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Perić M, Miličić B, Kuzmanović Pfićer J, Živković R, Arsić Arsenijević V. A Systematic Review of Denture Stomatitis: Predisposing Factors, Clinical Features, Etiology, and Global Candida spp. Distribution. J Fungi (Basel) 2024; 10:328. [PMID: 38786683 PMCID: PMC11122031 DOI: 10.3390/jof10050328] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2024] [Revised: 04/24/2024] [Accepted: 04/26/2024] [Indexed: 05/25/2024] Open
Abstract
Denture stomatitis (DS) is a very common disease in wearers of removable complete and partial dentures with a worldwide prevalence in the range of 20-67%. Both industrially developed and impoverished nations are affected by the illness. DS is often associated with ill-fitting dentures or a fungal infection with Candida spp. Candida is normally found in the oral cavity microbiota, but it can be harmful to the health of elderly people with underlying diseases. Therefore, the purpose of the present study is to offer the most recent information about the epidemiology, etiology, and global distribution of Candida species associated with DS through a systematic review. Several databases, including Medline, Web of Science, and Scopus, were used to conduct an extensive search of the literature published in the previous 20 years. The selection of studies was performed by two authors. The extracted data were as follows: author, year of publication, country, sample, frequency of DS, method of diagnosing stomatitis, species of Candida, risk factors, and etiology of the disease. The JBI Critical appraisal tools were used to assess the quality of the studies. Eventually, twenty-eight studies were included in the systematic review. Twenty-one studies investigated DS, while seven studies examined Candida colonization in patients using removable dentures. The results show that the main causes of DS include the type of dentures, continuous wearing of dentures, and the formation of a Candida biofilm, which is facilitated by poor dental hygiene. Additionally, previous studies have pinpointed the significance of the salivary flow, saliva composition, and salivary pH. The findings of the current review indicate that it is crucial to monitor denture wearers for the appearance of DS, especially the patients whose immunity has been impaired due to a systemic condition. Finally, frequent follow-ups should include a clinical examination and microbial swabs of the palatal mucosa and the mucosal surface of the denture.
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Affiliation(s)
- Mirjana Perić
- Department of Prosthodontics, School of Dental Medicine, University of Belgrade, Rankeova 4, 11000 Belgrade, Serbia; (M.P.); (R.Ž.)
| | - Biljana Miličić
- Department of Medical Statistics and Informatics, School of Dental Medicine, University of Belgrade, Dr. Subotića 1, 11000 Belgrade, Serbia; (B.M.); (J.K.P.)
| | - Jovana Kuzmanović Pfićer
- Department of Medical Statistics and Informatics, School of Dental Medicine, University of Belgrade, Dr. Subotića 1, 11000 Belgrade, Serbia; (B.M.); (J.K.P.)
| | - Rade Živković
- Department of Prosthodontics, School of Dental Medicine, University of Belgrade, Rankeova 4, 11000 Belgrade, Serbia; (M.P.); (R.Ž.)
| | - Valentina Arsić Arsenijević
- Medical Mycology Reference Laboratory, Department of Microbiology, Faculty of Medicine, University of Belgrade, Dr. Subotića 4, 11000 Belgrade, Serbia
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Jung GK, Mora SN, Yune SS, Petrich A, Hernandez-Feldpausch M, Hamlin CM, Tuamokumo FO, Kim JJ. Effects of aging on attachment of Candida albicans to conventional heat-polymerized, CAD-CAM milled, and CAD-CAM 3D-printed acrylic resin bases. J Prosthodont 2024. [PMID: 38502779 DOI: 10.1111/jopr.13844] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2023] [Accepted: 03/03/2024] [Indexed: 03/21/2024] Open
Abstract
PURPOSE The aim of this study was to assess Candida albicans attachment on conventionally fabricated (polymethylmethacrylate, PMMA), CAD-CAM milled, and 3D-printed acrylic resin bases pre- and post-simulated thermal aging, along with examining material surface changes after aging. MATERIALS AND METHODS Forty-six samples (10 mm × 10 mm × 2 mm) for each of four material groups (conventional heat-polymerized PMMA, CAD-CAM milled acrylic resin base, CAD-CAM 3D-printed methacrylate resin base, CAD-CAM 3D-printed urethane methacrylate resin base) were subjected to 0, 1, or 2 years of simulated thermal aging. Microscopic images were taken before and after aging, and C. albicans attachment was quantified using cell proliferation assay (XTT). Statistical analysis employed analysis of variance (α = 0.05). RESULTS Two-way factorial analysis showed no significant differences based on acrylic resin type or thermal aging (p = 0.344 and p = 0.091 respectively). However, C. albicans attachment significantly differed between 0- and 2-year thermally aged groups (p = 0.004), mainly due to elevated initial attachments on CAD-CAM milled acrylic resin base and CAD-CAM 3D-printed urethane methacrylate resin base. CONCLUSIONS Regardless of the fabrication technique and material combination, no significant differences were found in C. albicans adhesion pre- or post- thermal aging. Milled and 3D-printed bases compared favorably with heat- polymerized PMMA in their affinity for C. albicans attachment and surface characteristics after aging. These findings indicate that the risk of patients developing denture stomatitis might not be linked to the type of acrylic resin or fabrication method used.
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Affiliation(s)
- Gabrielle K Jung
- Department of Prosthodontics, Naval Postgraduate Dental School, Bethesda, Maryland, USA
- Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA
- Navy Medicine Readiness & Training Command, Camp Pendleton, California, USA
| | - Stephanie N Mora
- Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA
- 3D Dental Battalion, US Naval Dental Center, Okinawa, Japan
- Department of Comprehensive Dentistry, Naval Postgraduate Dental School, Bethesda, Maryland, USA
| | - Stephen S Yune
- Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA
- Department of Comprehensive Dentistry, Naval Postgraduate Dental School, Bethesda, Maryland, USA
| | - Anton Petrich
- Department of Prosthodontics, Naval Postgraduate Dental School, Bethesda, Maryland, USA
- Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA
| | - Marina Hernandez-Feldpausch
- Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA
- Department of Comprehensive Dentistry, Naval Postgraduate Dental School, Bethesda, Maryland, USA
| | - Christopher M Hamlin
- Department of Prosthodontics, Naval Postgraduate Dental School, Bethesda, Maryland, USA
- Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA
| | - Francois O Tuamokumo
- Department of Research Programs, Walter Reed National Military Medical Center, Bethesda, Maryland, USA
| | - Jeffrey J Kim
- Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA
- Department of Research, Naval Postgraduate Dental School, Bethesda, Maryland, USA
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Campos EN, Clemente LM, Pizziolo PG, Oliveira VDC, Macedo AP, Watanabe E, Silva-Lovato CH, Ribeiro AB. Relation between the risk factors for the severity of denture stomatitis and quality of life of complete edentulous individuals: a cross-sectional study. J Appl Oral Sci 2023; 31:e20230192. [PMID: 38126577 PMCID: PMC10786452 DOI: 10.1590/1678-7757-2023-0192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2023] [Revised: 09/30/2023] [Accepted: 10/23/2023] [Indexed: 12/23/2023] Open
Abstract
OBJECTIVE To assess the association between risk factors for developing denture stomatitis (DS) and oral health-related quality of life (OHRQoL) in complete denture wearers. METHODOLOGY Participants of both sexes, wearing complete dentures, were classified using the modified Newton classification for the absence or the severity of DS and allocated to groups Normal or zero, IA, IB, II, and III. Lifestyle, oral and denture history, and medication use were assessed using specific questionnaires; clinical parameters such as anatomical characteristics of support were evaluated with the Kapur classification; salivary flow (SF) was calculated by the volume of unstimulated saliva per minute; and microbial load was determined by counting colony forming units (CFU) of target microorganisms present in the biofilm collected from dentures and palate. OHIP-EDENT assessed the OHRQoL. Kendall's tau_b and Spearman tests were applied with a significance level of 5%. RESULTS 184 patients (143 female and 41 male) aged 65.5 ± 6.8 years were evaluated. Positive correlations were found for sex (women; p=0.013, r=0.16), individuals who started to consume alcoholic beverages as a young adult (18-27 years) (p=0.008, r=0.22), CFU of Candida spp. (p<0.001, r=0.27 denture; p<0.001, r=0.31 palate); Candida albicans (p=0.004, r=0.22 denture; p=0.003, r=0.25 palate), and Candida glabrata (p=0.004, r=0.22 denture; p=0.001, r=0.27 palate). Moreover, negative correlations with DS were found for CFU of Staphylococcus spp. (p=0.004, r=-0.20 palate) and enterobacteria (p=0.002, r=-0.24 palate), as well as a negative correlation between SF (p=0.009, r=-0.193) and DS. The CFU of Staphylococcus spp. and enterobacteria on the palate significantly correlated with OHRQoL. CONCLUSION Being female, consuming alcoholic beverages as a young adult, CFU of Candida spp., Candida albicans, Candida glabrata, and salivary flow may be the most significant risk factors for DS. The microbial load of Staphylococcus spp. and enterobacteria seems to influence the quality of life for complete denture wearers.
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Affiliation(s)
- Eleonora Nardi Campos
- Universidade de São Paulo. Faculdade de Odontologia de Ribeirão Preto. Departamento de Materiais Dentários e Prótese. Ribeirão Preto, São Paulo
| | - Lorena Mosconi Clemente
- Universidade de São Paulo. Faculdade de Odontologia de Ribeirão Preto. Departamento de Materiais Dentários e Prótese. Ribeirão Preto, São Paulo
| | - Pillar Gonçalves Pizziolo
- Universidade de São Paulo. Faculdade de Odontologia de Ribeirão Preto. Departamento de Materiais Dentários e Prótese. Ribeirão Preto, São Paulo
| | - Viviane de Cássia Oliveira
- Universidade de São Paulo. Faculdade de Odontologia de Ribeirão Preto. Departamento de Materiais Dentários e Prótese. Ribeirão Preto, São Paulo
| | - Ana Paula Macedo
- Universidade de São Paulo. Faculdade de Odontologia de Ribeirão Preto. Departamento de Materiais Dentários e Prótese. Ribeirão Preto, São Paulo
| | - Evandro Watanabe
- Universidade de São Paulo. Faculdade de Odontologia de Ribeirão Preto. Departamento de Dentística Restauradora. Ribeirão Preto, São Paulo
| | - Cláudia Helena Silva-Lovato
- Universidade de São Paulo. Faculdade de Odontologia de Ribeirão Preto. Departamento de Materiais Dentários e Prótese. Ribeirão Preto, São Paulo
| | - Adriana Barbosa Ribeiro
- Universidade de São Paulo. Faculdade de Odontologia de Ribeirão Preto. Departamento de Materiais Dentários e Prótese. Ribeirão Preto, São Paulo
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Park WB, Moon J, Shin S, Hong JY. Oral Lichenoid Lesion following Dental Implant Placement and Successful Management with Free Gingival Graft: A Case Report with 10-Year Follow-Up. MEDICINA (KAUNAS, LITHUANIA) 2023; 59:2188. [PMID: 38138291 PMCID: PMC10745084 DOI: 10.3390/medicina59122188] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/14/2023] [Revised: 12/10/2023] [Accepted: 12/15/2023] [Indexed: 12/24/2023]
Abstract
Titanium and metal alloys are widely used in implants, crowns, and bridges in implant dentistry owing to their biocompatibility. In this case report of a 45-year-old female patient, multiple implants were placed in five different sextants at different time points. Notably, oral lichenoid lesions (OLL) occurred in three sextants following implant placement, strongly suggesting that the dental implants or prostheses were the causative factors for OLL. The lesion was of the reticular type with erythematous surroundings and was symptomatic. Although several conservative treatments, including repeated topical application of corticosteroids, were repeatedly continued, no discernible improvement or alleviation of symptoms was observed. Consequently, surgical excision and replacement of the lesion with a free gingival graft (FGG) harvested from the palatal soft tissue were performed. No clinical symptoms or recurrence of lesions were observed during 10 years of follow-up post-FGG.
