June 06, 2023

Prescribing Antifungals as a GDP – Diagnosis and Management – PDP151

45 minutes

Download our Prescribing Antifungals for Dentists Cheat Sheet!

Miconazole? Nystatin? Amphotericin B? What dose?

When should you refer, and to who?

How often do we prescribe antifungals as a GDP? I always need to brush up on the guidelines and best management of oral fungal infections whenever I make a diagnosis – which is why brought on Oral Medicine Specialist Dr. Amanda Phoon Nguyen to make diagnosing and managing oral fungal infections less painful!

Dr. Phoon Nguyen shared her experience and insights into diagnosing and treating oral fungal infections. Here’s a glimpse of what we covered:

Primary Oral Candidosis:

Explore the three types: pseudomembranous candidosis, chronic hyperplastic candidosis, and erythematous candidosis.

Learn how to identify each type and when further investigation may be necessary.

Candida-Associated Lesions:

Understand the different candida-associated lesions, including denture stomatitis, angular cheilitis, median rhomboid glossitis, and linear gingival erythema.

Discover the significance of these lesions in relation to systemic health.

Treatment Approaches:

Gain insights into effective antifungal medications, such as miconazole oral gel (Daktarin), amphotericin B lozenges (Fungilin), and fluconazole mouthwashes.

Consider interactions and precautions when prescribing antifungals for patients on specific medications.

Denture Hygiene:

Explore the role of dentures in oral candidosis and the importance of proper denture hygiene.

Learn practical tips for denture maintenance to prevent candida colonization.

https://youtu.be/-RqoVZVVnsI

Watch PDP151 on Youtube

The Protrusive Dental Pearl: What are you Waiting for? If there’s something you’ve been putting off (meditation, exercise, diet, work, etc.), the best time to start was years ago. The second-best time is today! Write it down, tell someone, keep yourself accountable and start right now.

Need to Read it? Check out the Full Episode Transcript below!

Highlights of this episode:

01:31 The Protrusive Dental Pearl
02:47 Dr. Amanda Phoon Nguyen
06:43 Candida Albicans
08:37 Primary Oral Candidosis
14:48 Modifiable Factors
18:40 GP vs. Oral Medicine – Where to Refer?
21:44 To Prescribe or Not to Prescribe?
24:10 Antifungal Medication
31:44 Interactions
35:48 Angular Cheilitis
39:06 Median Rhomboid Glossitis and Denture Stomatitis
39:57 Denture Hygiene

If you enjoyed this episode, check this another episode by Dr. Ben Pollock and Dr. Samuel Cope, Got Your Back – Physios and Dentists.

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By Jaz Gulati

4.7

2020 ratings