HERPETIC GINGIVOSTOMATITIS – DOCTOR, MY CHILD’S MOUTH IS FULL OF SORES
Two cases of this childhood disease in our office in just a few months definitely make this viral infection deserving of being mentioned in our blog.
Herpetic gingivostomatitis is caused by the Herpes simplex virus type 1 and it usually afflicts children ages 2 to 5. This unpleasant infection is preceded by an incubation phase, where the herpes simplex virus prepares for action. The stage right before the physical manifestations is accompanied by exhaustion, fever and throat pain.
When herpetic gingivostomatitis reaches its full form, vesicles appear inside the mouth, mostly on the gingiva. This manifestation leads parents to bring their child to a doctor or dentist. Because of the painful changes, adequate oral hygiene becomes impossible, causing inflammatory edema and red and swollen gingiva. In addition to everything mentioned, the inability to adequately maintain oral hygiene also causes a coating on the tongue. There is also an unpleasant odor present and excess saliva excretion.
It is treated by bed rest and drinking plenty of liquids, using anti-fever medication (antipyretics), anti-fungal medication (antimycotics) and by using local anesthetics and mouthwash. Food should be mashed, liquid and rich in vitamins. In some cases there is danger of an additional bacterial infection, as a result of an immune system crash, so antibiotics are prescribed.
Complications are rare, but still possible. That is why the child has to be brought to see a doctor or dentist who will know how to prescribe the right therapy.