Gingivostomatitis is common among children. It may occur after infection with the herpes simplex virus type 1 (HSV-1), which also causes cold sores.
The condition may also occur after infection with a coxsackie virus.
It may occur in people with poor oral hygiene.
Gingivostomatitis is an infection of the mouth and gums that leads to swelling and sores. It may be due to a virus or bacteria.
Your health care provider will check your mouth for small ulcers. These sores are similar to mouth ulcers caused by other conditions. Cough, fever, or muscle aches may indicate other conditions.
Most of the time, no special tests are needed to diagnose gingivostomatitis. However, the provider may take a small piece of tissue from the sore to check for a viral or bacterial infection. This is called a culture. A biopsy may be done to rule out other types of mouth ulcers.
Gingivostomatitis infections range from mild to severe and painful. The sores often get better in 2 or 3 weeks with or without treatment. Treatment may reduce discomfort and speed healing.
Gingivostomatitis may disguise other, more serious mouth ulcers.
The symptoms can be mild or severe and may include:
The goal of treatment is to reduce symptoms.
Things you can do at home include:
You may need to take antibiotics.
You may need to have the infected tissue removed by the dentist (called debridement).
Call your provider if:
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Romero JR, Modlin JF. Coxsackieviruses, echoviruses, and numbered enteroviruses (EV-D68). In: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases, Updated Edition. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015:chap 174.
Schiffer JT, Corey L. Herpes simplex virus. In: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases, Updated Edition. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015:chap 138.
Review Date: 2/23/2017
Reviewed By: Josef Shargorodsky, MD, MPH, Johns Hopkins University School of Medicine, Baltimore, MD. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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