Is my change of mouthwash the reason behind my white tongue?

Q.
I have a slightly loose lower molar which is not painful but affects the bite and seems to have abraded the edge of my tongue. My dentist recently performed de-scaling and deep cleaning and suggested leaving it for a few months in anticipation that healing would tighten it up again. He advised me to use corsodyl for 2 weeks, in addition to my usual brushing (oral b 9000, bicarb paste) and flossing (waterpik) regime.
A few days later, whilst on holiday in Wales, I was unable to obtain corsodyl so I tried listerine cool mint instead. This produced an uncomfortable burning sensation, followed by change of taste and an astringent-like sensation when tasting wine, fruits or cheeses, coupled with a dry-mouth feeling despite normal saliva flows. I stopped using the listerine after 2 days but the uncomfortable sensation remained. Two days later my tongue showed white spots, particularly adjacent to the loose molar and a local pharmacist diagnosed oral thrush. After 5 days of daktarin oral gel there was no significant improvement and so I visited a dentist, who confirmed thrush and prescribed Nistan. I have almost completed a 7-day course and although there has been some improvement I am still not symptom-free. I shall, of course, visit my own dentist or GP after this vacation, but is it likely that the loose molar is acting like an ill-fitting denture and initiating/prolonging the thrush? Am I not diabetic, have not taken antibiotics or any other medication and (as far as I know) am not immuno-suppressed, being generally in good health with fast-healing wounds. Thank you in anticipation of your kind advice.
A.
Hi
We all have some fungi (Candida) in our mouth that operates in a balance with the bacteria present and is ‘kept under control’. Oral thrush is when the balance is tipped (often by a reduction of the number of bacteria such as with antibiotics, or it seems in your case the mouthwash). The fact that your tongue was abraded would have meant the area was traumatised and more prone to infection. It sounds like you are taking the best medication but I would recommend a slightly longer treatment course (10-14 days) to bring the Candida under control. It is vital you keep the mouth healthy and especially around this slightly loose lower molar and I’m sure you’ll see a marked improvement.
Incidentally Listerine has a very high alcohol content (over 25%) and this is how it works as a cleanser but also would explain the ‘uncomfortable burning sensation you describe.
Good luck
Mark
Dr Mark Hughes Harley Street Dental Studio 52 Harley Street, London W1G 9PY Web: www.harleystreetdentalstudio.com Tel: 020 7636 5981 View My Profile Dr Hughes

Leave a Reply