Adult Oral Thrush

• Improve oral hygiene
• Rinse mouth with water after using inhaler
• Stop smoking
• Topical Miconazole Gel or Nystatin if contraindicated
• Systemic antifungals for severe infections, Fluconazole
• More common in denture patients, Chronic atrophic candidosis
• Remove dentures at night
• Cleanse dentures before and after placement
• Reduce sugar intake
• Fungal infection of the mouth, Candida
• Risk Factors : Immunocompromised, Broad spec antibiotics, Poor mouth care, dentures, smokers and asthmatics
• Symptoms : Discomfort eating, burning sensation, bad taste, white patches, can be symptomless
• White creamy plaque with red oral mucosa, the plaques can wipe of leaving raw undersurface
• Can be on tongue, roof or throat
• Management:

  • Improve oral hygiene
  • Rinse mouth after steroid inhaler
  • Quit smoking
• Topical antifungals - miconazole or nystatin
• Systemic fluconazole for severe infections
• Topical medicine will be swirled around the mouth and then swallow
• Denture stomatits management:

  • Removing dentures at night
  • Cleansing thoroughly before and after placement
  • Reduce sugar intake
• Miconazole or nystatin gel apply to fitting surface before insertion or systemic fluconazole in severe cases
• New dentures recommended if recurrent and good practical measures