Angular Stomatitis


Angular stomatitis is typically caused by leakage of candida-infected saliva of the angles of the mouth. It can be seen in infentile thrush, in denture wearers or in association with ch. hyperplastic candidosis. It is a characteristic sign of candidal infection.

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.