ACUTE HERPETIC

GINGIVOSTOMATITI
S

PRESENTED BY –2017-95
CONTENTS

• INTRODUCTION
• ETIOLOGY
• SYMPTOMS
• DIAGNOSIS
• TREATMENT
• CASE PICTURES
 INTRODUCTION

• Acute (primary) herpetic gingivostomatitis  (AHGS) is the 

 most common form of HSV-1 infection in
 the oral cavity. These infections are reported mostly
 in children, usually localized and asymptomatic.
 CONTD...

• Dentists have an advantage compared to 

  other professionals in diagnosing the disease because of 
  lesions in the oral cavity are the main symptom that
  affects the patient, therefore dentists often become
  the first health practitioners to be visited by the patient
 ETIOLOGY

• Herpes simplex virus type 1 or otherwise called as HSV-1. 

• The virus is transmitted sexually (via sexual intercourse)
• Via contact of saliva of the infected person 
• Through open lesions or non-living things. 
• In addition to that, it is known to cause blisters which are painful and ulcers in the
person’s skin that surrounds the mouth area. People who suffer from this disease are
Children  2-4 years of age commonly.
SYMPTOMS

• Mouth blisters
• Lesions on either the tongue or mouth
• Ulcers in the mouth
• Pain in tongue or mouth
CONTD...

• Swelling of the lips

• Dysphagia 
• Neck’s glands are swollen
• Soreness of the person’s throat
DIAGNOSIS

Normally, the person does not undergo test to be diagnosed with Herpetic
Gingivostomatitis. Only physical examination and medical history may be required.
Yet, some doctors would go about doing examinations such as

   Tzanck smear
   Biopsy Exam
• Viral Culture Exams which may be collected via fluid of the sore areas
TREATMENT

• Most often, the persons who are diagnosed with this disease do not require treatment for this
condition it will self heal in approximately 4-6 days. Yet, if the condition does not resolve after
that, the person is prescribed with the following treatment :
• Oral Anesthetics such as: Anbesol, Chloraseptic, Cepacol, Orajel
• NSAIDs or Nonsteroidal Anti-Inflammatory Medications which is used to manage painl like
Ibuprofen
• Antibiotics which also cleans the blisters
• Hydrogen Peroxide which is used for cleansing the blisters
• Antiviral medications such as: Penciclovir, Famciclovir, Acyclovir
CONTD...

• The goal of these medications is reduction of the symptoms .

• Apart from this the person has to practice good hygiene by brushing daily.
•  Also, it is encouraged that the person consumes a diet that is highly nutritious and well
balanced. It is suggested that the person eats bland, soft, non-spicy food to reduce any
eating discomfort.
• Using a 0.2% chlorhexidine gluconate mouthwash twice daily. Patient is also instructed to
limit direct contact with people around to prevent transmission.
SYSTEMIC THERAPY

• Pentoxifylline dapsone
• Thalidomide
• Short bursts of systemic steroids are found useful
CASE PICTURES
  THANKYOU