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Affiliation(s)
- Won-Bae Park
- Private Practice in Periodontics and Implant Dentistry, Seoul 02771, Republic of Korea;
| | - Junghun Moon
- Department of Dentistry, Graduate School, Kyung Hee University, Seoul 02447, Republic of Korea;
| | - Seungil Shin
- Department of Periodontology, Kyung Hee University School of Dentistry, Kyung Hee University Medical Center, Seoul 02447, Republic of Korea;
| | - Ji-Youn Hong
- Department of Periodontology, Kyung Hee University School of Dentistry, Kyung Hee University Medical Center, Seoul 02447, Republic of Korea;
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Clemente LM, Ribeiro AB, Fortes CV, Ribeiro AB, Oliveira VDC, Macedo AP, Salgado HC, da Silva CHL. Risk factors and immunological biomarkers in denture stomatitis: An observational cross-sectional study. Arch Oral Biol 2023; 155:105799. [PMID: 37672969 DOI: 10.1016/j.archoralbio.2023.105799] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2023] [Revised: 08/15/2023] [Accepted: 08/27/2023] [Indexed: 09/08/2023]
Abstract
OBJECTIVE Assess risk factors, local and systemic immunological biomarkers in healthy individuals and with Denture Stomatitis (DS). DESIGN For this observational transversal study, 27 participants without DS (Group 0), 24 with moderate DS (Group 1), and 25 with severe DS (Group 2) were assessed for sociodemographic, behavioral, and clinical parameters, microbial load of Candida spp., Staphylococcus spp., Streptococcus mutans, Pseudomonas spp., and enterobacteria, and cytokine and C-reactive protein levels. ANOVA, Fisher's exact, Kruskal-Wallis, Mann-Whitney, Wilcoxon and Pearson's chi-square tests were used for data analysis (α = 0.05). RESULTS Group 1 had a significantly higher mean age compared to the other groups (P = 0.018), but no correlation was identified between age and DS (P = 0.830; r = 0.025). No significant differences were found among the groups for other sociodemographic and behavioral characteristics. Group 1 had significantly older upper and lower dentures; however, no correlation was identified between age of upper (P = 0.522; r = 0.075) and lower (P = 0.143; r = 0.195) dentures and DS. The microbial load of Candida albicans on the dentures (P = 0.035) and Candida spp. on the palate (P = 0.008) of the groups 1 and 2 was higher than group 0. Group 1 and 2 had higher Candida spp. counts on denture (P = 0.003) than group 0. There was no difference among groups for bacterial analyzed. Group 1 showed higher and Group 2 intermediate salivary levels of IL-6 compared to Group 0. There was no difference in the C-reactive protein levels among groups. CONCLUSIONS Microbial load of Candida spp. is the factor with the strongest relationship with DS, with capacity for local signaling through IL-6.
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Affiliation(s)
- Lorena Mosconi Clemente
- Department of Dental Materials and Prosthesis, School of Dentistry of Ribeirao Preto, University of São Paulo (USP), Ribeirão Preto, Brazil
| | - Adriana Barbosa Ribeiro
- Department of Dental Materials and Prosthesis, School of Dentistry of Ribeirão Preto, University of São Paulo (USP), Ribeirão Preto, Brazil
| | - Caroline Vieira Fortes
- Department of Dental Materials and Prosthesis, School of Dentistry of Ribeirao Preto, University of São Paulo (USP), Ribeirão Preto, Brazil
| | | | - Viviane de Cássia Oliveira
- Department of Dental Materials and Prosthesis, School of Dentistry of Ribeirão Preto, University of São Paulo (USP), Ribeirão Preto, Brazil
| | - Ana Paula Macedo
- Department of Dental Materials and Prosthesis, School of Dentistry of Ribeirão Preto, University of São Paulo (USP), Ribeirão Preto, Brazil
| | - Hélio César Salgado
- Department of Physiology, Ribeirão Preto Medical School, University of São Paulo (USP), Ribeirão Preto, Brazil
| | - Cláudia Helena Lovato da Silva
- Department of Dental Materials and Prosthesis, School of Dentistry of Ribeirão Preto, University of São Paulo (USP), Ribeirão Preto, Brazil.
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Al-Aali KA, Alqahtani AS, Alzaid AA, Almuiel SH, Alsaloum M, Alanazi KK. Efficacy of adjunct photodynamic therapy on Candida growth and oral health quality of life in denture stomatitis patients with type 2 diabetes mellitus wearing implant-retained overdentures: a randomized clinical study. Photodiagnosis Photodyn Ther 2023:103630. [PMID: 37236520 DOI: 10.1016/j.pdpdt.2023.103630] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2023] [Revised: 05/21/2023] [Accepted: 05/23/2023] [Indexed: 05/28/2023]
Abstract
AIM The aim of the present clinical trial was to study the efficacy of combined miconazole and PDT in the improvement of quality of life and levels of Candida species in chronic hyperglycemic patients with denture stomatitis (DS). METHODS One hundred patients were randomly divided into five groups; 20 each in the miconazole, PDT, miconazole+ PDT, CHX and distilled water groups. Methylene blue mediated irradiation was conducted using 600nm diode laser with power, energy density and radiance as 100 mW, 3527 mW/cm2 and 9 J, respectively. Patients were advised to apply 2.5 ml of 2% topical miconazole four times a day. The existence of Candida spp. was detected by means of microbiological culture technique. Candida colony counts from the palates and dentures surfaces, quantified as colony forming unit (CFU)/mL were evaluated at baseline, end of 14 days, 28 days and 60 days. Oral health related quality of life was assessed with the help of a questionnaire. RESULTS The quality of life showed significant improvement in the group where combination treatment was executed. The overall CFU/mL values were greater in the dentures in comparison to those from the palates of the patients of all the five groups. During all time periods of the study, the CFU/mL values obtained from combination treatment group showed significant differences. Candida albicans was the most predominant yeast. CONCLUSION This study showed the effectiveness of methylene blue- PDT in combination with miconazole in improving oral health related quality of life and significantly reducing Candida CFU counts to resolve palatal inflammation in diabetic individuals with implant-supported complete dentures.
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Affiliation(s)
- Khulud A Al-Aali
- Prosthodontics, Department of Clinical Dental Sciences, College of Dentistry, Prince Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia.
| | - Abdulaziz S Alqahtani
- Prosthetic Dental Science Department, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Abdulaziz A Alzaid
- Restorative and Prosthetic Dental Science Department, King Saud Bin Abdulaziz University, Riyadh, Saudi Arabia
| | - Saad Hamad Almuiel
- Prosthetic Dental Science Department, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Mohammad Alsaloum
- Restorative and Prosthetic Dental Science Department, King Saud Bin Abdulaziz University, Riyadh, Saudi Arabia; King Abdullah International Medical Research Centre, Riyadh, Saudi Arabia
| | - Khalid K Alanazi
- Conservative Dental Science Department, College of Dentistry, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia
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De Souza R, Chaves C, Rohani K, Bouferguene S, Barbeau J, Borie E, Weber B, Fuentes R, Crizostomo L, Silva-Lovato C, Emami E. Palatal brushing for the treatment of denture stomatitis: A multicentre randomized controlled trial. J Prosthodont Res 2023; 67:93-102. [PMID: 35264510 DOI: 10.2186/jpr.jpr_d_21_00258] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
Abstract
PURPOSE To determine the effectiveness of palatal brushing in the treatment of denture-related erythematous stomatitis (DES) in complete denture wearers. METHODS This two-parallel-arm RCT was conducted in three university clinics in Brazil, Canada, and Chile. Participants (n=77) were randomly allocated to receive (i) instructions for palatal brushing and standard oral/denture hygiene ("intervention"); or (ii) standard oral/denture hygiene instructions only ("control"). Data collection was carried out at the baseline and at 3 and 6 months after intervention. Outcomes included the magnitude of oral Candida carriage and the degree of inflammation of denture-bearing tissues. Groups were compared using generalized estimating equations and chi-square test (α=0.05). RESULTS Palatal inflammation levels were reduced significantly in the "intervention" compared to "control" group at 6 months (intervention: 70%, control: 40%; chi-square, p=0.04). There was no between-group significant difference in the Candida count from denture and palatal biofilms; however, a subgroup analysis restricted to baseline Candida carriers showed further reduction with the intervention at 6 months. No adversity was observed by trialist or reported by participants. CONCLUSIONS Including palatal brushing in oral instructions for denture wearers has positive impact on DES-related mucosal inflammation. Thus, our findings endorse the inclusion of palatal brushing in standard oral hygiene instructions to treat DES.
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Affiliation(s)
- Raphael De Souza
- Faculty of Dental Medicine and Oral Health Sciences, McGill University, Montreal, Canada
| | - Carolina Chaves
- Faculté de Médecine Dentaire, Université de Montréal, Montreal, Canada
| | - Kimia Rohani
- Faculty of Dental Medicine and Oral Health Sciences, McGill University, Montreal, Canada
| | - Sabrina Bouferguene
- Faculty of Dental Medicine and Oral Health Sciences, McGill University, Montreal, Canada
| | - Jean Barbeau
- Faculté de Médecine Dentaire, Université de Montréal, Montreal, Canada
| | - Eduardo Borie
- CICO Research Centre, Integral Dentistry of Adults Department, Faculty of Dentistry, Universidad de la Frontera, Temuco, Chile
| | - Benjamin Weber
- CICO Research Centre, Integral Dentistry of Adults Department, Faculty of Dentistry, Universidad de la Frontera, Temuco, Chile
| | - Ramon Fuentes
- CICO Research Centre, Integral Dentistry of Adults Department, Faculty of Dentistry, Universidad de la Frontera, Temuco, Chile
| | - Luciana Crizostomo
- Department of Dental Materials and Prostheses, School of Dentistry of Ribeirao Preto, University of Sao Paulo, Ribeirao Preto, Brazil
| | - Claudia Silva-Lovato
- Department of Dental Materials and Prostheses, School of Dentistry of Ribeirao Preto, University of Sao Paulo, Ribeirao Preto, Brazil
| | - Elham Emami
- Faculty of Dental Medicine and Oral Health Sciences, McGill University, Montreal, Canada
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Zenziper E, Rosner O, Ghelfan O, Nissan J, Blumer S, Ben-Izhack G, Davidovich M, Chaushu L, Kahn A, Naishlos S. Immediate versus Delayed Attachment Incorporation Impact on Prosthetic Aftercare among Mandibular Implant-Supported Overdenture Wearers. J Clin Med 2022; 11:jcm11123524. [PMID: 35743594 PMCID: PMC9224628 DOI: 10.3390/jcm11123524] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2022] [Revised: 06/08/2022] [Accepted: 06/17/2022] [Indexed: 02/01/2023] Open
Abstract
Background: Substantial effort is dedicated to finding the most favorable parameters that will ensure low aftercare demands among edentulous patients wearing mandibular implant supported overdentures (MISODs). The purpose of this retrospective cohort study was to compare prosthetic aftercare between MISOD patients with a simultaneous (group A) vs. a three-week settling in period (group B) prior to attachment incorporation. Methods: Forty-five patients enrolled in this study. Two implants per patient were placed using a two-stage implant insertion protocol. Second-stage surgery was performed after three months. All patients received ball attachments using the direct (chairside) incorporation method. Twenty-two patients received their dentures with simultaneous attachment activation and the rest—twenty-three patients—after a three-week settling in period. Patients’ files were scanned for aftercare visits. Outcome parameters included sore spot relief, attachment incorporation, and denture repair. Additionally, gingival index measurements were compared. Confounding factors included age, gender, and implant dimensions. Results: The mean follow-up for the entire cohort was 84 ± 21 months, and the range 39–120 months. The mean number of visits for group A vs. B respectively: pressure sores relieve (3.63 ± 0.84 vs. 3.71 ± 0.61, p = 0.581), liner exchange due to loss of retention (2.09 ± 1.03 vs. 2.31 ± 1.04 p = 0.487), and gingival index (1.3 ± 0.3 vs. 1.03 ± 0.2, p = 0.653) exhibited no statistically significant differences between the tested groups. No statistically significant differences between the groups were also noted for the denture repair aftercare treatments (p = 0.318) and the independent variables including age, gender, and implant length. Conclusions: Prosthetic aftercare in MISOD wearers is similar whether a simultaneous or a three-week settling in period for attachment incorporation is applied.
