I am a dentist and regularly although not frequently see patients with both
symptomatic and asymptomatic angular chelitis (stomatitis). It may be useful
to refer the patient to a dental practitioner or oral medicine specialist.
Angular chelitis can be related to overclosure of the mouth leading to
stagnant areas in the corners of the mouth and infection. Until the problem
is sorted out (for instance by making new dentures at an appropriate
occluso-vertical dimension) the cause will not be removed and symptoms will
persist or recur. Also infective agents needn't always be bacterial (staph,
strep or mixed) but may be candidal. Miconazole can be useful.
Hope this helps
Nicola
Nicola P T Innes
GDP/ CSO Research Training Fellow
University of Dundee
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