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Candidadiasis (Candidosis)
Dent 452
Dr Jumana Karasneh
Candidal carriage
40-60% of the population are “Candida carriers”
smokers
2
Host Defences
1. Oral Epithelium
2. Microbial interactions
3. Salivary non-immune defences
1. Mechanical cleansing
2. lysozyme
4. Immune defences
1. T cells & phagocytes
2. IgA
3
Predisposing factors
Over growth of Candida species due to:
Physiological factors
Local tissue trauma
Antibiotic therapy (How?)
Corticosteroid therapy (How?)
Malnutrition
Immune defects
Endocrine disorders
Malignancies
Salivary gland hypofunction
4
Symptoms
Asymptomatic
Nausea
5
Clinical Picture “Signs”
Hyperplastic
Pseudomembranous (Thrush)
Candidal Leukoplakia
6
Clinical Picture “Signs”
Erythematous
Denture-induced
7
Clinical Picture “Signs”
Atrophic
Chronic
Atrophic
hyperplastic
9
Clinical classification of Oral Candidosis
Primary oral candidosis Secondary oral candidosis
Acute Manifestation of systemic
Pseudomembranous mucocutanous candidosis
Erythematous
Chronic
Pseudomembranous
Erythematous
Hyperplastic
Candida-associated lesions
Denture induced stomatitis
Angular chelitis
Median rhomboid glossitis
10
Diagnosis
Clinical
Stained Smear
Biopsy
Heamatological tests
11
Diagnosis
Clinical
Stained Smear
Biopsy
Heamatological tests
12
Diagnosis
Clinical
Stained Smear
Other investigations:
Haematologic
Hormonal
13
Management
Removal of predisposing factors if possible
Avoid/reduce smoking
Therapy
Which one to
Systemic
choose?!
Topical
14
Topical therapy options
Nystatin cream
Chlorhexidine mouthwash
15
Systemic therapy options
16
Pseudomembranous
“Thrush”
Not common in healthy individuals
“disease of diseased”
Plaque is made of necrotic
material, haphae, desquamated
epithelial cells.
Should be differentiated from other
white lesions
Could extend to pharynx &
oesophagus
17
Erythematous Candidosis
Could be acute or chronic
Predisposing factors:
Smoking
Fe & folate
Defective cell-mediated
immunity
Blood group secretory status
Smoking
20
Candida-associated
denture induced stomatitis
21
Candida-associated
angular chelitis
Soreness, erythema,
cracking & crusting.
Treatment
Candida reservoir
should be eliminated
Correct predisposing
factors
22
Candida-associated
Median rhomboid glossitis
Lecture:
Tyldesley’s oral medicine chapter 4
Essentials of Oral medicine chapter 18
25