Overview
Treponema vincentii is a spirochete that can cause ulcerative conditions, often in conjunction with other bacteria. Vincent's angina, also known as trench mouth, is a specific manifestation characterized by painful ulceration of the gums and throat.Diagnosis
Diagnosis is typically based on clinical presentation, including characteristic ulceration and associated symptoms 1.
Microscopic examination of a smear from the ulcer base may reveal the presence of Treponema vincentii* and other fusiform bacteria 1.Management
Treatment involves antimicrobial therapy, often with penicillin or metronidazole 1.
Good oral hygiene, including regular brushing and flossing, is crucial 1.
Antiseptic mouthwashes may be recommended 1.Key Recommendations
Antimicrobial therapy, such as penicillin or metronidazole, is recommended for the treatment of ulcers caused by Treponema vincentii 1. (Evidence: Expert opinion)
Emphasis on meticulous oral hygiene, including brushing and flossing, is a cornerstone of management 1. (Evidence: Expert opinion)
The use of antiseptic mouthwashes can be a beneficial adjunctive measure 1. (Evidence: Expert opinion)References
1 Valesky EM, Hach-Wunderle V, Protz K, Zeiner KN, Erfurt-Berge C, Goedecke F et al.. Diagnosis and treatment of venous leg ulcers: S2k Guideline of the German Society of Phlebology and Lymphology (DGPL) e.V. Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG 2024. link