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Gingivostomatitis: Wikis


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Classification and external resources
ICD-9 054.2, 523.10

Gingivostomatitis is similar to cold sores which are caused by the Herpes Simplex Virus 1. It is a combination of gingivitis and stomatitis.



Gingivostomatitis (also known as primary herpetic gingivostomatitis) generally affects children under the age of three and young adults. There are prodromal symptoms (fever, malaise, irritability, headache, vomiting, lymphadenopathy) 1-2 days prior to local lesions. Then small, yellowish vesicles form, which rupture quickly, resulting in shallow, round, discrete ulcers with erythematous halo. It affects both the free and attached mucosa. A generalized marginal gingivitis may precede the ulcers.

In addition, chronic elemental mercury poisoning can manifest with gingivostomatitis, in addition to neurologic (tremor, paresthesias) and psychiatric (forgetfulness, mood disturbances) symptoms.


The symptoms can be mild or severe and may include:

  • Sores on the inside of the cheeks or gums
  • Fever
  • General discomfort, uneasiness, or ill feeling
  • Very sore mouth with no desire to eat
  • Bad breath


Treatment includes fluid intake, good oral hygiene and gentle debridement of the mouth. In healthy individuals the lesions heal spontaneously in 7-14 days without scar.

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