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Affiliation(s)
- Eran Zenziper
- Department of Prosthodontics, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel-Aviv University, Ramat-Aviv, Tel Aviv 69978, Israel; (O.R.); (O.G.); (J.N.); (G.B.-I.)
- Correspondence:
| | - Ofir Rosner
- Department of Prosthodontics, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel-Aviv University, Ramat-Aviv, Tel Aviv 69978, Israel; (O.R.); (O.G.); (J.N.); (G.B.-I.)
| | - Oded Ghelfan
- Department of Prosthodontics, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel-Aviv University, Ramat-Aviv, Tel Aviv 69978, Israel; (O.R.); (O.G.); (J.N.); (G.B.-I.)
| | - Joseph Nissan
- Department of Prosthodontics, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel-Aviv University, Ramat-Aviv, Tel Aviv 69978, Israel; (O.R.); (O.G.); (J.N.); (G.B.-I.)
| | - Sigalit Blumer
- Department of Pediatric Dentistry, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel-Aviv University, Ramat-Aviv, Tel Aviv 69978, Israel; (S.B.); (S.N.)
| | - Gil Ben-Izhack
- Department of Prosthodontics, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel-Aviv University, Ramat-Aviv, Tel Aviv 69978, Israel; (O.R.); (O.G.); (J.N.); (G.B.-I.)
| | - Moshe Davidovich
- Department of Orthodontics, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel-Aviv University, Ramat-Aviv, Tel Aviv 69978, Israel;
| | - Liat Chaushu
- Department of Periodontics and Implant Dentistry, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel-Aviv University, Ramat-Aviv, Tel Aviv 69978, Israel;
| | - Adrian Kahn
- Department of Oral & Maxillofacial, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel-Aviv University, Ramat-Aviv, Tel Aviv 69978, Israel;
| | - Sarit Naishlos
- Department of Pediatric Dentistry, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel-Aviv University, Ramat-Aviv, Tel Aviv 69978, Israel; (S.B.); (S.N.)
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Emami E, Lavigne G, Feine JS, Karp I, Rompré PH, Almeida FR, Huynh NT. Effects of nocturnal wearing of dentures on the quality of sleep and oral-health-related quality in edentate elders with untreated sleep apnea: a randomized cross-over trial. Sleep 2021; 44:zsab101. [PMID: 33955479 PMCID: PMC8503827 DOI: 10.1093/sleep/zsab101] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2020] [Revised: 04/07/2021] [Indexed: 11/28/2022] Open
Abstract
STUDY OBJECTIVES This study aims to assess whether the nocturnal wear of dentures has an effect on the quality of sleep and oral-health-related quality of life of the edentulous elderly with untreated sleep apnea. METHODS A single-blind randomized cross-over design with two sequences and two periods was used. Participants (n = 77) were randomly assigned either to sequence 1 (nocturnal wear followed by nocturnal nonwear of the denture for 30-30 days) or sequence 2 (nocturnal nonwear followed by nocturnal wear of denture for 30-30 days). The primary sleep outcome was the quality of sleep, assessed through sleep fragmentation measured as Apnea-Hypopnea Index (AHI) and respiratory arousal from portable polysomnography. Secondary outcomes were daytime sleepiness, sleep quality (Pittsburgh Sleep Quality Index, PSQI) and oral-health-related quality of life measured by validated questionnaires. RESULTS The mean paired difference in AHI scores for the period of wearing versus not wearing dentures at night was small 1.0 event per hour (p = 0.50; 95% confidence interval (CI) = -2.0 to 4.1). The mean respiratory arousal index was higher when wearing dentures at night than when not wearing dentures at night, with a mean paired difference of 2.3 events per hour (p = 0.05; 95% CI = 0.0 to 4.6). No difference in sleepiness and PSQI were noted. Wearing dentures at night resulted in a statistically significantly higher mean score of psychological discomfort when compared to not wearing dentures at night. CONCLUSIONS The results provide some support to usual practice guidelines to remove dentures at night in edentulous elders suffering from sleep apnea. CLINICAL TRIAL REGISTRATION NCT01868295.
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Affiliation(s)
- Elham Emami
- Faculty of Dentistry, McGill University, Montréal, Québec, Canada
| | - Gilles Lavigne
- Faculty of Dentistry, Université de Montréal, Montréal, Québec, Canada
| | - Jocelyne S Feine
- Faculty of Dentistry, McGill University, Montréal, Québec, Canada
| | - Igor Karp
- Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario,Canada
| | - Pierre H Rompré
- Faculty of Dentistry, Université de Montréal, Montréal, Québec, Canada
| | - Fernanda R Almeida
- Faculty of Dentistry, University of British Colombia, Vancouver, British Columbia, Canada
| | - Nelly T Huynh
- Faculty of Dentistry, Université de Montréal, Montréal, Québec, Canada
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10
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Taebunpakul P, Jirawechwongsakul P. Palatal Inflammation and the Presence of Candida in Denture-Wearing Patients. J Int Soc Prev Community Dent 2021; 11:272-280. [PMID: 34268189 PMCID: PMC8257012 DOI: 10.4103/jispcd.jispcd_368_20] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2020] [Accepted: 02/09/2021] [Indexed: 11/05/2022] Open
Abstract
Aim: Denture stomatitis (DS) is a common inflammatory reaction in denture wearers. The severity of palatal inflammation in DS is believed to be related to Candida colonization. The present study evaluated the presence of Candida at the palatal and the denture surface. The factors associated with DS were also investigated. Materials and Methods: Eighty-two denture wearers were evaluated for DS based on Newton’s classification. The samples were collected from palatal mucosa and the denture surface for Candida culture. The predisposing factors associated with DS were also assessed by questionnaire and by oral and dental prosthesis examination. Results: Thirty patients showed no signs of DS (36.59%), while 52 patients (63.41%) had DS. Candida was detected in 81.71% of all patients and specifically in 26.83% and 54.88% of non-DS and DS patients, respectively. The proportion of patients with a large amount of Candida at the palatal mucosa in the DS group (40.38%) was higher than in the non-DS group (26.67%) but not significantly different (P > 0.05). The amounts of Candida among the different Newton types also showed no statistically significant differences (P > 0.05). Candida was also detected on the denture surface of the non-DS (34.15%) and DS patients (57.32%). The amounts of Candida on the denture surface between the two groups showed no statistically significant difference (P > 0.05). The predisposing factors related to DS included the absence of occlusal rest and poor denture stability (P < 0.05). Conclusions: In this study, no association between the amount of Candida and DS was found. Mycological examination may be useful for the detection of Candida-induced DS and management. However, further study is required to establish a protocol for antifungal drugs prescription in the treatment of Candida-induced DS among the Newton type.
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Affiliation(s)
- Patrayu Taebunpakul
- Department of Oral Surgery and Oral Medicine, Faculty of Dentistry, Srinakharinwirot University, Bangkok, Thailand
| | - Pimporn Jirawechwongsakul
- Department of Oral Surgery and Oral Medicine, Faculty of Dentistry, Srinakharinwirot University, Bangkok, Thailand
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11
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Therapeutic Role of Nystatin Added to Tissue Conditioners for Treating Denture-Induced Stomatitis: A Systematic Review. PROSTHESIS 2021. [DOI: 10.3390/prosthesis3010007] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Abstract
Denture-induced stomatitis (DIS) represents a pathological condition caused by ill-fitting dentures trauma, manifested as inflammation of the palatal tissue beneath the denture. The fungal infections are the principal contributory factors to DIS. Although the aetiology of DIS is multifactorial, the Candida albicans fungal infection remains the main cause. The objective of the present systematic review was to evaluate the latest literature on the addition of nystatin into the tissue conditioners (TCs) in the management of DIS. To search the published literature about “the addition of nystatin in TCs for treating DIS”, electronic databases (PubMed (National library of medicine) and Cochrane Library (Wiley)) were searched (from 1975 until December 2020) using different keywords. Various studies described the effectiveness and efficacy of incorporating nystatin into several TCs. The present systematic review reported that the addition of nystatin is beneficial, with slight or no consequences on both the mechanical and physical features of TCs. Adding nystatin to various TCs for treating DIS can be suggested.
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12
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Santos Sousa TM, Rodrigues de Farias O, Dantas Batista AU, Souto de Medeiros E, Santiago BM, Cavalcanti YW. Effectiveness of denture microwave disinfection for treatment of denture stomatitis: A systematic review and meta-analysis. Int J Dent Hyg 2020; 19:62-77. [PMID: 33022878 DOI: 10.1111/idh.12477] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2019] [Revised: 09/25/2020] [Accepted: 09/30/2020] [Indexed: 12/25/2022]
Abstract
OBJECTIVE The aim of this systematic review was to evaluate the effectiveness of removable complete denture disinfection using microwaves for the treatment of denture stomatitis. METHODS This review identified studies comparing the efficacy of microwave prosthesis disinfection (I) to topical antifungal therapy (C) in the treatment of denture stomatitis (O), which included only individuals who used complete dentures and presented with denture stomatitis (P). The search was performed in six databases and identified 1524 records; after the removal of duplicates, 816 articles remained. Three articles were selected for qualitative synthesis and two for meta-analysis. Random-effects meta-analysis estimated the polled effects of microwave disinfection and antifungal therapy on the Candida counts and clinical manifestation of denture stomatitis. The GRADE approach was used to estimate the certainty of evidence. RESULTS All included studies reported significant reductions in Candida counts and the frequency of denture stomatitis of groups subjected to microwave disinfection of dentures and topical antifungal therapy with nystatin. Significative differences between treatments were only detected for Candida quantification in the palate, within 90 days follow-up period (SMD = 0.47, 95% CI = 0.02-0.91). Meta-analyses did not show any further differences between treatments (p > .05), considering the Candida quantification in dentures and the frequency of clinical signs of denture stomatitis. The certainty of the evidence was considered as low, according to GRADE approach. CONCLUSION Microwave disinfection of complete dentures can be considered as efficient as antifungal therapy for the treatment of denture stomatitis. However, further well-designed studies are necessary to confirm such evidence.
