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What Causes White Patches On The Tongue After A Dental Treatment?

Posted on Tue, 11 Oct 2016

Question: I am having whitish inside mouth under chick and some patches on tongue since 15 days but there is no pain. I have sensation after spicy food or brushing. I have undergone dental treatment and had seven seas capsule after that i am feeling this problem. I have meet dentist and he suggested to apply gum paste but no cure. Please suggest

Answered by Dr. Satvinder Bakshi (2 hours later)

Brief Answer:
it may be a fungal infection

Detailed Answer:
Dear sir

Please upload a picture of the patches and let us know what gum paste has the dentist advised.

From your symptoms it looks like you may be having a fungal infection, most probably candida,

Please dont worry as this is a very mild infection and easily treated by applying topical antifungal drugs like clotrimazole.

Please send the picture and the drug information.

Thanks

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Satvinder Bakshi (13 hours later)

Pls find the snapshot of mouth

Answered by Dr. Satvinder Bakshi (5 minutes later)

Brief Answer:
looks like fungal infection

Detailed Answer:
Hello

I have seen the pictures you have sent and from them it looks like a fungal infection.

Please continue to use the gum paste[most likely to be either clotrimazole or nystatin] as it takes 2-3 weeks for the infection to subside.

Please keep good oral hygeine and avoid sugary foods and smoking.

Take care

Regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Satvinder Bakshi (11 days later)

hello sir I used candid paste in mouth

Answered by Dr. Satvinder Bakshi (8 hours later)

Brief Answer:
please continue the candid paste

Detailed Answer:
Hello

Candid paste is correct drug and you may have to use it for 2-3 weeks. The infection is generally persistent and requires prolonged treatment.

I would also like you to meet your dentist again, as sometimes some materials in dental fillings can predispose to the fungal infection.

Another reason may be deranged blood sugars and i would like you to test your blood sugars too.

Get well soon

Regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Satvinder Bakshi (7 hours later)

I shown it to ENT and he prescribed claman625 for 5 days and extended it more five days. but not cured completely and i am applying CANDID paste. it reduces but as i leave it reoccurs. I met skin specialist he prescribed AF400 one tab every week. i didnt take so far. please you prescribe, how to take medicine. I am not dibetic at all.

Answered by Dr. Satvinder Bakshi (1 hour later)

Brief Answer:
Don't take the antibiotic

Detailed Answer:
hello

please don't take the antibiotic as it is of no use and may even increase the fungal infection

you can take the tablet af400 as even if prescribe it in cases of persistent fungal infection.

please have patience as the infection is difficult to get rid off and can take several weeks

please continue to apply the candid ointment and also try to meet your dentist

avoid hot and spicy food as it may cause burning sensation.

take care

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Satvinder Bakshi (32 minutes later)

I have already met dentist he has checked no high point observed. please advice how to take AF 400.

Answered by Dr. Satvinder Bakshi (17 minutes later)

Brief Answer:
Single table Is enough

Detailed Answer:
hello

for mild infections a single tablet of af400 is good enough. however for severe infections I would repeat it after one week.the dosage should be adjusted based on your response.

take care

Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Priyanka G Raj