Children tend to be normal until eruption of the
deciduous teeth, when deep necrotic periodontal or tonsillar ulcers with
surrounding inflammation, dental caries, halitosis, loose teeth, and
alveolar bone resorption begin to occur. Patients are rarely affected after
puberty. Managed with surgical debridement, extraction of affected teeth,
tonsillectomy, antibiotics, and meticulous oral hygiene. Except for
potential loss of all teeth and parts of the alveolar bone, the overall
prognosis in properly managed cases is good.