This is the oral photograph of a 72-year old lady who is wearing upper and lower full dentures. She had come to me more than four months ago with the complaint of burning mouth while eating anything. When she took out the dentures, the whole area under her upper denture was bright red – my provisional diagnosis was fungal infection.
Fungal infection ? — how to explain it to you….okay, all of us have experienced those rashes on the inner sides of our thighs at some point of our life. You see that is fungal infection for which we apply some anti-fungal ointment for just 2-3 days and it is gone. Right. And of course, we are told to always prevent moisture in the area by using a dry towel and be much more particular with our personal hygiene. And it works almost always, isn’t it?
You see this lady is having fungal infection in the oral cavity. Such infection in the mouth is encouraged by the moist area under the dentures. But it is not that common –it is seen sometimes in patients wearing dentures.
In cases where there is something wrong with the overall general well-being of a person, these lesions come up. For example, diabetics who are wearing dentures are prone to develop such fungal infection. This lady also is not sure about her diabetic status – although her papers show that she has been taking anti-diabetic tablets. However, she says she is not sure!
Anyhow, when she had come to me a few months back, she was feeling quite frustrated and had already tried a lot of oral ointments, gels and drops etc and somebody had told her that it could be Cancer. I prescribed her a anti-fungal mouth paint ( no harm in sharing its name with you – Candid Mouth Paint) and within a week she was perfectly fine – no reddish areas and she was eating normally.
She again came to me two days ago —with again reddish areas but this times with lesser severity. One thing I would like to share with you is such conditions are notorious for their recurrence. In this picture you can see a complete band of red area at the back side of this palate and in the other photograph you can see that reddish, bit ulcerated band extending in the area on the inner side of her left cheek. This time even her right cheek inner side is not affected. And she is again feeling bit discomfort while taking meals.
Management is simple – she has been again advised to use Candid Mouth Paint 3-4 times a day for a few days and she would be alright. Further she has been advised to take nutritious diet which must contain sprouted grains and pulses , green leafy vegs and fruits – after what the stuff which is good for our general well-being is great for our mouth also —means it strengthens the oral tissues so that they resist any infection —bacterial, fungal, viral ..whatever!
She was so relieved while going out of my office. Wish her a speedy healing !