Herpetic Gingivostomatitis
“Magic mouthwash” or other oral therapies, including topical anesthetics are not routinely recommended and may have toxicity from central absorption. Hopper et al. demonstrated that topical 2% lidocaine offered no benefit over placebo gel in improving oral intake - Brad Sobolewski MD
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HWN Suggests
Briefs: Gingivostomatitis
According to Kolokotronis et al. it is the most common primary herpes virus infection in children...
Primary herpetic gingivostomatitis patients have ulcerative lesions of the gingiva and mucous membranes. The peak age range is 6 months to 5 years and effects both boys and girls. Children can be exposed to symptomatic or asymptomatic individuals through contact with oral secretions and then exhibit symptoms one week later.
Children with primary gingivostomatitis may shed HSV for 1-3+ weeks. They may have intermittent, and undetected, asymptomatic shedding throughout life because the virus hides in the trigeminal ganglion.
After the initial 4 day-ish prodrome that…
Resources
Easy-to-apply relief for painful gingivostomatitis
We’ve all seen kids with gingivostomatitis. Their mouths hurt and they’re absolutely miserable. The standard topical treatments, such as viscous lidocaine, magic mouthwash and the like, can taste bad and be difficult to administer. Here’s one alternative therapy that will sometimes work. (1) Have the parents take a standard children’s liquid benadryl preparation and put it in a small spray bottle. (2) Have them give the lesions two squirts every six hours. This simple fix can produce some nice topical numbing of the ulcers in a way that’s easy to administer.
HSV Gingivostomatitis
Primary Herpes simplex virus (HSV) infection in children is usually asymptomatic or non-specific. Herpetic gingivostomatitis is the most common specific clinical manifestation, occurring in 15-30% of cases.
Herpetic Whitlow – Don’t Cut It!
Often associated with the following: In children – Primary gingivostomatitis and autoinoculation, or trauma...
Parent Info: Herpes simplex gingivostomatitis
Encourage your child to drink plenty of fluids to avoid dehydration. The only medications that should be used are pain relievers.
Briefs: Gingivostomatitis
According to Kolokotronis et al. it is the most common primary herpes virus infection in children.
ScienceDirect
Oral signs of acute herpetic gingivostomatitis include soreness of the oral mucosa, with formation of small vesicles that rapidly burst producing ulcers surrounded by a bright red halo.
StatPearls
Herpetic gingivostomatitis is a manifestation of herpes simplex virus type 1 (HSV-1) and is characterized by high-grade fever and painful oral lesions. While herpetic gingivostomatitis is the most common cause of gingivostomatitis in children before the age of 5, it can also occur in adults.
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