexidine bigluconate solution. Crusts can be removed with potassium permanganate and hydrogen peroxide.

General

antihistamines (suprastin, tavegil, fenistil and others);
broad-spectrum antibiotics are used during severe manifestations of the disease (Amoxiclav, Amoxicillin, Doxycycline, Sumamed, Augmentin, Ampiox, Penicillin, macrolides -, Clarithromycin, etc.);
vitamins (revit, Kids, B12 and others);
caries treatment;
removal of teeth located in erosively affected areas of the mouth (this should not be done during an active inflammatory process);
the use of ointments and keratoplastic preparations to accelerate healing (Solcoseryl, oil based products based on vitamins A and E).

Interesting to read:

Diet

Vincent's stomatitis in children should be treated not only with medicine, but also correctly balanced diet.

Prohibited Products

sour vegetables and fruits (tomatoes, apples, citrus fruits, plums, nectarines and others);
any berries. It is recommended to cook compote from them, but if the berry is very sour, then it is not desirable either. If you still decide to cook, then after cooking, you need to take a sieve and strain the compote so that, along with the liquid, particles of berries do not get into the mouth of the children and do not clog the ulcers;
spicy foods and spices;
acidic drinks (lemonade, juices, Coca-Cola, Pepsi, pomegranate, cranberry, etc. fruit drinks);
exclude allergenic products due to which stomatitis occurs;
sauces of sour-salty origin, which should be replaced with cream, milk or sour cream;
pickled foods;
dry foods (cookies, bread, gingerbread soak in boiled water before use);
bitter, sweet foods.

milk, dairy products (cottage cheese, sour cream, yogurt, varenets, kefir);
berries and fruits with a delicate neutral taste (watermelon and melon help moisturize the oral mucosa and quench thirst;
vegetable juices (carrot, cabbage, bell pepper);
boiled meat or steamed, with a minimum addition of salt;
vegetable and meat broths;
soft, processed cheese;
decoctions of herbs (rose hips, raspberries);
plentiful drinking of ordinary boiled water;
porridge (semolina, rice, oatmeal);
ready-made baby food (vegetable, non-acidic fruit, meat puree, curds, yogurt, pudding, etc.);
fresh whipped cream.

Ulcerative stomatitis- an infectious and inflammatory disease of the oral cavity, in which there is a focal ulcerative lesion of the mucous membrane. Pathological symptoms, in addition to ulcerative lesions in the mouth, include fever, an unpleasant smell of rot from the oral cavity, and enlargement and inflammation of the submandibular lymph nodes. A severe form of the disease is called "Venson's ulcerative necrotic stomatitis". The disease can occur in a child and an adult under the influence of certain provoking factors.

Ulcerative stomatitis is usually an independent disease, rarely occurs as a result of secondary infection against the background of pathologies of the body.

Ulcerative stomatitis photo

The main risk factors for the development of the disease include:

lack of adequate treatment of catarrhal stomatitis;
traumatic damage to the mucosa;
improper hygiene - infectious lesions of the mucous membrane contribute to bacterial plaque, stone, carious foci, dysbacteriosis;
the presence of diseases of the digestive tract;
immunodeficiency states;
cardiovascular diseases;
hypothermia;
frequent stress;
long-term antibiotic therapy;
deficiency of vitamins C and B;
in childhood, the disease often develops due to poor hand hygiene.

If we talk about Vincent's ulcerative necrotic stomatitis, then its causative agents are microbes such as fusiform bacillus and Vincent's spirochete.

Ulcerative necrotic stomatitis Vincent in an adult

These microorganisms are considered conditionally pathogenic; they are present in the oral cavity of adults in small quantities, but under the influence of the above factors, they can begin active reproduction and cause disease.

Symptoms and signs of ulcerative stomatitis

The clinical picture in the pathology under consideration depends on how severe ulcerative stomatitis is, the photos clearly demonstrate ulcerative foci on the oral mucosa, which appear on about the second day and become the main hallmark of the disease. They appear mainly on the gums, but as the disease develops, they gradually move to the buccal mucosa. With a mild degree of severity of the pathology, the symptoms are moderately expressed. Patients complain of the following symptoms:

pain and bleeding of the gums during meals and hygiene measures;
unpleasant putrid odor from the mouth;
swelling of the gums.

