Vincent’s Angina

Vincent’s Angina

Write short note on Vincent’s angina.

Answer. It is an acute ulceromembranous stomatitis or acute ulcerative gingivitis.

This disease is caused by Vincent’s organism-Borrelia vincentii an anaerobic spirochete and fusiform.

“What Is Vincent’S Angina”

Vincent’s angina Precipitating Factors

• Malnutrition, diabetes mellitus, carious tooth, war seasons,winter, etc.
• The disease starts in the intergingival defects as a deep penetrating ulcer, which results in a spontaneous gingival hemorrhage.
• Once infections spread to tonsillar region, it is called as Vincent’s angina. Very severe painful condition.

“The Role Of Oral Hygiene In Preventing Vincent’S Angina”

Vincent’s angina Clinical Features

• Common in children and young adults between 20 and 40 years of age.
• It is a gangrenous devastating stomatitis which begins in mucus membrane of corner of mouth or cheek which progress rapidly to involve entire thickness of lips or cheek or both with necrosis and sloughing of entire tissue which is observed in poorly nourished children and debilitated adults.
• It start from lips extend to gums, spread to cheeks, bone,soft tissues and skin leading to extensive tissue loss with severe toxemia.
• There is presence of excessive salivation, fetid odor with destruction, discharge and toxic features.

“Comprehensive Overview Of Vincent’S Angina Symptoms”

Vincent’s angina Investigations

• Culture of Borrelia vincentii
• X-ray of involved part shows bony destruction.

Vincent’s angina Treatment

• Systemic antibiotics, i.e. higher doses of penicillin and metronidazole, should be given.
• High protein and vitamin-rich diet should be given through nasogastric intubation.
• Wound irrigation is done and liberal excision of dead tissue should be carried out.
• Blood transfusion is given.
• Later on patient require flaps to cover the defect.