A 41-year-old asthmatic uses Beclomethasone (Qvar) inhaler and presents with removable white plaques (erythematous base) on buccal mucosa and tongue (pseudomembranous candidiasis). Best recommendation?

Correct answer: B. Rinse the mouth with water after each inhaler use

• A. Incorrect as the BEST first recommendation – prevention by rinsing is first-line; antifungals are added only if needed.
• B. Correct – rinsing/expectorating after a steroid inhaler removes residual corticosteroid and prevents/treats inhaler-associated candidiasis (also use a spacer).
• C. Incorrect – not the dentist's call and unnecessary if hygiene/rinsing resolves it.
• D. Incorrect – the asthma controller should not be discontinued; manage the side effect instead.