OD 38 - Oral candiosis

Question 1

What are the two forms of candida?

Answer 1

Hyphae and yeast

Question 2

Who is more susceptible for increased oral candida?

Answer 2

Immunocompromised or immunosuppressed pt.s

Question 3

What is the main type of candida found in the mouth?

Answer 3

Candida albicans

Question 4

What is erythematous candidiasis and when is it seen?

Answer 4

Most common
Seen in post abx use 
Looks like red tongue
Red spots/patches on palate 
May cause burning sensation

Question 5

What is pseudomembranous candidiasis and when is it seen?

Answer 5

Most common in immunosuppressed
Yellow/white plaques (like curdled milk)
Affecting mucosal surface

Question 6

What is hyperplastic candidiasis and when is it seen?

Answer 6

Rare
Seen in heavy smokers
White plaque infiltrated by candida hyphae
On commissures of oral mucosa

Question 7

What are the 3 graders of denture induced stomatitis?

Answer 7

1 - localised erythema
2 - generalised erythema of most/all of denture bearing area
3 - palatal papillary hyperplasia

Question 8

What is angular chelitis?

Answer 8

Symmetrical erythematous fissures on skin of commissures

Question 9

What causes angular chelitis?

Answer 9

Candida albicans

Staph aureus +/- streptococci

Question 10

How is oral candida diagnosed?

Answer 10

History 
Clinical exam
Direct smear - not really used due to commensal candida in the mouth 
Culture 
Biopsy