Diagnosis and management of oral candidosis

Key Points

  • Discusses the isolation and identification of Candida species within the mouth to enable the diagnosis of different forms of oral candidosis.

  • Highlights the pathogenicity of Candida species and the aetiology of oral candidosis.in brief Provides an overview of the clinical management of oral candidosis.

  • Provides an overview of the clinical management of oral candidosis.

Abstract

Candida is a fungus (yeast) that is generally regarded as a normal and harmless member of the oral microbiome in humans. Should host defences against these commensals be compromised in any way then Candida can cause clinical signs and symptoms, which manifest as distinct forms of oral candidosis (candidiasis). Candida albicans is the most frequently isolated candidal species from the oral cavity, although a range of non-C. albicans Candida species are being increasingly encountered. The basic principle of the management of candidosis is to identify and eliminate any underlying host predisposing factor. However, in many cases, antifungal therapy will also be required as part of initial management. This article will provide an overview of the isolation, identification and pathogenicity of Candida species encountered within the mouth and relate these to clinical management of oral candidosis.

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Correspondence to M. A. O. Lewis.

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Lewis, M., Williams, D. Diagnosis and management of oral candidosis. Br Dent J 223, 675–681 (2017). https://doi.org/10.1038/sj.bdj.2017.886

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