A disease of moderate severity is already accompanied by a change in the contour of the gingival margin. It is covered with bleeding necrotic crusts, the smell from the mouth becomes more pronounced. Pus may be discharged from the gum pockets. Lymph nodes are enlarged, mobile, painful when touched, body temperature rises to 38 degrees, general weakness is noted.

In the advanced stage, patients experience a condition similar to that of acute sepsis. There are fluctuations in temperature from 35 to 40 degrees, headaches, nausea. Due to severe pain, a person is unable to eat and talk normally.

If treatment is not started in a timely manner, there is a high risk of involvement of bone tissue in the pathological process.

Quite rarely, ulcerative stomatitis becomes chronic. In this case, one or two ulcers are almost always present in the gum area, while without exacerbation they practically do not cause discomfort.

It should be understood that the chronic form of the disease in adults can lead to a number of complications, including premature loss of teeth.

Ulcerative stomatitis: treatment in adults

In adults, complex treatment of ulcerative stomatitis is carried out, aimed at eliminating pathological symptoms, as well as the main cause of the disease.

Treatment of stomatitis in adults

If you start therapy in a timely manner, while the disease is still in a mild form, as a rule, you can get by with local treatment:

softening of necrotic tissues and cleansing of the affected area is performed using gauze swabs moistened with a solution of proteolytic enzymes (trypsin, lysoamidase, etc.). Such manipulation is performed by a doctor after local anesthesia;
regular rinsing with antiseptic solutions (furatsilin, hydrogen peroxide, chlorhexidine) or decoctions of medicinal herbs (rose hips, sage, chamomile, calendula, etc.);
on the area of ulcers, applications of drugs produced in the form of a gel (Metrogyl-Dent) are applied;
sanitation of the oral cavity is necessarily carried out with the complete removal of tartar, as well as plaque, grinding of the sharp edges of the teeth. These procedures are allowed to be performed in the acute period with the use of local anesthetics, but the treatment of caries is carried out after the ulcers have healed.

With adequate treatment, sores usually heal in about 5-7 days.

In severe cases, in addition to local treatment, systemic therapy is indicated, including the use of broad-spectrum antibiotics, antihistamine drugs, multivitamins, physiotherapy and detoxification procedures.

During treatment, it is recommended to follow a special diet, eat only soft food at a comfortable temperature. This is especially important in Wenson's ulcerative necrotic stomatitis, since with this form of the disease, the mucosa becomes especially sensitive to any influences.

Therapy in children

If ulcerative stomatitis is diagnosed in children, treatment also includes daily treatment of the oral mucosa with antiseptic solutions. Many experts advise giving preference to natural preparations, in particular decoctions of medicinal herbs - rose hips, chamomile, etc. Furacilin or chlorhexidine solutions can also be used.

The intake of individually selected vitamin complexes helps to speed up the healing process. It is allowed to use oil compresses with olive oil or cocoa butter on the affected area. This procedure will speed up the process of epithelialization. Healing of ulcers in children occurs approximately 3-7 days after the start of therapy.

When the disease begins to pass, a complete sanitation of the oral cavity is performed. Then you need to carefully monitor the hygiene of the child, his diet and immunity.

Treatment of stomatitis in children

It is recommended to visit a pediatric dentist once every three to four months. The same recommendation applies to adult patients. A quarterly visit to the dentist and a scrupulous attitude to hygiene are necessary for all people who have had an ulcerative form of stomatitis.

What is ulcerative stomatitis? Ulcerative stomatitis is an acute disease of the oral cavity. Ulcerative stomatitis additionally causes other diseases: necrosis, ulcerative decay of the mucosa. Ulcerative stomatitis usually occurs in children who already have teeth. It affects not only the epithelium of the mouth, but also all layers of the mucous membrane. In another way, it is called ulcerative-membrane stomatitis.