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Affiliation(s)
- Taisa Mara Santos Sousa
- Postgraduate Program in Dentistry, Health Sciences Center, Federal University of Paraiba, Joao Pessoa, Brazil
| | - Ohana Rodrigues de Farias
- Postgraduate Program in Dentistry, Health Sciences Center, Federal University of Paraiba, Joao Pessoa, Brazil
| | - André Ulisses Dantas Batista
- Postgraduate Program in Dentistry, Health Sciences Center, Federal University of Paraiba, Joao Pessoa, Brazil.,Department of Restorative Dentistry, Health Sciences Center, Federal University of Paraiba, Joao Pessoa, Brazil
| | - Eliton Souto de Medeiros
- Postgraduate Program in Dentistry, Health Sciences Center, Federal University of Paraiba, Joao Pessoa, Brazil.,Materials Engineering Department, Technology Center, Federal University of Paraiba, Joao Pessoa, Brazil
| | - Bianca Marques Santiago
- Postgraduate Program in Dentistry, Health Sciences Center, Federal University of Paraiba, Joao Pessoa, Brazil.,Clinical and Social Dentistry Department, Health Sciences Center, Federal University of Paraiba, Joao Pessoa, Brazil
| | - Yuri Wanderley Cavalcanti
- Postgraduate Program in Dentistry, Health Sciences Center, Federal University of Paraiba, Joao Pessoa, Brazil.,Clinical and Social Dentistry Department, Health Sciences Center, Federal University of Paraiba, Joao Pessoa, Brazil
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13
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Razmara F, Khayamzadeh M, Shabankare G. Applying dental implant therapy in patients with oral lichen planus: a review of literature. Int J Implant Dent 2020; 6:21. [PMID: 32458407 PMCID: PMC7250998 DOI: 10.1186/s40729-020-00216-8] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2019] [Accepted: 04/06/2020] [Indexed: 11/16/2022] Open
Abstract
Lichen planus (LP) is a violent, paranormal inflammatory disease that can affect the skin or any lining of the mucous membrane. LPs are a branch of immune-mediated inflammatory disease (IMID) that collaborates with the function and structure of the immune system that are precipitated through various etiological infectious agents. Oral lichen planus (OLP) is one of the most common kinds of IMID. These traumas might limit the normal life of patients and, in some cases, can be treated spontaneously. In patients who are affected by OLP, the dental clinicians must be capable of the proper diagnosis of the disorder. Dental implants are progressively applied for the treatment of partial or complete edentulism. Implant rehabilitation in OLP patients is one of the main challenges for patients and dental clinicians. There is not enough knowledge about this condition, and also medical documents are limited. In this study, by conducting a comprehensive review of literature, we tried to collect related data around the safety and success rate of implant rehabilitation in patients who suffer from OLP disorder. There proved to be no relation between implant survival rate and OLP diseases, but it is proven that some factors such as bone quality and fracture resistance, parafunctional habits, and resection of the marginal mandible could powerfully affect it. For evaluation of the advantages and disadvantages of applying implants in patients with OLP disorders, implementation of controlled studies is required.
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Affiliation(s)
- Farnoosh Razmara
- Craniomaxillofacial Research Center, Tehran University of Medical Sciences, Tehran, Iran.,Oral and Maxillofacial Surgery Department, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
| | - Mina Khayamzadeh
- Department of Oral and Maxillofacial Disease, School of Dentistry, Tehran University of Medical Sciences, International Campus, Tehran, Iran.
| | - Ghazal Shabankare
- School of Dentistry, Tehran University of Medical Sciences, International Campus, Tehran, Iran
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14
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Khiyani MF, Ahmadi M, Barbeau J, Feine JS, de Souza RF, Siqueira WL, Emami E. Salivary Biomarkers in Denture Stomatitis: A Systematic Review. JDR Clin Trans Res 2019; 4:312-322. [PMID: 30931724 DOI: 10.1177/2380084419830941] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
Abstract
OBJECTIVE Denture stomatitis (DS) is an oral biofilm-associated inflammation of the denture-bearing mucosa. The objective of this review was to identify and evaluate the quality of evidence on the association between the levels of salivary biomarkers and DS among adults with and without palatal DS. MATERIALS AND METHODS Following the PRISMA guidelines, Medline, PubMed, EMBASE, and the Cochrane Central Register for Controlled Trials were searched for eligible studies from the beginning of the archives until December 2018. Experimental and observational studies with adult participants were included that had a control group or subgroup analysis and provided data on salivary biomarkers and DS. Articles in languages other than English or French were excluded. The level of evidence and grades of recommendation were established with the 2011 scale of the Oxford Centre for Evidence-Based Medicine. Additionally, the assessment of methodological quality was conducted with the STROBE statement (Strengthening the Reporting of Observational Studies in Epidemiology) and graded according to the Olmos scale. RESULTS From 1,008 citations, 9 studies were included in the systematic review (8 observational, 1 clinical trial). Seven studies suggested a statistically significant difference in the levels of salivary cytokines (IL-6, CCL3, TGF-β, CXCL8, GM-CSF, and TNF-α) between participants with DS and controls (P < 0.05). In contrast, 2 studies concluded that the difference in the levels of several salivary cytokines (IL2, IL12, IFN-g, IL-4, IL-8, IL-10, IL-17, TNF-α, and ICAM-1) between the groups was not statistically significant. The level of evidence for the majority of studies was 3, while the grade of recommendation for all the studies was B, interpreted as "favorable." In terms of methodological quality, most studies met 50% to 80% of STROBE criteria and were graded B. CONCLUSION Palatal inflammation in DS is significantly associated with the levels of salivary cytokines. KNOWLEDGE TRANSFER STATEMENT The results of this study identified altered levels of specific salivary biomarkers associated with denture stomatitis, which may aid in the early diagnosis and treatment of this disease.
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Affiliation(s)
- M F Khiyani
- Faculty of Dental Medicine, Université de Montréal, Montreal, QC, Canada
| | - M Ahmadi
- Faculty of Dental Medicine, Université de Montréal, Montreal, QC, Canada
| | - J Barbeau
- Faculty of Dental Medicine, Université de Montréal, Montreal, QC, Canada
| | - J S Feine
- Faculty of Dentistry, McGill University, Montréal, QC, Canada
| | - R F de Souza
- Faculty of Dentistry, McGill University, Montréal, QC, Canada
| | - W L Siqueira
- Schulich School of Medicine and Dentistry, The University of Western Ontario, London, ON, Canada
| | - E Emami
- Faculty of Dental Medicine, Université de Montréal, Montreal, QC, Canada.,Faculty of Dentistry, McGill University, Montréal, QC, Canada
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15
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Use of finite element analysis for the assessment of biomechanical factors related to pain sensation beneath complete dentures during mastication. J Prosthet Dent 2018; 120:934-941. [DOI: 10.1016/j.prosdent.2018.02.002] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2017] [Revised: 02/09/2018] [Accepted: 02/09/2018] [Indexed: 11/23/2022]
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16
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Keşoğlu AC, Bural C, Genç GE, Erturan Z, Çınar Kekik Ç, Oğuz F, Bilgin T, Bilhan H. Cytokine gene polymorphism in denture stomatitis patients: A clinical study. Oral Dis 2018; 24:983-992. [PMID: 29423993 DOI: 10.1111/odi.12844] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2017] [Revised: 01/16/2018] [Accepted: 01/30/2018] [Indexed: 12/29/2022]
Abstract
OBJECTIVE This clinical study investigated the association between cytokine gene polymorphism and Candida growth in denture stomatitis (DS) patients. SUBJECTS AND METHODS Saliva and blood samples of 160 complete denture wearers (80 healthy controls and 80 with DS) were collected for mycological and gene polymorphism testing, respectively. Salivary Candida growth and TNF-α, TGF-β, IL-6, and IL-10 genotypes were investigated. Data were analyzed using Student's t test, Mann-Whitney U test, chi-square analysis, and continuity (yates) correction tests (p < .05). RESULTS Candida albicans colony counts in saliva were significantly higher in the DS group and in the TNF-α GG genotype (p < .05). TGF-β TC GG and TGF-β CC GG haplotypes were significantly higher in DS and control groups, respectively (p < .05). C. albicans colony counts were significantly higher in control group in the TGF-β TC GG haplotype (p < .05). Candida glabrata colony counts were significantly higher in the DS group than the control group in IL-6 GG genotype (p < .05). The difference between DS types in IL-6 genotypes was significant with lower expression level in DS type 3 than DS type 1 and also type 2 (p ≤ .01). CONCLUSION The significant differences in some genotypes of the TNF-α, TGF-β, and IL-6 in DS patients are promising in understanding the host defense in DS.
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Affiliation(s)
- A C Keşoğlu
- Department of Prosthodontics, Faculty of Dentistry, Istanbul University, Istanbul, Turkey
| | - C Bural
- Department of Prosthodontics, Faculty of Dentistry, Istanbul University, Istanbul, Turkey
| | - G E Genç
- Department of Medical Microbiology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
| | - Z Erturan
- Department of Medical Microbiology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
| | - Ç Çınar Kekik
- Department of Medical Biology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
| | - F Oğuz
- Department of Medical Biology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
| | - T Bilgin
- Department of Prosthodontics, Faculty of Dentistry, Istanbul University, Istanbul, Turkey
| | - H Bilhan
- Department of Prosthodontics, Faculty of Health, School of Dentistry, Witten/Herdecke University, Witten, Germany
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17
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Perić M, Živković R, Milić Lemić A, Radunović M, Miličić B, Arsić Arsenijević V. The severity of denture stomatitis as related to risk factors and different Candida spp. Oral Surg Oral Med Oral Pathol Oral Radiol 2018; 126:S2212-4403(18)30841-1. [PMID: 29759652 DOI: 10.1016/j.oooo.2018.03.003] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2017] [Revised: 02/14/2018] [Accepted: 03/10/2018] [Indexed: 11/18/2022]
Abstract
OBJECTIVES 1) To select patients with Candida-related denture stomatitis (DS) and to study possible risk factors associated with DS, 2) to evaluate the severity of DS according to Newton's classification, and 3) to investigate the association between the presence of non-albicans Candida spp. (NAC) or mixed Candida spp. and the severity of DS. STUDY DESIGN Eighty-two patients with Candida-positive DS have undergone 1) filling in the interview questionnaire, 2) clinical examination, and 3) microbiologic examination. RESULTS A total of 113 Candida spp. isolates were obtained from Candida-positive DS patients: C. albicans (as a single species) in 47/82 (57%) patients (study group A [SG_A]) and NAC/mixed Candida spp. in 35/82 (43%) patients (SG_B). Univariate logistic regression analysis showed that older age, longer age of the mandibular denture, and ex-smoker status were associated with SG_A. A multivariate model revealed no significant predictor of DS severity. Patients from SG_A were 3 times as likely to have DS type I, while patients from SG_B were 4.9 times as likely to have DS type III. CONCLUSIONS Our results show the association between type III of DS (by Newton's classification) and the presence of NAC or mixed Candida spp. in denture wearers.
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Affiliation(s)
- Mirjana Perić
- Department of Prosthodontics, School of Dental Medicine, University of Belgrade, Serbia
| | - Rade Živković
- Department of Prosthodontics, School of Dental Medicine, University of Belgrade, Serbia
| | | | - Milena Radunović
- Department of Microbiology, School of Dental Medicine, University of Belgrade, Serbia
| | - Biljana Miličić
- Department for Biostatistics and Informatics, School of Dental Medicine, University of Belgrade, Serbia
| | - Valentina Arsić Arsenijević
- National Reference Medical Mycology Laboratory, Institute of Microbiology and Immunology, Faculty of Medicine, University of Belgrade, Serbia.
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18
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Lee HL, Wang RS, Hsu YC, Chuang CC, Chan HR, Chiu HC, Wang YB, Chen KY, Fu E. Antifungal effect of tissue conditioners containing poly(acryloyloxyethyltrimethyl ammonium chloride)-grafted chitosan on Candida albicans growth in vitro. J Dent Sci 2018; 13:160-166. [PMID: 30895112 PMCID: PMC6388835 DOI: 10.1016/j.jds.2017.06.004] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2017] [Revised: 06/28/2017] [Indexed: 11/30/2022] Open
Abstract
Background/purpose Denture stomatitis is a pathological condition affecting the mucosa underneath ill-fitting dentures, and Candida albicans is considered its main etiologic factor. Tissue conditioners are temporary lining materials often applied to dentures to treat inflamed tissues. However, tissue conditioners do not exert antifungal activity, and the soft surface texture harbors C. albicans easily. The aim of this study was to examine the antifungal activity of tissue conditioners modified with chitosan (CS) or a quaternized chitosan (QCS), which was synthesized by grafting 2-[(acryloyloxy)ethyl] trimethyl ammonium chloride onto CS. Materials and methods Tissue conditioners containing varying weight percentages of CS or QCS were prepared as experimental discs 10 mm in diameter and 1 mm in thickness. Samples were co-cultured with C. albicans and the number of colony forming units was recorded. Other evaluations included cell toxicity and tensile bond strength to the resin denture base. Results It was found significantly fewer fungal colonies in tissue conditioners modified with CS or QCS, and none when the weight percentage of QCS exceeded 5%. CS and QCS did not affect the viability of human gingival epithelium cells or fibroblasts, and tensile bond strength did not differ between control and modified tissue conditioners. Conclusion This study provides a foundation for the development of QCS as a novel and safe antifungal agent applied to tissue conditioners in clinical practice.
