Primary Herpetic Gingivostomatitis (PHG)
Primary Herpetic Gingivostomatitis (PHG)expressed reaction at the initial stage-the first exposition of the face-the herpes simplex virus type 1 (HSV-1).
A. Characteristics Of Diseases
1. By the time individuals reach middle age, about 70% were infected with HSV-1.
a. In most cases, the virus causes no symptoms during this primary HSV-1 infection. This is known as subclinical-symptom free infection.
B. In some people, however, this initial infection presents with a very painful gingivitis and a few bubbles that are easy to break in the form of painful ulcers. This strong reaction to primary HSV-1 infection known as primary herpetic gingivostomatitis (Fig. 14-11).
c. Once infected, most people become immune to the virus. In some individuals, HSV-1 can remain hidden in the trigeminal ganglion and is responsible for current oral herpetic lesions of the skin (herpes).
2. The initial infection of HSV-1 usually affects young children-with increased morbidity from 1 to 3 years), but it can affect teenagers and adults.
a. Children with primary infection, 99% of whom have no symptoms, or symptoms related to teething.
B. The remaining 1% of the Development of the broad mouth, inflammation and ulceration of the lips and mucous membranes .
3. The infection is contagious during vesicular stage, as the virus is contained in expensive liquids in the bubbles. The virus can be easily spread through close personal contact.
4. PHG is associated with severe pain, which makes eating and drinking hard.
5. Associated symptoms PHG are headache, swollen lymph nodes, sore throat. Because this condition is a viral infection that can be subfebrile temperature, usually not exceeding 101 °F.
6. Regresses spontaneously within 10-20 days without scarring.
B. clinical manifestations PHG. PHG can appear anywhere on free or attached gingiva or in the mucosa of the alveolar ridge.
1. PHG is characterized by widespread inflammation and marginal attached gingiva.
2. Gums will demonstrate intensive gum inflammation and pain.
3. Small clusters of bubbles quickly flare up around the mouth.
4. Later, these bubbles burst, forming a yellowish ulcers that are surrounded by a red halo. Ulcers may occur on the lips, tongue, palate, buccal (Fig. 14-12).
5. Headache, fever, swollen lymph nodes, sore throat, usually present.