The study of stomatitis

Completely ulcerative stomatitis has not been studied. Many specialists classify it as an infectious. The causative agent is fusospirillary symbiosis - fusiform bacillus and Vincent's spirochete. In 100% of cases of a healthy oral cavity, they are detected. The norm happens in the smallest number of people. The disease occurs exactly when pathogens prevail over other microbes. In most cases, such microbes are simply dormant; in a small number of people, they wake up. A fusiform bacillus can manifest itself only when certain changes occur in the body. For example, during the weakening of the body's resistance, changes in reactivity, or trophism of the mucosa is disturbed.

Animal studies have shown that ulcerative stomatitis occurs with gum injury. At the same time, the animals were on a diet, and they lacked vitamins.

In order to prevent the possibility of manifestation of ulcerative stomatitis, all the rules and norms of hygiene, both personal and environmental, must be observed. It should be proper nutrition, living conditions, as well as environmental factors. A frequent manifestation of the disease was during the war period.

Medicine knows that stomatitis often occurs in children with serious illnesses, such as influenza, stomach or intestines. In addition, the possibility of manifestation of stomatitis occurs when the nervous system is disturbed, during beriberi, especially the lack of vitamins P, C and complex B. Poisoning with chemicals or food, pellagra and scurvy is also the cause.

Many authors who have studied stomatitis to some extent have concluded that hypovitaminosis C plays an important role in the development of ulcerative stomatitis. Mostly observed outbreaks during the spring thaw season. Usually it is May and April. It is during this period that children experience a lack of vitamin C, which is not replenished with ordinary foods.

Despite the different opinions about ulcerative stomatitis, in turn, it is necessary to draw a conclusion. The conclusion still remains such that this is an independent disease, which is divided into different forms. Forms of stomatitis depending on the course of the disease:

Forms of stomatitis depending on the severity:

Light;
heavy;
Average.

Renowned experts in the field of the study of ulcerative stomatitis

B. P. PASHKOV In his book, he considers 2 sides of the coin: ulcerative stomatitis and gangrenous stomatitis. Then he combines them into one together with Vincent's angina.
I. G. Lukomsky. From his statements it is clear that he is a supporter of the fact that the nature of the occurrence of stomatitis is the lack of vitamins in the body.
S. I. Weiss. Author S. I. Weiss divides stomatitis into 2 parts: gangrenous and necrotic.

Symptoms

In most clinical cases, ulcerative stomatitis has a form of manifestation - ulcerative gingivitis. First, stomatitis will cover the gum around one or more teeth and then gradually diverge along the entire edge of the gum. Ultimately, it turns out that all areas of the gum are covered, leaving only small gaps. It happens that both jaws are affected. There is no manifestation in edentulous areas, such as gingival pockets or places where there are no gingival papillae.

In young children, stomatitis can begin in places where new teeth are about to appear. In adolescents, this happens in places of the lower wisdom tooth. In such places, the mucous membrane usually creates a "hood", which means that they are easily exposed to the disease. Stomatitis can also occur in the area of manifestations of tartar, caries. As a result, it is easy to understand that the area of occurrence usually falls on areas where the most favorable habitat and the development of such diseases.

Many patients complain about itching, burning pain in the gums as well as dry mouth. The gums swell in the initial period, swelling and redness are noted. Stomatitis is also accompanied by pain. Severe pain visits a person during the chewing process, in other cases it is aching and cutting pain. On the second or third day, the disease manifests itself in the form of a gray-white plaque. Plaque is a structureless tissue, which in its composition has a huge number of microbes, non-living leukocytes. Gingival papillae should have, as it were, sections. On the inflamed mucous membrane there is a necrotic decay in a thick layer. If it is removed, the mucous membrane will bleed.

