Treatment:
It is essential to eradicate any reservoir of cronic indection within
the oral cavity, whether or not intra-oral infection is clinically apprarent.
Either lowed to dissolve in the mouth four times daily for 4 weeks, is
a traditional treatment.
If erythematous candidosis
is present, then the patient should apply an antifungal cream to to the
fitting surfaces of the denture four times a day. Candida colonise the
acrylic of intra-oral appliances and it is therefore essential that the
patient also removes theirdentures at night and places in a dilute hypochlorite
solution. However,Soaking the dentures in hypochlorite should be limited
to 1-2 weeks, since prolongedexposure is likely to result in in bleaching
of the acrylic. A chlorhexidine solution should be used if the dentures
have a chrome-cobalt component, since hypochlorite will discolour the
metal.
If angular cheilities
persists in a patient who reports full complaince with therapy, then the
presence of an underlying systemic disease should be considered.
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