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It is a fungal infection of the mouth caused by a bug called candida albicans. It is a normal oral commensal in 50% of the population
Predisposing factors:
Local
- dry mouth from drugs or radiotherapy
- antibiotics
- steroids eg asthma inhalers
- smoking
- dentures
Systemic
- diabetes especially poorly controlled
- old age and babies
- nutritional deficiencies eg: folic acid, viatmine B12, iron
- immune suppressing medications eg: steroids, chemotherapy medications
- immune deficiencies eg: HIV, hereditary
Management
- It is VITAL to consider above mentioned reasons and correct them
- rinse and gargle after the use of oral steroid inhalers
- simple yoghurt rinses which carries the alkaline medium to discourage the growth of the fungal organisms
- topical antifungals eg: nystatin suspensions/ pastilles or amphptericin lozanges
- micanazole gel can be applied to the fitting surface of the denture, keep the denture out at night and soak the dentures in milton`s solution
- oral antifungal medications eg: flucanazole for resistant cases
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