Question

59 yo F is evaluated for a follow up visit for mouth pain of 2 years duration. Her mouth pain was previously localized to the tongue and floor of the mouth.Most appropriate management?

Answer 1

The most appropriate management for a 59-year-old female with localized mouth pain is to evaluate and treat for a condition called trench mouth or acute necrotizing ulcerative gingivitis. Treatment options may include cleaning, pain medication, and antibiotics.

Step-by-step explanation:

The most appropriate management for the 59-year-old female with mouth pain localized to the tongue and floor of the mouth for 2 years is to evaluate and treat for a condition called “trench mouth” or acute necrotizing ulcerative gingivitis. Trench mouth is characterized by erosion of the gums, ulcers, substantial pain with chewing, and halitosis. It is commonly caused by certain bacteria such as Prevotella intermedia, Fusobacterium species, and Treponema vicentii. Treatment options may include cleaning, pain medication, and antibiotics such as amoxicillin or clindamycin.