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Affiliation(s)
- Hsin-Lin Lee
- Department of Dentistry, Tri-Service General Hospital and National Defense Medical Center, Taipei, Taiwan
| | - Ren-Syue Wang
- Department of Chemical and Materials Engineering, National Yunlin University of Science and Technology, Yunlin, Taiwan
| | - Yung-Chuang Hsu
- Department of Dentistry, Tri-Service General Hospital and National Defense Medical Center, Taipei, Taiwan
| | - Chuan-Chung Chuang
- Department of Dentistry, Tri-Service General Hospital and National Defense Medical Center, Taipei, Taiwan
| | - Hui-Rong Chan
- Department of Dentistry, Tri-Service General Hospital and National Defense Medical Center, Taipei, Taiwan
| | - Hsien-Chung Chiu
- Department of Dentistry, Tri-Service General Hospital and National Defense Medical Center, Taipei, Taiwan
| | - Yi-Bing Wang
- Department of Dentistry, Tri-Service General Hospital and National Defense Medical Center, Taipei, Taiwan
| | - Kuo-Yu Chen
- Department of Chemical and Materials Engineering, National Yunlin University of Science and Technology, Yunlin, Taiwan
| | - Earl Fu
- Department of Dentistry, Tri-Service General Hospital and National Defense Medical Center, Taipei, Taiwan
- Department of Dentistry, Taipei Tzu Chi General Hospital, Xindian, Taipei, Taiwan
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19
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Abstract
Removable dentures are worn by 20% of the UK population and two thirds of these individuals have denture stomatitis. Poor oral hygiene is commonplace among this group, as is smoking and xerostomia, which also contribute to the development of denture stomatitis. A complex polymicrobial biofilm is able to proliferate on the surface of denture materials and matures to form visible denture plaque. This denture plaque biofilm stimulates a local inflammatory process that is detectable clinically as erythema, and hyperplasia. Systemically, denture plaque represents a potential risk factor for systemic disease, in particular aspiration pneumonia. Respiratory pathogens have been detected in the denture plaque and overnight denture wear has been linked to an increased risk of aspiration pneumonia. There is a general lack of evidence on the adequate management of denture stomatitis and we present a protocol for use in the primary care setting.
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20
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Perić M, Radunović M, Pekmezović M, Marinković J, Živković R, Arsić Arsenijević V. Laboratory-Based Investigation of Denture Sonication Method in Patients with Candida-Associated Denture Stomatitis. J Prosthodont 2017; 28:580-586. [PMID: 28872720 DOI: 10.1111/jopr.12610] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/22/2017] [Indexed: 12/01/2022] Open
Abstract
PURPOSE Denture stomatitis (DS) is a disease characterized by inflammation and erythema of the oral mucosa areas covered by the denture. Multifactorial etiological factors contribute to DS, but it seems that Candida plays the key role. The aim of the study was to evaluate the denture sonication method to: (i) increase the possibility of diagnosing patients with Candida-associated DS; (ii) detect and identify the mixed Candida spp., and (iii) determine the Candida colony forming units (CFU) and its possible relationship with DS severity, based on Newton's classification. MATERIALS AND METHODS The cross-sectional study conducted at the Clinic for Dental Prosthetics, Belgrade (Serbia) from June 2013 to December 2014 enrolled edentulous patients with dentures (n = 250). Patients without DS (n = 20) were the control group (CG). The patients' data were collected, and patients with DS (study group/SG) were selected and divided into SG Candida+ and SG Candida-. Based on severity of DS, the SG patients were classified in 3 groups (Newton's classification). Four sampling methods were applied to detect patients with Candida-associated DS: mucosa swab, denture swab, oral rinse, and denture sonication method. The sensitivity and specificity of denture sonication method were shown using the receiver operating characteristic (ROC) curve and the area under the curve (AUC). RESULTS In 97 (38.8%), out of 250 clinically examined patients, DS was diagnosed. In 82 (84.5%), out of 97 mycologically examined patients, Candida-associated DS was detected when denture sonication method was applied. Additionally, using the denture sonication method we observed: (i) the largest number of Candida positive patients compared to other sampling methods (p < 0.0001); (ii) the highest number of Candida CFU/ml (105 ), and (iii) the possibility to detect mixed Candida cultures. The largest number of patients with Candida-associated DS showed type II (60%) DS, followed by type I (21%), and type III (19%) DS. CONCLUSION The denture sonication method is easy, accurate, and sensitive, and increases the possibility of diagnosing patients with Candida-associated DS. Additionally, yeast quantification, mixed Candida spp., and non-albicans Candida were detectable when cultivation on Candida CHROMagar was performed. It was not possible using conventional methods, such as swab or oral rinse.
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Affiliation(s)
- Mirjana Perić
- Department of Prosthodontics, School of Dental Medicine, University of Belgrade, Serbia
| | - Milena Radunović
- Department of Microbiology, School of Dental Medicine, University of Belgrade, Serbia
| | - Marina Pekmezović
- National Reference Medical Mycology Laboratory, Institute of Microbiology and Immunology, Faculty of Medicine, University of Belgrade, Serbia
| | - Jelena Marinković
- Department of Medical Statistics and Informatics, Faculty of Medicine, University of Belgrade, Serbia
| | - Rade Živković
- Department of Prosthodontics, School of Dental Medicine, University of Belgrade, Serbia
| | - Valentina Arsić Arsenijević
- National Reference Medical Mycology Laboratory, Institute of Microbiology and Immunology, Faculty of Medicine, University of Belgrade, Serbia
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21
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de Souza RF, Khiyani MF, Chaves CAL, Feine J, Barbeau J, Fuentes R, Borie E, Crizostomo LC, Silva-Lovato CH, Rompre P, Emami E. Improving practice guidelines for the treatment of denture-related erythematous stomatitis: a study protocol for a randomized controlled trial. Trials 2017; 18:211. [PMID: 28476133 PMCID: PMC5420092 DOI: 10.1186/s13063-017-1947-y] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2017] [Accepted: 04/11/2017] [Indexed: 11/12/2022] Open
Abstract
Background Denture-related erythematous stomatitis (DES) is a chronic biofilm-mediated disease, affecting one in every three complete denture wearers. Antifungals are the treatment most commonly prescribed by oral health professionals, based on the belief that colonization by Candida spp. is the main cause of DES. However, high recurrence rates and adverse effects are commonly observed, prompting the need for practice guidelines regarding treatment. Results from our pilot study demonstrate that palatal brushing can reduce the palatal inflammation and potentially associated Candida carriage without any need for antifungal therapy. The objective of this study is to validate these pilot results by means of a randomized controlled trial (RCT) and provide a practice guideline for clinicians. Methods/design A pragmatic, two-parallel-arm, multicenter RCT will be conducted in Canada, Brazil, and Chile. Fifty-two adult complete denture wearers presenting with moderate to severe DES will be allocated randomly to two groups: the Intervention arm will consist of palatal brushing and standard oral and denture hygiene measures, while the Control arm will include only standard oral and denture hygiene measures. The study outcome will be the oral Candida carriage. Participants will be assessed at baseline, and at 3 and 6 months post intervention. Descriptive, bivariate, and mixed models with repeated measures will be performed following the intention-to-treat principle. Discussion This pragmatic RCT will serve to provide a clinical practice guideline regarding the use of preventive measures in the treatment of biofilm-mediated oral diseases. Moreover, it will have a great impact on reducing the harm of antifungal overtreatment on patients suffering from DES. Trial registration ClinicalTrials.gov, NCT02686632. Registered on 15 February 2016. Electronic supplementary material The online version of this article (doi:10.1186/s13063-017-1947-y) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Raphael F de Souza
- Division of Oral Health and Society, Faculty of Dentistry, McGill University, Montreal, QC, Canada.,Department of Dental Materials and Prosthetics, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil
| | | | | | - Jocelyne Feine
- Division of Oral Health and Society, Faculty of Dentistry, McGill University, Montreal, QC, Canada
| | - Jean Barbeau
- Faculty of Dental Medicine, Université de Montréal, Montreal, QC, Canada
| | - Ramón Fuentes
- Research Centre in Dental Sciences (CICO), Faculty of Dentistry, Universidad de la Frontera, Temuco, Chile
| | - Eduardo Borie
- Research Centre in Dental Sciences (CICO), Faculty of Dentistry, Universidad de la Frontera, Temuco, Chile
| | - Luciana C Crizostomo
- Department of Dental Materials and Prosthetics, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil
| | - Claudia H Silva-Lovato
- Department of Dental Materials and Prosthetics, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil
| | - Pierre Rompre
- Faculty of Dental Medicine, Université de Montréal, Montreal, QC, Canada
| | - Elham Emami
- Faculty of Dental Medicine, Université de Montréal, Montreal, QC, Canada. .,School of Public Health, Public Health Institute, University of Montréal's Hospitals Research Center, Université de Montréal, C.P. 6128, succursale centre-ville, Montréal, QC, H3C 3J7, Canada.
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Garaicoa JL, Fischer CL, Bates AM, Holloway J, Avila-Ortiz G, Guthmiller JM, Johnson GK, Stanford C, Brogden KA. Promise of Combining Antifungal Agents in Denture Adhesives to Fight Candida Species Infections. J Prosthodont 2016; 27:755-762. [PMID: 27870138 DOI: 10.1111/jopr.12565] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/01/2016] [Indexed: 11/30/2022] Open
Abstract
PURPOSE Several complications may arise in patients wearing complete prosthetic appliances, including denture-associated infections and mucosal stomatitis due to Candida species. This study evaluated the activity of anti-Candida agents in denture adhesive and the cytotoxicities of these preparations for primary human gingival epithelial (GE) keratinocytes. MATERIALS AND METHODS The anti-Candida activities of antimicrobial peptides, antimicrobial lipids, and antifungal agents against C. albicans ATCC 64124 or HMV4C were assessed in microdilution assays containing water or 1% denture adhesive. The minimal inhibitory concentrations (MIC) and the minimal bactericidal concentrations (MBC) were determined. The cytotoxicities of denture adhesive compounded with these agents were assessed in 1.0 × 105 primary GE keratinocytes in LGM-3 media with resazurin. RESULTS Lactoferricin B, SMAP28, sphingosine, dihydrosphingosine, and phytosphingosine in 1% denture adhesive lost antimicrobial activity for C. albicans (p < 0.05). Amphotericin B, chlorhexidine dihydrochloride, chlorhexidine gluconate, fluconazole, and nystatin in 1% denture adhesive or compounded directly into denture adhesive and then diluted to 1% adhesive, did not lose antimicrobial activity. Compounded formulations were not cytotoxic (LD50 > 100.0 μg/ml) against primary human GE keratinocytes. CONCLUSIONS Antimicrobial peptides and antimicrobial lipids had diminished activities in 1% adhesive, suggesting that components in adhesives may inactivate local innate immune factors in the oral cavity, possibly predisposing denture wearers to Candida species infections. More importantly, antifungal agents retained their anti-C. albicans activities in denture adhesive, strongly suggesting that antifungal agents could be candidates for inclusion in adhesive formulations and used as prescribed topical treatments for individuals with denture stomatitis.
