Name: MA. CHRISTINE NICOLE R.
PEREÑA
Year & Section: DMD 3C Date: OCTOBER 7, 2020 Grade:_____________
Common Fungal Infections in the Oral Cavity
Instructions:
Complete the table below by giving a complete description of the classification of Oral candidiasis.
CLINICAL PREDISPOSING DIAGNOSIS TREATMENT
CLASSIFICATION MANIFESTATION FACTORS
(picture)
ACUTE CANDIDIASIS
Acute extensive white Examine your topical anti-fungal
pseudomembranous pseudomembranes, mouth to look at drugs:
candidiasis (thrush) consisting of the lesions. Take a clotrimazole,
desquamated small scraping of miconazole, or
epithelial cells, the lesions to nystatin.
fibrin, examine under a most common
and fungal hyphae. microscope. If treatment is
These white needed, do a fluconazole.
patches occur on physical exam and
the surface of the certain blood tests
labial and buccal to identify any
mucosa, hard and possible
soft palate, tongue, underlying medical
periodontal condition that may
tissues, and be the cause of
oropharynx. oral thrush.
Acute atrophic burning sensation usually clinical. If antibiotic /
(erythematous) in the mouth or on the ætiology is steroid
candidiasis. the tongue. The unclear, culture medication,
tongue may be of Candida from antifungal drugs
bright red similar the saliva (using a such as nystatin,
to that seen with a swab or oral clotrimazole or
low serum B12, rinse), a smear for oral drugs such
low folate, and low fungal hyphæ or a as ketoconazole,
ferritin. blood test may be and fluconazole
helpful
management.
CHRONIC CANDIDIASIS
occurs on the occur on the systemic
Chronic buccal mucosa or buccal mucosa or antifungal such
hyperplastic lateral border of lateral borders of as fluconazole to
candidiasis the tongue as the tongue. This eliminate candidal
(candidal speckled or condition can overlay. Patients
leukoplakia) homogenous white progress to severe should avoid the
lesions. dysplasia or use of tobacco.
malignancy and is
sometimes referred
to as candidal
leukoplakia.
Denture induced characterized by Denture stomatitis clotrimazole or
candidiasis (chronic localized chronic is a clinical nystatin lozenges
atrophic erythema of tissues diagnosis based on and/or pastilles,
(erythematous) covered by the pattern of with the denture
candidiasis) dentures. Lesions redness and removed from the
usually occur on swelling following mouth, is
the palate and the shape of the recommended.
upper jaw but may area of denture The application of
also affect contact. antifungal agents
mandibular tissue. Microbiological (eg, nystatin
swabs from the powder or cream)
palate and/or on the tissue-
denture surface contacting surface
will confirm the of the denture is
presence of yeasts also
– C. albicans is the recommended.
most common
followed by C.
glabrata, C.
tropicalis and
others.
Median rhomboid a chronic your dentist will There are no
glossitis symmetrical area base upon its specific
on the tongue rather treatment, thus if
anterior to the characteristic there is pain or
circumvallate appearance. In burning sensation
papillae. It is made some cases, your it can be treated
up of atrophic dentist may by using an
filiform papillae. recommend antifungal
further testing to medication may
confirm the be prescribed to
diagnosis and rule kill the yeast and
out other thereby reduce
conditions. the symptoms.
Angular cheilitis (stomatitis)
Angular cheilitis an erythematous your doctor will Application of lip
(stomatitis) fissuring at one or examine your balm or thick
both corners of the mouth closely to emollient
mouth. associated look at any cracks, ointment, applied
with an intraoral redness, swelling, frequently.,
candidal infection. or blisters. It will Topical antifungal
Other organisms also ask you about cream, steroid
implicated are habits you might ointment,
staphylococci and have that could antiseptics and
streptococci. affect your lips. oral
antistaphylococcal
antibiotic
References:
https://www.cdc.gov/fungal/diseases/candidiasis/thrush/index.html
https://screening.iarc.fr/atlasoral_list.php?cat=F8&lang=1
https://www.nice.org.uk/bnf-uk-only#:~:text=Chronic%20hyperplastic%20candidiasis%20is%20treated,avoid%20the%20use%20of%20tobacco.
https://emedicine.medscape.com/article/1075994-treatment
https://www.aaom.com/index.php%3Foption%3Dcom_content%26view%3Darticle%26id%3D171:median-rhomboid-glossitis%26catid%3D22:patient-
condition-information%26Itemid%3D120#:~:text=A%3A%20In%20general%2C%20no%20treatment,and%20thereby%20reduce%20the%20symptoms.