The resulting inflammation can capture almost the entire oral cavity. it gums, tongue, cheeks and lips. They usually show teeth marks. In rare cases, the necrotic process can reach the periosteum of the bone. Ulcers are the color of gray mud. In this case, it is better to refrain from speeches with interlocutors, since a very sharp, disgusting smell will come from the mouth. The rotten smell from the oral cavity is obtained due to the breakdown of proteins provoked by the spindle-shaped rod and Vincent's spirochete. When the protein breaks down, the tissue releases hydrogen sulfide and ammonia.

During illness lymph nodes may swell that cause pain when touched. In addition, profuse salivation begins, sometimes it is 2-3 liters per day. Due to bleeding from the tissues, saliva takes on a pink tint. At the same time, saliva is thick, viscous, emitting a stench. Any movement in the mouth causes severe pain.

Each person experiences this pain differently. Sometimes this is a small body temperature, and sometimes from 38 and above. In severe forms of the disease, a person often becomes depressed due to constant anxiety, loss of appetite and sleep.

Acute period lasts 10 to 15 days. With good and high-quality treatment, it decreases significantly. Usually after 4-5 days. With proper treatment, the disease recedes and the process of restoration of the oral epithelium begins. Usually, epithelialization begins at the edges of ulcers. In this case, it is necessary to continue treatment. Retreating at the very beginning of improvements is not worth it.

The main feature of stomatitis is the possibility of recurrence or chronic form.

Complications

Complications are as follows:

Inflammation of the middle ear.
Pleurisy.
Gastroenteritis.
Disease of the genital tract.
Rhinitis.
Endocarditis.

Proper treatment leads to positive results. Of course, there will be incisors on the gums. The root of the tooth or its crown may even be exposed. For young children, the prognosis is not so favorable. Sometimes the disease can drag on for a long time.

Ulcerative stomatitis: treatment

In the treatment of the main medicine are antibiotics. Locally used drugs for healing oral wounds. In this case, locally used drugs that have an antiseptic effect. Preparations:

Furacilin.
Potassium permanganate.
Hydrogen peroxide.
Chloramine, etc.

Irrigation with local preparations should occur under pressure. In this case, if there is no special dental unit, you can use a conventional syringe with a blunt needle. Careful processing should be subjected to small holes between the teeth. Further, the treatment process includes: removal of tartar and necrotic decay. Decay must be removed all but with great precision and accuracy. In acute manifestations, treatment is transferred to the surgical hands. The surgeon must treat all affected areas. Carry out a similar treatment under anesthesia. Often it is enough to rinse your mouth with a 2% solution of novocaine. Novocain passes inside through the affected areas of the epithelium and has an analgesic effect.

Before you start taking an antibiotic, you need to check the microflora of the ulcer for sensitivity. As indications for sensitivity, one or another type of antibiotic is used.

After the appointment of treatment for 2 or 3 days the first results are showing. First, the gums stop bleeding. Secondly, ulcerative foci are cleared of decay. Thirdly, the smell from the mouth disappears. Fourthly, the pain is no longer so strong. On the 3rd or 4th day, the replacement of the epithelium begins. In severe forms, it begins on the 5th day. With chronic for 6-8 days. Children who know how to rinse their mouth should rinse with lylocyme. This solution will allow wounds to heal faster. Also, soda rinses will have a good effect. Soda improves immunity and increases the release of leukocytes from the gums. After surgical treatment, a hardening tissue is placed on the gum, which will also contribute to the speedy healing.

In severe cases, doctors prescribe injection of intramuscular penicillin with novocaine 100 thousand units every 4 hours. In this case, the treatment is 2-3 days. With an average form of the disease, it is enough to inject penicillin intramuscularly for 2-3 days. Penicillin in this case can replace tetracycline and biomycin tablets.

Additional components are also needed in the treatment. It does not matter what form of the disease occurs.

Additional complex for treatment:

Vitamin C intake (0.3 grams 3 times a day). Course - 7 days.
Vitamin K intake (0.015 grams 3 times a day). The course is 3-4 days.
Vitamin B intake.

Pyramidone with analgin can serve as an anesthetic during ongoing treatment.

During the acute period of the course of the disease, doctors recommend keep bed rest and proper nutrition is essential. Eat more liquid foods that are high in calories.