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Affiliation(s)
- Jorge L Garaicoa
- Department of Restorative Dentistry, School of Dentistry, Oregon Health and Science University, Portland, OR
| | - Carol L Fischer
- Iowa Institute for Oral Health Research, College of Dentistry, The University of Iowa, Iowa City, IA
| | - Amber M Bates
- Iowa Institute for Oral Health Research, College of Dentistry, The University of Iowa, Iowa City, IA
| | - Julie Holloway
- Department of Prosthodontics, College of Dentistry, The University of Iowa, Iowa City, IA
| | - Gustavo Avila-Ortiz
- Department of Periodontics, College of Dentistry, The University of Iowa, Iowa City, IA
| | - Janet M Guthmiller
- College of Dentistry, University of Nebraska Medical Center, Lincoln, NE
| | - Georgia K Johnson
- Department of Periodontics, College of Dentistry, The University of Iowa, Iowa City, IA
| | - Clark Stanford
- College of Dentistry, University of Illinois at Chicago, IL
| | - Kim A Brogden
- Department of Periodontics, College of Dentistry, The University of Iowa, Iowa City, IA
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23
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Aoun G, Cassia A. EVALUATION OF DENTURE-RELATED FACTORS PREDISPOSING TO DENTURE STOMATITIS IN A LEBANESE POPULATION. Mater Sociomed 2016; 28:392-396. [PMID: 27999492 PMCID: PMC5149433 DOI: 10.5455/msm.2016.28.392-396] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2016] [Accepted: 10/05/2016] [Indexed: 11/03/2022] Open
Abstract
BACKGROUND Denture stomatitis is a common fungal oral infection of multifactorial etiology. Denture-related factors such as denture's age, hygiene, night wearing and colonization by Candida albicans are known to predispose to denture stomatitis. The aim of this study was to evaluate these factors and their relationship with the occurrence of denture stomatitis in a Lebanese population. MATERIAL AND METHODS Sixty patients (40 women, 20 men; age range 40-80 years) showing clinical evidence of denture-related stomatitis were selected for this study. Swab samples from the palate and the palatal surfaces of the upper dentures of these patients were collected and examined mycologically. Denture's age, hygiene, night wearing and colonization by Candida albicans were evaluated and analyzed statistically. RESULTS The statistical analysis showed a significant role for denture's hygiene, night wearing, and colonization by Candida albicans in the installation of the denture stomatitis. Patient's gender and age, as well as the denture's age, were not significant predictors of the disease. CONCLUSION In a sample of Lebanese population, poor denture hygiene, continuous denture use, and Candida denture colonization are important etiological factors that contribute to denture stomatitis.
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Affiliation(s)
- Georges Aoun
- Department of Oral Pathology and Diagnosis, Faculty of Dentistry, Lebanese University, Beirut, Lebanon
| | - Antoine Cassia
- Department of Oral Pathology and Diagnosis, Faculty of Dentistry, Lebanese University, Beirut, Lebanon
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24
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The effect of nocturnal wear of dentures on the sleep quality: a systematic review and meta-analysis. Sleep Breath 2016; 21:9-18. [DOI: 10.1007/s11325-016-1369-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2016] [Revised: 05/31/2016] [Accepted: 06/07/2016] [Indexed: 10/21/2022]
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25
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Role of antifungal medicaments added to tissue conditioners: A systematic review. J Prosthodont Res 2016; 60:231-239. [PMID: 27085676 DOI: 10.1016/j.jpor.2016.03.006] [Citation(s) in RCA: 46] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2015] [Revised: 03/02/2016] [Accepted: 03/21/2016] [Indexed: 11/22/2022]
Abstract
PURPOSE The aim of this review is to investigate the current state of knowledge on the incorporation of antifungal agents into the tissue conditioners for the treatment of denture induced stomatitis. STUDY SELECTION Studies reporting the incorporation of antifungal/antimicrobial agents in to tissue conditioners were included in the review. In order to search the studies on the topic "incorporation of antifungal agents in tissue conditioners for the treatment of denture induced stomatitis" ISI web of science, PubMed/MEDLINE, and Google-Scholar databases were searched from 1970 up to and including July 2015 using various keywords such as antifungal agents, tissue conditioners, Candida albicans, denture stomatitis, etc. RESULTS Various studies reported the efficacy and effectiveness of adding conventional organic antifungal medicines (nystatin, azole group derivatives and chlorhexidine, antimicrobials/antifungals other than organic (silver zeolite, silver nano-particles, photo-catalysts and metallic oxides) and natural and herbal antimicrobials (tea tree oil, lemongrass essential oil and origanum oil) into various tissue conditioners. The review literature reported that incorporation of antifungal agents into tissue conditioners is effective with minimal or no effects on physical and mechanical properties of tissue conditioners. CONCLUSIONS Incorporation of different antifungal medicaments to commercially available tissue conditioners can be recommended for the management of denture induced stomatitis.
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Abstract
The prevalence of prosthodontic treatment has been well recognized, and the need is continuously increasing with the ageing population. While the oral mucosa plays a critical role in the treatment outcome, the associated biomechanics is not yet fully understood. Using the literature available, this paper provides a critical review on four aspects of mucosal biomechanics, including static, dynamic, volumetric and interactive responses, which are interpreted by its elasticity, viscosity/permeability, apparent Poisson's ratio and friction coefficient, respectively. Both empirical studies and numerical models are analysed and compared to gain anatomical and physiological insights. Furthermore, the clinical applications of such biomechanical knowledge on the mucosa are explored to address some critical concerns, including stimuli for tissue remodelling (interstitial hydrostatic pressure), pressure–pain thresholds, tissue displaceability and residual bone resorption. Through this review, the state of the art in mucosal biomechanics and their clinical implications are discussed for future research interests, including clinical applications, computational modelling, design optimization and prosthetic fabrication.
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Affiliation(s)
- Junning Chen
- School of Aerospace, Mechanical and Mechatronic Engineering, University of Sydney, Sydney, New South Wales 2006, Australia
| | - Rohana Ahmad
- Unit of Prosthodontics, Faculty of Dentistry, Universiti Teknologi MARA, Shah Alam 40450, Malaysia
| | - Wei Li
- School of Aerospace, Mechanical and Mechatronic Engineering, University of Sydney, Sydney, New South Wales 2006, Australia
| | - Michael Swain
- Faculty of Dentistry, University of Sydney, Sydney, New South Wales 2006, Australia
| | - Qing Li
- School of Aerospace, Mechanical and Mechatronic Engineering, University of Sydney, Sydney, New South Wales 2006, Australia
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Ebinger A, Katsoulis J, Hakimi M, Mazzi D, Mericske-Stern R. Mucosal Manifestations in the Edentulous Maxilla with Implant Supported Prostheses: Clinical Results from a Well-Maintained Patient Cohort. Clin Implant Dent Relat Res 2015; 18:639-48. [PMID: 25891301 DOI: 10.1111/cid.12345] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
BACKGROUND Prostheses in the edentulous maxilla affect the mucosa. PURPOSE To evaluate mucosal alterations with implant supported fixed prostheses (FDP) and overdentures (IOD). MATERIAL AND METHODS Patients receiving prostheses during a time period of 10 years were recruited. Maxillary mucosal conditions in relation to FDPs, IODs were analyzed. Peri-implant parameters were measured and the Oral Health Impact Profile (OHIP) was administered. RESULTS One hundred seven patients wearing 74 IODs and 33 FDPs were identified with a total of 519 implants, the mean observation time was 6.5 ± 2.7. Cumulative implant survival was 93%. Erythema and hyperplastic tissue were identified in 71% of the IOD wearers, but were mostly absent with FDPs. The peri-implant parameters demonstrated healthy peri-implant mucosa. Medication and smoking had no effect on mucosal alteration (OR = 1.065 and 1.568). The average OHIP value was 3.73 ± 4.12. A lower value (p < 0.0048) was found for FDPs and one type of IOD. CONCLUSIONS A rigorous maintenance program did not prevent IOD mucosal alterations in IOD wearers, but the health of the peri-implant mucosa was maintained and was comparable for all types of prostheses.
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Affiliation(s)
- Andreas Ebinger
- Department of Prosthodontics, School of Dental Medicine, University of Bern, Bern, Switzerland
| | - Joannis Katsoulis
- Department of Prosthodontics, School of Dental Medicine, University of Bern, Bern, Switzerland
| | - Mariam Hakimi
- Department of Prosthodontics, School of Dental Medicine, University of Bern, Bern, Switzerland
| | - Davide Mazzi
- Department of Prosthodontics, School of Dental Medicine, University of Bern, Bern, Switzerland
| | - Regina Mericske-Stern
- Department of Prosthodontics, School of Dental Medicine, University of Bern, Bern, Switzerland
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28
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Ercalik-Yalcinkaya S, Özcan M. Association between Oral Mucosal Lesions and Hygiene Habits in a Population of Removable Prosthesis Wearers. J Prosthodont 2014; 24:271-8. [DOI: 10.1111/jopr.12208] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/04/2014] [Indexed: 11/30/2022] Open
Affiliation(s)
- Sebnem Ercalik-Yalcinkaya
- Associate Professor; Marmara University; Faculty of Dentistry; Department of Dentomaxillofacial Radiology; Istanbul Turkey
| | - Mutlu Özcan
- Professor; University of Zürich; Center for Dental and Oral Medicine; Dental Materials Unit; Clinic for Fixed and Removable Prosthodontics and Dental Materials Science; Zürich Switzerland
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29
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Emami E, Nguyen PTH, Almeida FR, Feine JS, Karp I, Lavigne G, Huynh N. The effect of nocturnal wear of complete dentures on sleep and oral health related quality of life: study protocol for a randomized controlled trial. Trials 2014; 15:358. [PMID: 25218696 PMCID: PMC4177759 DOI: 10.1186/1745-6215-15-358] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2014] [Accepted: 09/09/2014] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Edentulism and sleep disturbance are chronic conditions that are common in older people and have serious adverse consequences for their functioning and quality of life. Edentulism can disturb sleep through the alteration of the craniofacial structure and surrounding soft tissue. However, the effect of prosthetic rehabilitation of edentulism on sleep quality is still not well understood. The objectives of this study are to test whether nocturnal denture wear affects sleep quality, daytime sleepiness, and the oral health related quality of life of edentate older people with moderate to severe sleep apnea, and to identify modifiers of effect of nocturnal denture wear. METHODS/DESIGN We will carry out a single-blind randomized cross-over trial. Seventy edentate older people with moderate to severe obstructive sleep apnea will be enrolled. The study participants will be assigned to wear and not wear their dentures on alternate periods of 30 days. The outcome measures will be sleep quality (assessed by portable polysomnography), daytime sleepiness (assessed by the Epworth Sleepiness Scale), and oral health related quality of life (assessed by validated questionnaire). A number of characteristics (sociodemographic, oropharyngeal morphology, oral and prosthesis characteristics, and perceived general health quality of life) will be assessed by means of clinical examination, 3D imaging of the craniofacial structure, and validated questionnaires at baseline. Linear mixed effects regression models for repeated measures will be fitted to test the study hypotheses. The main analyses will be based on the intention-to-treat principle. To assess the robustness of the findings to potential incomplete adherence, sensitivity analyses will be conducted while applying the per-protocol principle. DISCUSSION This practice-relevant evidence could represent a preventive approach to improve sleep characteristics of the older population and improve their well-being and quality of life. TRIAL REGISTRATION ClinicalTrials.gov NCT01868295.
