“…The primary infection occurs usually between 1 and 5 years of age after maternal antibodies have disappeared.1 Although estimated to produce clinical disease only 1% to 10% of the time,1 the primary disease has a spectrum of symptoms ranging from minimal sore throat to high fever, toxicity, pronounced discomfort, and even death from disseminated disease in neonates. 2,3 Acute herpetic gingivostomatitis, the most common form of the primary disease, is characterized by swollen gingiva, with red, bleeding edges. Multiple vesicles may form anywhere within the mouth and soon collapses, resulting in multiple small ulcers with red edges.…”