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The goals of treatment are cure of the infection and relief of symptoms. Your health care provider may prescribe antibiotics if you have a fever.
Good oral hygiene is vital to the treatment of trench mouth. Thorough tooth brushing and flossing must be performed as often as possible, at least twice a day and preferably after each meal and at bedtime. Salt water rinses (one-half teaspoon of salt in one cup of water) may be soothing to sore gums. Hydrogen peroxide, used to rinse or irrigate the gums, is often recommended to remove decayed gum tissue.
Over-the-counter pain relievers (analgesics) may be used to reduce discomfort. Soothing rinses or coating agents may reduce pain, especially prior to eating. Viscous lidocaine may be used for severe pain.
You may be asked to visit a dentist or dental hygienist to have your teeth professionally cleaned, with thorough plaque removal, once your gums feel less tender. Dental cleaning and examination may be recommended on a regular, frequent basis until the disorder is cleared.
You may be given instructions regarding methods to stop smoking, reduce stress, mantain good oral hygiene, or other steps to prevent this condition from recurring. You may also be advised on how to maintain good general health, including proper nutrition and rest balanced with exercise.
Irritants must be avoided, including smoking and hot or spicy foods.
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