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Affiliation(s)
- Elham Emami
- />Faculty of Dentistry, Université de Montréal, 2900 Edouard-Montpetit, Montreal, QC H3T 1J4 Canada
- />Faculty of Dentistry, McGill University, 3550 University Street, Montreal, QC H3A 2A7 Canada
| | - Phan The Huy Nguyen
- />Faculty of Dentistry, Université de Montréal, 2900 Edouard-Montpetit, Montreal, QC H3T 1J4 Canada
| | - Fernanda R Almeida
- />Faculty of Dentistry, University of British Colombia, #103 - 2786W 16th Ave, Vancouver, BC V6K 4M1 Canada
| | - Jocelyne S Feine
- />Faculty of Dentistry, McGill University, 3550 University Street, Montreal, QC H3A 2A7 Canada
| | - Igor Karp
- />Faculty of Dentistry, Université de Montréal, 2900 Edouard-Montpetit, Montreal, QC H3T 1J4 Canada
- />Schulich School of Medicine and Dentistry, University of Western Ontario, 1151 Richmond Street, London, ON N6A 5C1 Canada
| | - Gilles Lavigne
- />Faculty of Dentistry, Université de Montréal, 2900 Edouard-Montpetit, Montreal, QC H3T 1J4 Canada
| | - Nelly Huynh
- />Faculty of Dentistry, Université de Montréal, 2900 Edouard-Montpetit, Montreal, QC H3T 1J4 Canada
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30
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Emami E, Michaud PL, Sallaleh I, Feine JS. Implant-assisted complete prostheses. Periodontol 2000 2014; 66:119-31. [DOI: 10.1111/prd.12041] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/12/2013] [Indexed: 11/28/2022]
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31
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Martori E, Ayuso-Montero R, Martinez-Gomis J, Viñas M, Peraire M. Risk factors for denture-related oral mucosal lesions in a geriatric population. J Prosthet Dent 2013; 111:273-9. [PMID: 24355508 DOI: 10.1016/j.prosdent.2013.07.015] [Citation(s) in RCA: 52] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2012] [Revised: 07/12/2013] [Accepted: 07/21/2013] [Indexed: 02/06/2023]
Abstract
STATEMENT OF PROBLEM Denture-related mucosal lesions have been broadly studied. However, no consensus has been reached regarding the risk factors associated with these lesions, and few studies have used multivariable analysis to determine the relative significance of different risks. PURPOSE The purpose of this study was to determine the relationship between systemic, local, and denture factors on the risk of denture-related oral mucosal lesions in an elderly population by using multivariable analysis. MATERIAL AND METHODS Eighty-four elderly denture wearers recruited from geriatric residences and day care centers participated in this cross-sectional study. All data were obtained by means of a questionnaire-interview, a physical examination, and complementary tests. Bivariate relationship and multiple logistic regression analyses were performed (α=.05). RESULTS Angular cheilitis (34%), traumatic ulcers (15%), and denture stomatitis (14%) were the 3 most common lesions, and the prevalence of at least 1 denture-related mucosal lesion was 54%. The presence of denture stomatitis was related to low saliva pH, never having smoked, and regular sugar consumption. Angular cheilitis was associated with age, complete edentulism, the presence of oral Candida, a lack of denture stability, and a reduced occlusal vertical dimension. The presence of traumatic ulcers was related to a resorbed residual alveolar ridge. The presence of at least 1 lesion was associated with poor masticatory efficiency, being resident in a care facility, oral Candida, and a lack of denture stability. CONCLUSIONS Several systemic, local, and denture-related characteristics are independent risk factors for denture-related mucosal lesions in an elderly population.
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Affiliation(s)
- Elisenda Martori
- Assistant Professor, Department of Prosthodontics, University of Barcelona, Spain
| | - Raul Ayuso-Montero
- Assistant Professor, Department of Prosthodontics, University of Barcelona, Spain
| | - Jordi Martinez-Gomis
- Associate Professor, Department of Prosthodontics, University of Barcelona, Spain.
| | - Miguel Viñas
- Professor, Department of Pathology and Experimental Therapeutics, University of Barcelona, Spain
| | - Maria Peraire
- Professor, Department of Prosthodontics, University of Barcelona, Spain
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32
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Emami E, Kabawat M, Rompre PH, Feine JS. Linking evidence to treatment for denture stomatitis: a meta-analysis of randomized controlled trials. J Dent 2013; 42:99-106. [PMID: 24316341 DOI: 10.1016/j.jdent.2013.11.021] [Citation(s) in RCA: 50] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2013] [Revised: 11/08/2013] [Accepted: 11/29/2013] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVES The aim of this meta-analysis was to compare the efficacy of antifungal therapy with any other alternative methods used for the treatment of denture stomatitis. DATA SOURCES MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials and the Cochrane Database of Systematic Reviews were searched, complemented by hand searching, until the first week of January 2013. STUDY SELECTION Included studies consisted of randomized clinical trials published in English or French, which compared antifungals with any other alternative or placebo, used for the treatment of denture stomatitis. The remission of clinical signs of denture stomatitis, and the reduction in Candida colony counts were considered as the clinical and microbiological outcomes, respectively. Random effects models were used to conduct the statistical analyses. RESULTS From 233 identified articles, a total of 15 manuscripts on 14 randomized controlled trials were included in systematic review and 8 in the meta-analysis. No statistically significant difference between antifungal treatment and disinfection methods was found for both clinical (OR=0.7; 95% CI: 0.32-1.36; Z=-1.14; p=0.256) and microbiological (OR=0.8; 95% CI: 0.26-2.5; Z=-0.35; p=0.724) outcomes. The meta-analysis showed a statistically significant difference between an antifungal and a placebo for the microbiological outcome (OR=0.32; 95% CI: 0.12-0.89; Z=-2.2; p=0.028), favouring the antifungals. However, there was no statistically significant difference between antifungal and placebo for the clinical outcome (OR=0.2; 95% CI: 0.04-1.04; Z=-1.9; p=0.056). CONCLUSIONS Disinfection agents, antiseptic mouthwashes, natural substances with antimicrobial properties, microwave disinfection and photodynamic therapy could be suggested as an adjunct or alternative to antifungal medications in the treatment of denture stomatitis.
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Affiliation(s)
- Elham Emami
- Département de Dentisterie et de Restauration, Faculté de Médecine Dentaire, Université de Montréal, Montreal, Canada.
| | - Marla Kabawat
- Département de Dentisterie et de Restauration, Faculté de Médecine Dentaire, Université de Montréal, Montreal, Canada
| | - Pierre H Rompre
- Département de Stomatologie, Faculté de Médecine Dentaire, Université de Montréal, Montreal, Canada
| | - Jocelyne S Feine
- Oral Health and Society Research Unit, Faculty of Dentistry; Department of Epidemiology and Biostatistics and Department of Oncology, Faculty of Medicine, McGill University, Montreal, Quebec, Canada
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Navabi N, Gholamhoseinian A, Baghaei B, Hashemipour MA. Risk factors associated with denture stomatitis in healthy subjects attending a dental school in southeast iran. Sultan Qaboos Univ Med J 2013; 13:574-80. [PMID: 24273669 DOI: 10.12816/0003318] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2012] [Revised: 02/05/2013] [Accepted: 05/14/2013] [Indexed: 11/27/2022] Open
Abstract
OBJECTIVES There is scant information regarding the multifactorial aetiology of denture stomatitis (DS) in the world and, despite its frequency, associated factors are not completely understood. The aim of this study was to investigate the risk factors that may be associated with this lesion. METHODS A total of 70 edentulous patients, all wearing removable dentures, were divided into two groups. The test group comprised 43 patients with DS and the control group comprised 27 subjects with clinically healthy palatal mucosa. A thorough history-taking and physical examination were carried out; the subjects also answered a questionnaire. The serum level of vitamin A for each subject was assayed from a blood sample taken after the examination. RESULTS THIS STUDY SHOWED A SIGNIFICANT RELATIONSHIP BETWEEN THE INCIDENCE OF DS AND THREE MAJOR FACTORS: denture age (in terms of years), the practitioner manufacturing the dentures (general dental practitioner versus dental hygienist), and the night-long wearing of dentures. Also, the vitamin A serum level was low in 94.29% of all subjects (cases and controls). CONCLUSION Although many predisposing conditions were related to this situation, the most important risk factor was the continuous use of the dentures.
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Affiliation(s)
- Nader Navabi
- Department of Oral Medicine, Oral & Dental Diseases Research Center, Kerman University of Medical Sciences, Kerman, Iran
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Pesee S, Arpornsuwan T. Salivary cytokine profile in elders withCandida-related denture stomatitis. Gerodontology 2013; 32:132-40. [DOI: 10.1111/ger.12064] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/15/2013] [Indexed: 12/23/2022]
Affiliation(s)
- Siripen Pesee
- Faculty of Dentistry; Thammasat University; Pathumtani Thailand
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Emami E, Salah MH, Rompré P, Huynh N, Beauchamp A, Feine JS. The nocturnal use of complete dentures and sleep stability in edentulous elders. J Dent 2013; 41:703-9. [PMID: 23751879 DOI: 10.1016/j.jdent.2013.05.017] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2012] [Revised: 05/20/2013] [Accepted: 05/30/2013] [Indexed: 10/26/2022] Open
Abstract
OBJECTIVE To evaluate the stability of sleep quality and the impact of nocturnal use of complete dentures on sleep quality in an elderly edentulous population over a one-year period. MATERIALS AND METHODS Written informed consent was obtained from 172 edentulous elders who agreed to enrol in a longitudinal cohort study. A total of 153 participants completed the follow-up after one year. Perceived quality of sleep and daytime sleepiness were measured using the Pittsburgh Sleep Quality Index (PSQI, score 0-21) and the Epworth Sleepiness Scale (ESS, score 0-24) at baseline (T0) and at follow-up (T1). Data on oral health related quality of life, type of mandibular dentures (conventional versus implant-retained mandibular overdenture), nocturnal wear of the dentures and socio-demographic status were obtained by means of the OHIP-20 questionnaire, a clinical examination form and a socio-demographic questionnaire. RESULTS No statistically significant differences were detected in the global PSQI mean scores and EES mean scores from baseline (PSQI 4.77 ± 3.32; EES 5.35 ± 3.72) to the follow-up assessment (PSQ1 5.04 ± 3.50; EES 5.53 ± 4.34). Edentate elders wearing prostheses at night had poorer daytime sleepiness scores than those who removed their prostheses at night (p=0.003 unadjusted model; p=0.058 adjusted for age, gender, type of prosthesis and the OHIP-20 total score). CONCLUSION Results of this study suggest that wearing complete dentures while sleeping has little effect on sleep quality or daytime sleepiness.
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Affiliation(s)
- Elham Emami
- Faculté de Médecine Dentaire, Université de Montréal, Montreal, QC, Canada.
