Oral Candidosis

From Volume 28, Issue 3, April 2001 | Pages 132-139

Authors

Grant T. McIntyre

BDS, FDS RCPS (Glasg.), MOrth RCS(Edin.), PhD, FDS(Orth.) RCPS(Glasg.)

Dundee Dental Hospital

Articles by Grant T. McIntyre

Abstract

Oral candidoses are frequently encountered in the practice of dentistry. Although most oral candidoses are symptomless, they can indicate the presence of an underlying systemic disease, and the persistence of oral candidosis following appropriate conventional management may be one of the first signs of undiagnosed immunosuppression. The opportunistic pathogen Candida albicans is the most commonly isolated species from oral candidal lesions; however, the non-albicans Candida spp. are also implicated in the aetiology of oral candidoses. The effective management of oral candidosis is dependent on an accurate diagnosis, identification and elimination of any predisposing factors (where possible), and the prescription of either topical or systemic antifungal agents. Oral candidosis may have significant implications for the general health of immunosuppressed patients, particularly when caused by the non-albicans spp. and, in cases of severe immunosuppression, systemic candidosis can be life-threatening. This article outlines the clinical presentation and appropriate management for the commonly presenting oral candidal conditions.

Article