Trichomonads can be present in the oral cavity as a commensal organism.
Usual species: Trichomonas tenax (previously T. buccalis)
Modes of spread:
(1) saliva and droplet spray
(2) kissing
(3) contaminated water
(4) use of contaminated dishes and glasses
Entamoeba gingivalis is often found in patients with Trichomonas tenax.
Conditions associated with proliferation:
(1) poor dentition
(2) poor oral hygiene
(3) periodontitis
Concurrent findings may include:
(1) chronic tonsillitis
(2) involvement of a salivary gland duct or gland
(3) presence of Candida species or other fungi (trichomonosomycosis)
Complications may include pulmonary trichomoniasis following aspiration.
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Specialty: Infectious Diseases, Obstetrics & Gynecology
