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erythematous candidiasis new.pptx

  1. z Erythematous candidiasis Govind deo kumar 4th year (BDS)
  2. z Erythematous Candidiasis  The erythematous form of candidiasis was previously referred to as atrophic oral candidiasis.  An erythematous surface may not just reflect atrophy but can also be explained by increased vascularization.  The lesion has a diffuse border which differentiates it from erythroplakia which usually has a demarcation And often appear as slightly submerged lesion.  It is mainly of two types acute & chronic
  3. z Etiology  The local prediposing factors are  Smoking  Denture wearing  Topical steroids  Atopic constitution  Imbalance of oral microflora
  4. z  General predisposing factors are  Immunosuppressive diseases  Immunosuppresive drugs  Endocrine disorder  Heamtrinic deficiencies
  5. z Clinical features 1 . This type of candidiasis is usually found on the dorsal surface of the tongue or on the palate. 2. It is most frequently related to wearing of denture. 3. Patient complains of burning sensation . 4. Clinically., it is manifested as a painful localized erythematous area and there is central papillary atrophy of the tongue 5. It is the only form of candidiasis associated with pain. 6. The lesions appear red (thus termed as red lesion) and sometimes ulcerated.
  6. z Case Report  A 62 year old male patient reported to the department with the chief complaint of pain and redness in the upper arch while wearing his denture since 1-2 years and therefore he came to make a new denture. History of present illlnes : A 62 year old male patient reported to the department with the chief complaint of pain and redness in the upper arch . Pain is dull and radiating in nature . Pain is also recurrent in nature and patient feels pain only upon wearing the denture. He is wearing his current denture since 2-3 years
  7. z  The patient did not have any medical history and drug history and no history of hospitalization is reported.  Past dental history : This is patient’s 3 rd visit to a dental hospital. He made his upper maxillary denture in a dental clinic in dehradun since 2-3 years back.
  8. z Periodontal and dentition examination On periodontal examinationthe color of gingiva is reddish pink with generalised melanin pigmentation and the position is apical to CEJ w.r.t 43,44,45,33,36 and the contour is bulbous generalised and consistency was edematous generalised Bleeding on probing was present w. r. t 43,44,45,33,36 and exudation was absent. All upper maxillary teeth were absent and in the mandibular arch 43,44,45,33 and 36 were present. Occlusal caries was present w.r.t 36 and 37
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  10. z Intra oral examination  On inspection red coloured nodular mucosa was present in the central part of the hard and soft palate and on the ridge and the shape of the lesion is irregular with well defined margins. The extensions of the lesion is at the junction of hard and soft palate. The surface of lesion is rough and the surrounding areas are reddish with no bleeding  On palpation there was no tenderness and the consistency was edematous with smooth texture and is fixed to the surrounding and it was nonn compressible  The plane and depth of the lesion is superficial.
  11. z Final diagnosis  Chronic generalised marginal and pappilary gingivits  Occlusal caries w.r.t 36,37  Speckled leukoplakia  Chronic erythematous candidiasis
  12. z Treatment plan  Emergency treatment : not required  Phase 1 Non surgical : Scaling and polishing is advised  Phase 2 Surgical phase : not required  Phase 3 : Restorative phase : Gic restoration w.r.t 36,37  Phase 4 : Maintenance phase : patient is advised not to wear his current denture till he gets a new one.  Patient is advised for tobbaco cessation counselling and is advised to do proper brushing and cleaning of tongue to eliminate the debris 2 times a day .
  13. z Prescription  Rx Cap. Fluconazole 50-100 mg 1 cap daily (3-4 weeks)  Candid mouthwash for topical application 3 times a day after meals