Challenge: Patient presented with chronic gingivitis and oral Candida symptoms
Background: A 64-year-old female sought treatment from a medical doctor for a “thrush-like” infection. The medical doctor then referred the patient to an ENT. However, this patient was already of our record and decided to start with our office. The chief complaint is a “thrush-like” infection in the mouth, throat and lips. The clinical assessment confirmed generalized white patches. Upon periodontal assessment, generalized recession with scattered 5 mm probe depths were detected. The patient has arthritis, osteoporosis, heart disease and history of vaginal yeast infections. The patient takes a probiotic. Recently, the patient has been experiencing episodes of loss of balance.
Solution: A pre-therapy MyPerioPath® and OraRisk® Candida was performed 2-15-2018 to assist in identifying the cause of the gingival inflammation and white patches. A prophylaxis was performed and a recall of 3 months was recommended. The systemic antibiotic option per the MyPerioPath® results and a Mycelex Troche solution rinse were administered and instructed to use both for 10 days with their respective doses. The home care instructions included daily flossing, a pre-rinse with CloSYS™, brushing for a two full minutes with a basic toothpaste, then followed by ACT® anti-cavity fluoride mouthwash. Exposure to xylitol 6-10 grams per day was also recommended. A post therapy MyPerioPath® and OraRisk® Candida was performed 5-24-2018.
Results: The chronic gingivitis resolved resulting in healthy tissue. The white patches also resolved and is confirmed with the post results. The patient is extremely happy. Following therapy, the patient fractured her hip and there is concern the patient may have to postpone continued therapy, resulting in relapse. If this occurs, we will be ready.
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Dr. Nichols has served in many capacities such as Board of Directors of the Texas Dental Association., Delegate to the Texas Dental Association from the South Plains District, Chairman of the Texas Dental Association Council on Ethics and Judicial Affairs and as a member of the Texas Dental Association Council on Dental Care Programs. Dr. Nichols is a Dental Board examiner with the Western Regional Examining Board.
Her local presence is observed by serving as the President of the South Plains District Dental Society and is a current Clinical Assistant Professor of Surgery at Texas Tech University Health Sciences Center. She has also served as the United Way chairman of the Dental Division, and on the Executive board of the Lubbock Chamber of Commerce. Dr. Nichols is a graduate of the Leadership Lubbock program, as well as the Leadership Texas program. Dr. Nichols was honored as "2005 Woman Entrepreneur of Lubbock". Currently, Dr. Nichols is on the Board of Directors of Parenting Cottage.
Her memberships include Texas Dental Association, South Plains District Dental Society, Texas Association of Women Dentists, Lubbock Chamber of Commerce, and Texas Tech Red Raider Club. In 2014 Dr. Nichols was voted “Best of Lubbock” by the Lubbock Avalanche Journal.
Dr. Nichols and her husband have 4 children and 3 precious grandsons