Gerald S. Fine, D.D.S.

   Oral and Maxillofacial Surgery

Brookline Office
Tel: 617-731-6060

Our commitment is to provide you the highest standard of oral and maxillofacial surgery in a professional manner.

Diagnosis of Oral Candidiasis and Its Ramifications

A few weeks ago a young female patient was referred to my office for evaluation of a soft, white lesion located on the hard palate which wiped of easily, leaving a bleeding surface. A diagnosis of Candidiasis was easily made; but its significance in today's climate deserves review.

Oral Candidiasis is a common opportunistic infection that manifests in a variety of forms. It is also recognized as one of the earliest manifestations of human immunodeficiency virus (HIV) infection. Candidial infection has assumed a renewed importance with the advent of the acquired immunodefieciency syndrome (AIDS) epidemic since at least half the individuals infected with human immunodeficiency virus (HIV) develop oral candidiasis.

Oral Candidiasis is a common condition. Whenever it is diagnosed, the presence of any local or systemic predisposing conditions should be indentified. Candidiasis may occur in immunocompetent individuals in relationship to the use of antibiotic or corticosteroid therapy, but it is especially important to exclude states such as drug therapy, hematological malignancy or HIV infection.

The most common locations for candidiasis are the palate and dorsum of the tongue, although any area of mucosa can be involved. Pteints who have the HIV infection might present with multiple oral sites as well as angular cheilitis.

Oral Candidiasis is now recognized as one of the earliest manifestations of HIV infection and, therefore, all health workers should be aware of the presenting features of candidal infection in the mouth. Confirmation of your clinical diagnosis can be obtained by obtaining a scrapping and fixing it in a glass slide.

‍Gerald S. Fine, D.D.S.
Practice limited to oral & maxillofacial surgery‍