Prescribing Antifungals as a GDP – Diagnosis and Management – PDP151

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 Pearl02:47 Dr. Amanda Phoon Nguyen06:43 Candida Albicans08:37 Primary Oral Candidosis14:48 Modifiable Factors18:40 GP vs. Oral Medicine - Where to Refer?21:44 To Prescribe or Not to Prescribe?24:10 Antifungal Medication31:44 Interactions35:48 Angular Cheilitis39:06 Median Rhomboid Glossitis and Denture Stomatitis39:57 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.







Click below for full episode transcript:



Jaz's Introduction: If you've diagnosed a fungal infection in your patient, perhaps oral thrush or a denture dermatitis, should you prescribe antifungals straight away? Or is it a good idea to improve the oral hygiene, the denture hygiene first? Should you always be sending for a blood test or is it okay just to go straight for the antifungals?



Jaz's Introduction:Look, if you're anything like me and every time you even suspect fungal infection your patient, you are thinking, whoa. When I even begin what I prescribe, I haven't done this in ages because you see this is something that, unlike a lot of other things in dental school, this is probably actually taught well, but the frequency of how often you actually see patients with fungal infections is not very common.



Therefore, we kind of forget what is the best to prescribe at the best time. So unless you've done it a few times, you're probably going to gain a lot from this episode like I did with our guest all medicine specialist, Dr. Amanda again from Perth, Australia. Now Protruserati, I know you're going to love Amanda because she is so straight talking.



I know you love our straight talking guests and she's just absolutely brilliant. We have a fantastic infographic for you to download as well. And a lovely episode summary for you to sink your teeth into. Hello, Protruserati. I'm Jaz Gulati and welcome back to another episode ...