Oral candida

Question 1

What is the management of oral candida

Answer 1

• toothbrush and gauze to clean palate
• use of corsodyl moutwash short term
• denture hygiene
• encourage denture removal at night
• may require new denture

Question 2

Why should a patient clean their palate with a toothbrush

Answer 2

• Candida is a biofilm and so mechanical disruption is important

Question 3

What should be given if local management fails

Answer 3

-micanolazole (oromucosal topical gel)

or

• systemic fluconazole
• nystatin (topical) [useful if pt is on warfarin or statins]

Question 4

Who should miconazole and fluconazole not be prescribed to

Answer 4

warfarin px

statin px

Question 5

What are local risk factors for candida infection

Answer 5

• AB use
• Dentures
• Local corticosteroid use
• Xerostomia

Question 6

Can a warfarin/statin px be prescribed topical miconazole

Answer 6

no

Question 7

What are general risk factors for candida infecitons

Answer 7

• Drugs
• Extremes of age
• Endocrine conditions
• Immunodeficiency
• Nutritional deficiency
• Smoking

Question 8

What is angular cheilitis often found concurrent with?

Answer 8

Denture stomatitis

Question 9

If a pt has angular cheilitis and no dentures, what is often the nature of this infection?

Answer 9

Bacterial

Question 10

Tx for angular cheilitis of fungal nature?

Answer 10

Miconazole topical cream

Question 11

Tx of angular cheilitis of bacterial nature?

Answer 11

Sodium fusidate ointment (only give for 10 days to prevent resistance)