Acute necrotizing ulcerative gingivitis (ANUG) ("trench mouth", Vincent's angina)
- Frequently seen in HIV patients.
- Oxygenating agents such as hydrogen peroxide or sodium perborate (Amosan®) may be used as adjunctive therapy.
First line therapy
Personal plaque/calculus control and professional debridement essential.
Systemic symptoms +/- unresponsive to above
NB: Antibiotic use should be reserved for patients showing systemic signs and symptoms.
| Empiric Therapy | Dose/Duration |
|---|---|
| Metronidazole | 500mg PO bid x 7 days |
Metronidazole allergy or intolerance
| Empiric Therapy | Dose/Duration |
|---|---|
| Clindamycin | 150-300mg PO qid x 7 days |