How Effective Is Metronidazole for Trichomoniasis?

Oral trichomoniasis, also known as oral piriformis, has a trophozoite without encapsulation period. It is parasitic in the mouth, tartar, and broken caries. Through direct contact between people, droplets and trophozoites contaminate food or food And spread.

Basic Information

nickname
Oral piriformis
Visiting department
Stomatology, Infectious Diseases
Common causes
Associated with gingivitis, periodontitis, simple dental caries, pericoronitis, etc.
Common symptoms
Swelling of the submandibular glands, bronchitis and lung infections
Contagious
Have
way for spreading
Spread through direct human-to-human contact, droplets and contaminated food or utensils

Causes of oral trichomoniasis

Oral Trichomonas [trichomonas tenax (muller, 1773)] is a pear-shaped flagellate that parasitizes the oral cavity. It only has a trophozoite phase and has an average body length of 6-10 m. It has 4 anterior flagella and 1 posterior flagella without free ends. The edge has a rhythmic wave film, which is slightly longer than Trichomonas vaginalis. Breeding in longitudinal division. The worms settle in the pits of tartar and dental caries, and they are oral commensal protozoa.
According to literature data, it is believed to be related to gingivitis, periodontitis, simple dental caries, and perineal inflammation. There have been reports of respiratory infections and tonsil pits in this worm. Experimental diagnosis can be made by gingival swabs as a normal saline smear microscope or culture. The trophozoite is more resistant to the external environment and can survive for 3 to 6 days at room temperature. It can be indirectly transmitted by droplets or contaminated food and tableware. No treatment is required. Oral hygiene is usually followed, and the worms can be removed. The worm is widely distributed and has been reported around the world.

Clinical manifestations of oral trichomoniasis

The worm body can release lysosomal enzymes, which can make mucosal epithelial cells degeneration and necrosis. Oral trichomoniasis can also parasitize the submandibular glands, causing swelling of the submandibular glands, and can also cause bronchitis and lung infections.

Oral trichomoniasis

Etiology diagnosis can take the attachment or exudate such as gingival space, interdental space, tartar and caries surface as a normal saline smear. Noguchi-Ohira ascites medium, Loche solution, Loche-egg-serum medium, Rock Serum culture medium and normal saline for culture observation. With the development of molecular biology, nucleic acid diagnosis has also made progress. The use of PCR technology can expand three different clones of the EF-la and EF-2 amino acid coding region DNA of the worm in parallel sequencing.

Oral trichomoniasis treatment

Metronidazole has a good effect in the treatment of oral trichomoniasis. Maintaining oral hygiene is an effective way to prevent infection.

Oral trichomoniasis prevention

The only effective measure to prevent this disease is to maintain good oral hygiene and actively treat oral diseases such as dental caries, gingivitis and periodontitis.

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