Herpetic stomatitis, commonly known as oral herpes, is a viral infection caused by the herpes simplex virus (HSV). It typically manifests as painful sores or lesions on the lips, mouth, or gums. Herpetic stomatitis is highly contagious and can be transmitted through direct contact with active lesions or through saliva, making it a common oral health concern.

Here are some key points about herpetic stomatitis:

1. Etiology: Herpetic stomatitis is caused by infection with the herpes simplex virus (HSV). HSV-1 is the primary cause of oral herpes, although HSV-2 can also cause oral lesions, particularly through oral-genital contact. After the initial infection, the virus can remain dormant in nerve cells and reactivate periodically, causing recurrent episodes of herpetic stomatitis.
2. Clinical Presentation: Herpetic stomatitis typically presents with the following signs and symptoms:

• Painful, fluid-filled blisters or ulcers on the lips, mouth, gums, tongue, or throat.
• Itching, burning, or tingling sensations (prodrome) in the affected area before the appearance of lesions.
• Swelling, redness, and inflammation of the oral mucosa (gingiva, buccal mucosa).
• Fever, malaise, headache, and swollen lymph nodes in severe cases or during primary infections.

1. Diagnosis: Diagnosis of herpetic stomatitis is usually based on clinical examination and history of characteristic symptoms. Laboratory tests such as viral culture, polymerase chain reaction (PCR), or serological assays may be performed to confirm the presence of HSV and differentiate between HSV-1 and HSV-2 infections.
2. Treatment: Treatment of herpetic stomatitis aims to relieve symptoms, promote healing, and reduce the frequency and severity of recurrent outbreaks. Management options may include:

• Antiviral medications such as acyclovir, valacyclovir, or famciclovir, which can help shorten the duration of lesions and reduce viral shedding.
• Topical agents such as acyclovir ointment or docosanol cream to alleviate pain and promote healing of oral lesions.
• Oral analgesics (pain relievers) and antipyretics (fever reducers) to alleviate discomfort and fever associated with herpetic stomatitis.
• Oral hygiene practices to maintain oral cleanliness and prevent secondary bacterial infections of the lesions.

1. Prevention: Prevention of herpetic stomatitis involves avoiding close contact with individuals who have active oral herpes lesions, practicing good hand hygiene, and avoiding behaviors that can trigger herpes outbreaks, such as stress, fatigue, and exposure to UV radiation. Use of barrier protection (e.g., condoms or dental dams) during oral-genital contact can help reduce the risk of transmission of HSV-1 or HSV-2.

In summary, herpetic stomatitis is a viral infection caused by the herpes simplex virus, characterized by painful oral lesions and associated symptoms. Prompt diagnosis and appropriate management with antiviral medications and supportive care measures can help alleviate symptoms and promote healing in individuals with herpetic stomatitis.