Symptoms of Dryness

Top 10 Tips for Burning Mouth from Oral Candidiasis (Thrush)

Posted on Wed, May 28, 2014

Oral candidiasis, or thrush, is a common problem in dry mouth patients.

Thrush can cause oral burning and pain. The appearance of thrush in a dry mouth patient is often atypical and appears as red and irritated instead of the typical white cottage-cheesy. The tongue may show grooves, and the corners of the lips appear red and crusty (called angular cheilitis). Here are 10 tips that can help manage & treat oral thursh:

  1. Practice excellent oral hygiene and change your toothbrush frequently when oral candidiasis is active.

  2. Talk to your dentist or rheumatologist about taking Evoxac® (cevimilene) or Salagen® (pilocarpine) to increase salivary flow.

  3. Don’t use mouthwashes containing alcohol.

  4. Limit sugar and foods that contain yeast, such as wine, beer and bread. And increase your intake of acidophilus through unsweetened yogurts with live lactobacillus acidophilus or capsules.

  5. Avoid caffeine and alcohol, both of which can increase dryness.

  6. Sip water frequently and rinse after eating or drinking if you can’t brush.

  7. If you smoke, STOP!

  8. Clean dental prostheses every day with an anti-fungal preparation and avoid wearing them at night.

  9. Talk to your dentist about prescription therapies available to help with oral candidiasis. Sometimes a combination of treatments is necessary if the problem is severe.

  10. For maintenance once thrush is under control, discuss with your dentist frequent use of a magic mouthwash with diphenhydramine, nystatin and Maalox. A chlorhexidine gluconate rinse can also be helpful (and if you wear dentures, it’s good for cleaning those too).
Is your Dry Mouth & Thrush associated with Sjögren’s? Do you also have Dry Eyes, Joint Pain or Fatigue? Click here to learn more

Check the Sjögren's Syndrome Foundation's Product Directory (free of charge to all SSF members) to see the many products available for dry mouth.

This information was taken from the SSF Patient Education Sheet: Oral Candidiasis (Thrush) authored by Nelson L. Rhodus, DMD, MPH, FICD. Dr. Rhodus is Professor and Director, Division of Oral Medicine, School of Dentistry Adjunct Professor, Department of Otolaryngology, School of Medicine, University of Minnesota, Minneapolis, Minnesota. Click Here to view the full SSF Patient Education Sheet: Oral Candidiasis (Thrush)

Topics: Dry Mouth, Dry Eyes, Symptoms, Sjogren's, Joint Pain, Fatigue, Tooth Decay, Treatment, Saliva, Oral Candidiasis, Thrush, Burning mouth, coping with sjogren's, Chronic Pain

Dry Mouth and Tooth Decay

Posted on Tue, Dec 10, 2013

describe the imageSince saliva plays such an important role in the oral cavity, decreased salivation can lead to many problems. If a person's dry mouth condition persists for months or years, a patient may develop oral complications such as difficulty swallowing, severe and progressive tooth decay, oral infections (particularly fungal), or combinations of these.

Early signs to look for that indicate dry mouth include: dental decay located at the necks of teeth next to the gums or on the chewing edges of teeth. Symptoms of dry mouth can include difficulty swallowing food (especially dry food) without a drink, a change in the sense of taste, a burning sensation or pain in the mouth, tooth decay, difficulty talking or eating certain foods, or some combination of these.

About Saliva
Saliva is an essential body fluid for protection and preservation of the oral cavity and oral functions. It is produced by the three pairs of major salivary glands and hundreds of minor salivary glands. Its value is seldom appreciated until there is not enough. Saliva is mostly water, but it also contains over 60 substances, which:

  • protect, lubricate and cleanse the oral mucosa
  • aid chewing, swallowing and talking
  • protect the teeth against decay
  • protect the mouth, teeth, and throat from infection by bacteria, yeasts, and viruses
  • support and facilitate our sense of taste 

Ask your dentist

  • how frequently you need to be checked for early decay.
  • for specific instructions regarding your oral hygiene.
  • about the possible need for home and/ or professionally-applied topical fluoride (in addition to the fluoride contained in your daily toothpaste). Topical fluoride gels usually require a personalized ‘tray’ for best delivery to your teeth. In some cases, a fluoride varnish may be applied by your dentist.
  • if you should use a remineralizing agent. 

Dry mouth causes include

  • prolonged use of many prescription drugs including certain antihistamines, antihypertensives, and antidepressants
  • chronic diseases such as Sjögren’s, sarcoidosis, hepatitis C, diabetes, or depression
  • medical treatments such as radiation therapy to the head and neck or bone marrow transplantation 
Is your Dry Mouth associated with Sjögren’s? Do you also have Dry Eyes, Joint Pain or Fatigue? Click here to learn more

Additional Dry Mouth Resources: 


Topics: Dry Mouth, Dry Eyes, Symptoms, Sjogren's, Joint Pain, Fatigue, Tooth Decay

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