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Cavaleiro I, Proença L, Félix S, Salema-Oom M. Prevalence of Yeast Other than Candida albicans
in Denture Wearers. J Prosthodont 2013; 22:351-7. [DOI: 10.1111/jopr.12005] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/13/2012] [Indexed: 11/26/2022] Open
Affiliation(s)
- Inês Cavaleiro
- Instituto Superior Ciências da Saúde Egas Moniz; Centro de Investigação Interdisciplinar Egas Moniz (CiiEM); Caparica Portugal
| | - Luis Proença
- Instituto Superior Ciências da Saúde Egas Moniz; Centro de Investigação Interdisciplinar Egas Moniz (CiiEM); Caparica Portugal
- Faculdade de Ciências da Universidade de Lisboa; Centro de Ciências Moleculares e Materiais (CCMM); Lisboa Portugal
| | - Sérgio Félix
- Instituto Superior Ciências da Saúde Egas Moniz; Centro de Investigação Interdisciplinar Egas Moniz (CiiEM); Caparica Portugal
| | - Madalena Salema-Oom
- Instituto Superior Ciências da Saúde Egas Moniz; Centro de Investigação Interdisciplinar Egas Moniz (CiiEM); Caparica Portugal
- Faculdade de Ciência e Tecnologia da Universidade Nova de Lisboa; Centro de Recursos Microbiológicos (CREM); Caparica Portugal
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Ito N, Kimoto S, Kawai Y. Does wearing dentures change sensory nerve responses under the denture base? Gerodontology 2012; 31:63-7. [DOI: 10.1111/ger.12006] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/24/2012] [Indexed: 11/29/2022]
Affiliation(s)
- Nana Ito
- Nihon University Graduate School of Dentistry at Matsudo; Removable Prosthodontics; Matsudo Japan
| | - Suguru Kimoto
- Department of Removable Prosthodontics; Nihon University School of Dentistry at Matsudo; Matsudo Japan
| | - Yasuhiko Kawai
- Department of Removable Prosthodontics; Nihon University School of Dentistry at Matsudo; Matsudo Japan
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Bencharit S, Altarawneh SK, Baxter SS, Carlson J, Ross GF, Border MB, Mack CR, Byrd WC, Dibble CF, Barros S, Loewy Z, Offenbacher S. Elucidating role of salivary proteins in denture stomatitis using a proteomic approach. MOLECULAR BIOSYSTEMS 2012; 8:3216-23. [PMID: 23041753 PMCID: PMC3519238 DOI: 10.1039/c2mb25283j] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
Denture stomatitis (DS) is the most common oral pathology among denture wearers, affecting over one-third of this group. DS is usually associated with C. albicans. However, unlike other oral candidiasis, most DS patients have intact host immunity. The presence of a denture alone is usually sufficient for DS. Saliva and its protein contents can theoretically predispose some denture wearers to DS and others resistant toward DS. Here we proposed for the first time to define salivary proteomic profiles of denture wearers with and without DS. SELDI-TOF/MS analysis suggests that there is a proteomic differentiation among control, localized and generalized DS. Based on initial SELDI-TOF/MS profiling, we further used reversed phase liquid chromatography, MALDI-TOF/MS, and LC-MS/MS to characterize the salivary proteins associated with DS. Nineteen proteins based on SELDI-TOF/MS profiling were found including cystatin-SN, statherin, kininogen-1, desmocollin-2, carbonic anhydrase-6, peptidyl-prolyl cis-trans isomerase A like peptides, cystatin C, and several immunoglobulin fragments. The proteomic content gives evidence of the interaction between host tissue, saliva, and candida. Further examination in larger populations of these proteins may help to gain a better understanding of DS pathological processes and improve DS treatments.
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Affiliation(s)
- Sompop Bencharit
- Department of Prosthodontics, School of Dentistry, University of North Carolina, CB#7450, Chapel Hill, NC 27599, USA.
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Manfredi M, Polonelli L, Aguirre-Urizar JM, Carrozzo M, McCullough MJ. Urban legends series: oral candidosis. Oral Dis 2012; 19:245-61. [PMID: 22998462 DOI: 10.1111/odi.12013] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2012] [Revised: 07/24/2012] [Accepted: 07/24/2012] [Indexed: 01/10/2023]
Abstract
Candida species (spp) are commensal yeast that can only instigate oral infection (oral candidosis - OC) when there is an underlying predisposing condition in the host. We investigated four controversial topics on OC: (i) How can a microbiological determination of OC be made as Candida spp. are commensal yeasts and not all of them form hyphae or pseudohyphae during infection? (ii) Is median rhomboid glossitis (MRG) a manifestation of candidal infection? (iii) Can candidal infection cause palate papillary hyperplasia (PPH)? (iv) What is the best therapeutic treatment for denture-associated erythematous stomatitis (DAES)? Results from extensive literature searches, including a systematic review, suggested the following: (i) the diagnosis of OC merely on the basis of the presence of yeasts is an oversimplification of a complex process. No convincing evidence of a single test or method better able to discriminate the transition from candidal saprophytism to pathogenicity has been reported in the literature; (ii-iii) conclusive evidence of a direct aetiopathogenic relationship between MRG and PPH and candidal infection has not been found; and (iv) only limited evidence is available for any DAES treatment, thus making it impossible to make strong therapeutic recommendations.
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Affiliation(s)
- M Manfredi
- Oral Medicine, Pathology and Laser-assisted Surgery Unit, University of Parma, Parma, Italy
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Sakar O, Sulun T, Bilhan H, Ispirgil E. Does the presence of anterior mandibular teeth increase the incidence of denture stomatitis? J Prosthodont 2012; 22:174-8. [PMID: 22984815 DOI: 10.1111/j.1532-849x.2012.00924.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
PURPOSE To compare the frequency of denture stomatitis (DS) under maxillary complete dentures (CDs) in patients with opposing mandibular distal extension removable partial dentures (RPDs) and CDs. MATERIALS AND METHODS Participants included 365 maxillary CD wearers (241 women, mean age 70.5 ± 13.2 years; 124 men, mean age 71.5 ± 10.4 years) from 7 rest homes in Istanbul. A total of 268 had mandibular CDs; 97 had mandibular distal extension RPDs. Two independent, calibrated examiners performed oral examinations. Presence of maxillary denture-related stomatitis and the effect of risk factors on DS were evaluated and recorded. RESULTS The frequency of palatal DS (Newton I-III) was 45.1% (n = 121) in the mandibular CD group and 49.5% (n = 48) in the mandibular distal extension RPD group, a statistically insignificant difference (p= 0.4). Factors significantly associated with palatal DS were maxillary denture age (p= 0.02), reduced occlusal vertical dimension (p= 0.04), and nocturnal denture wear (p= 0.03). CONCLUSION In this study, DS beneath maxillary CDs did not differ between mandibular distal extension RPD and CD wearers. The presence of mandibular anterior teeth did not influence the occurrence of palatal DS.
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Affiliation(s)
- Olcay Sakar
- Department of Prosthodontics, Istanbul University Faculty of Dentistry, Istanbul, Turkey
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Michaud PL, de Grandmont P, Feine JS, Emami E. Measuring patient-based outcomes: Is treatment satisfaction associated with oral health-related quality of life? J Dent 2012; 40:624-31. [DOI: 10.1016/j.jdent.2012.04.007] [Citation(s) in RCA: 58] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2011] [Revised: 04/08/2012] [Accepted: 04/10/2012] [Indexed: 01/17/2023] Open
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Petruzzi M, De Benedittis M, Cortelazzi R, Milillo L, Lucchese A, Serpico R, Grassi FR. Implant rehabilitation in patients with oral lichen planus: an overview. Clin Oral Investig 2012; 16:1347-52. [DOI: 10.1007/s00784-012-0695-3] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2011] [Accepted: 02/13/2012] [Indexed: 10/28/2022]
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Cairo F, Sanz I, Matesanz P, Nieri M, Pagliaro U. Quality of reporting of randomized clinical trials in implant dentistry. A systematic review on critical aspects in design, outcome assessment and clinical relevance. J Clin Periodontol 2012; 39 Suppl 12:81-107. [DOI: 10.1111/j.1600-051x.2011.01839.x] [Citation(s) in RCA: 46] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Francesco Cairo
- Department of Periodontology; University of Florence; Florence; Italy
| | - Ignacio Sanz
- Department of Periodontology; Universidad Complutense ; de; Madrid; Madrid; Spain
| | - Paula Matesanz
- Department of Periodontology; Universidad Complutense ; de; Madrid; Madrid; Spain
| | - Michele Nieri
- Department of Periodontology; University of Florence; Florence; Italy
| | - Umberto Pagliaro
- Department of Periodontology; University of Florence; Florence; Italy
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Complete denture wear during sleep in elderly sleep apnea patients—a preliminary study. Sleep Breath 2011; 16:855-63. [DOI: 10.1007/s11325-011-0587-9] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2011] [Revised: 08/24/2011] [Accepted: 08/29/2011] [Indexed: 10/17/2022]
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Geckili O, Bektas-Kayhan K, Eren P, Bilgin T, Unur M. The efficacy of a topical gel with triester glycerol oxide in denture-related mucosal injuries. Gerodontology 2011; 29:e715-20. [PMID: 21883424 DOI: 10.1111/j.1741-2358.2011.00549.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
OBJECTIVE The efficacy of a topical gel with triester glycerol oxide for treating ulcerations related to new complete dentures was studied and compared with a placebo gel. MATERIALS AND METHODS Fifty edentulous patients were enrolled in this double-blind clinical study. All subjects received new maxillary and mandibular complete dentures and were recalled 1, 3 and 7 days after denture placement. Twenty-five subjects received topical gel with triester glycerol oxide (TGO), and 25 subjects received topical gel without TGO. At each visit, pain and discomfort with the new dentures was assessed, and at the last visit, healing of ulcerations was also graded by a clinician. Subjects also graded the gel's taste, smell and ease of use. RESULTS Specifically, there was no statistically significant difference in ulcer healing (p > 0.05), ratings of smell, taste and ease of use (p > 0.05) or pain and discomfort scores (p > 0.05). However, within-group differences were observed in pain and discomfort scores between follow-up sessions (p = 0.01 for all comparisons). CONCLUSION Clinically, TGO gel is not effective in the treatment of mucosal injuries occurring following placement of complete dentures.
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Affiliation(s)
- Onur Geckili
- Department of Prosthodontics, Faculty of Dentistry, Istanbul University, Istanbul, Turkey.
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Jabbour Z, Emami E, de Grandmont P, Rompré PH, Feine JS. Is oral health-related quality of life stable following rehabilitation with mandibular two-implant overdentures? Clin Oral Implants Res 2011; 23:1205-9. [DOI: 10.1111/j.1600-0501.2011.02289.x] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/03/2011] [Indexed: 10/17/2022]
Affiliation(s)
| | - E. Emami
- Départment de Dentisterie et de Restauration; Faculté de médecine dentaire; Université de Montréal; Montreal; Canada
| | - P. de Grandmont
- Départment de Dentisterie et de Restauration; Faculté de médecine dentaire; Université de Montréal; Montreal; Canada
| | - P. H. Rompré
- Oral Health and Rehabilitation Research Unit; Faculté de médecine dentaire; Université de Montréal; Montreal; Canada
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Felton D, Cooper L, Duqum I, Minsley G, Guckes A, Haug S, Meredith P, Solie C, Avery D, Deal Chandler N. Evidence-based guidelines for the care and maintenance of complete dentures: a publication of the American College of Prosthodontists. J Prosthodont 2011; 20 Suppl 1:S1-S12. [PMID: 21324026 DOI: 10.1111/j.1532-849x.2010.00683.x] [Citation(s) in RCA: 69] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
The current rates of edentulism have been estimated to be between 7% and 69% of the adult population internationally. In the United States, while the incidence of edentulism continues to decline, rapid population growth coupled with current economic conditions suggest that edentulism and conventional denture use will continue at current or higher numbers. Unfortunately, evidence-based guidelines for the care and maintenance of removable complete denture prostheses do not exist. In 2009, the American College of Prosthodontists (ACP) formed a task force to establish evidence-based guidelines for the care and maintenance of complete dentures. The task force comprised members of the ACP, the Academy of General Dentistry, American Dental Association (ADA) Council on Scientific Affairs, the American Dental Hygienists' Association, the National Association of Dental Laboratories, and representatives from GlaxoSmithKline Consumer Healthcare. The review process included the assessment of over 300 abstracts and selection of over 100 articles meeting inclusion criteria of this review. The task force reviewed synopses of the literature and formulated 15 evidence-based guidelines for denture care and maintenance. These guidelines were reviewed by clinical experts from the participating organizations and were published in February 2011 issue of The Journal of the American Dental Association for widespread distribution to the dental community. These guidelines reflect the views of the task force.
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Affiliation(s)
- David Felton
- Department of Prosthodontics, School of Dentistry, University of North Carolina-Chapel Hill, Chapel Hill, NC 27599, USA.
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Divaris K, Ntounis A, Marinis A, Polyzois G, Polychronopoulou A. Loss of natural dentition: multi-level effects among a geriatric population. Gerodontology 2010; 29:e192-9. [DOI: 10.1111/j.1741-2358.2010.00440.x] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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