Understanding Oral Thrush

A Patient's Guide to Candidal Infections of the Mouth

General Dentistry

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Last updated: Mar 24, 2025

What is Oral Thrush?

Oral thrush (oral candidiasis) is a fungal infection caused by Candida albicans that develops on the mucous membranes of the mouth.

Common Symptoms

  • White, creamy lesions on tongue, inner cheeks, and roof of mouth
  • Slightly raised lesions resembling cottage cheese
  • Redness and soreness inside the mouth
  • Loss of taste
  • Difficulty swallowing
  • Cracking at corners of mouth

Risk Factors

  • Weakened immune system
  • Diabetes
  • Antibiotic use
  • Denture wear
  • Corticosteroid use (including inhalers)
  • Young age (infants) or advanced age
  • Poor oral hygiene

Treatment Options

Antifungal Medications

  • Nystatin (oral suspension or tablets)
  • Fluconazole (for severe cases)
  • Clotrimazole troches

Supportive Care

  • Good oral hygiene
  • Salt water rinses
  • Regular dental check-ups
  • Proper denture care if applicable

Prevention

  1. Maintain good oral hygiene
  2. Rinse mouth after using corticosteroid inhalers
  3. Control blood sugar if diabetic
  4. Clean dentures properly
  5. Quit smoking

When to See a Doctor

Seek medical attention if:

  • Symptoms persist over 2 weeks
  • Difficulty swallowing or eating
  • Fever develops
  • You have a weakened immune system

Complications

If left untreated, oral thrush can:

  • Spread to esophagus
  • Cause difficulty eating
  • Lead to poor nutrition
  • Affect overall health in immunocompromised patients

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