Oral Candidal Colonization in Patients with Different Prosthetic Appliances

Oral infections caused by Candida species are becoming more common, which may be related to an increase in the number of immunologically compromised patients as well as favorable conditions in the oral cavity that often include removable prosthetic appliances. The purpose of this study was to determine the presence of a particular Candida species in patients with PMMA and Cr-Co prosthetic appliances, as well as the salivary flow rate, and oral signs and symptoms. This investigation included a total of 120 subjects with different kinds of removable dentures. A sample of concentrated oral rinse was collected from all subjects in order to detect Candida colonization and identify the Candida species, a quantum of salivation was measured, and subjects were examined clinically. Candida spp. was predominant among the subjects who were denture wearers (p < 0.0001). In all subjects, the most frequently detected species was C.albicans. A statistically significant difference was found between the prevalence of C.albicans (p < 0.001) and C.krusei (p < 0.001) in denture wearers. Subjects with PMMA-based removable prosthetic appliances mostly demonstrated a significant decrease in salivation (p < 0.001), an increase in burning sensations (p < 0.001), and dry mouth (p < 0.001) compared to the subjects who wore partial dentures with Co–Cr metallic frameworks. Red oral lesions were more frequently found among the subjects with partial dentures with Co–Cr metallic frameworks (p < 0.001). Regardless of the material used for the denture, patients must be regularly checked by their dentists in order to prevent the development of oral lesions.

DOES SMOKING CAUSE ORAL CANDIDA COLONIES GROWTH?

Smoking is associated with a variety of changes in the oral cavity. Smoking has effects on oral commensal microorganisms, mainly Candida, which causes oral thrush. This infection disease is caused by oral candida colonies growth. How smoking affects oral candida colonies growth is still controversial. The aim of this study is to prove smoking causes oral candida colonies growth. This study is an observational analytic study. The sample of this study consisted of smokers and nonsmokers; oral candida is taken in the oral cavity using swab method. Candida is identified using sabouraud’s dextrose agar (SDA) and incubated at 37⁰C for 24-48 hours. We are asking how to maintain oral hygiene and about oral complaints that carried out using a questionnaire. Oral candidal colonization are both higher in the smokers compared to the nonsmokers; however, the difference was not statistically significant. The p-value is 0.820 (p value> 0.05). Smoking does not cause oral candida colonies growth. Have a good habits of maintaining oral health may control oral candida colonies growth.

Candida-Associated Denture Stomatitis and Murine Models: What Is the Importance and Scientific Evidence?

Considering the high prevalence and recurrence of Candida-associated denture stomatitis (CADS), in vivo studies in animal models are necessary before those in humans to evaluate new therapeutic strategies. This study aimed to review the literature on murine models of CADS induction using acrylic intraoral devices simulating dentures. Rats are recommended as experimental animals in these models as well as the adoption of a pasty diet. For maintenance in the proper position during the experiments, intraoral appliances must be obtained by individual impressions, using and retained exclusively by cementation on the molars. The region of interest for histopathological analysis was standardized as that corresponding to the area between the first molars. However, there is no consensus among the studies on the CADS induction rat models in relation to the Candida albicans inoculation and need for immunosuppression and/or administration of antibacterial drugs of animals. The greatest difficulty of the available models refers to maintaining the course of the lesion for a sufficient period to evaluate the effectiveness of the proposed treatment, considering the rapid and efficient murine immune response to candidal colonization. Therefore, future studies are necessary for the development of a robust and reproducible CADS model.

Evaluation ofCandidaColonization and Specific Humoral Responses againstCandida albicansin Patients with Atopic Dermatitis

The aim of this study was to assess the candidal colonization and specific humoral responses againstCandida albicansin patients with atopic dermatitis. One hundred patients with atopic dermatitis and 50 healthy individuals were enrolled in the study. Skin and oral specimens from all participants were cultured on CHROMagarCandidamedium. Isolated yeasts were identified by using the sequence of the D1/D2 domain of the 26S rRNA gene. ELISA was used for detection of IgM, IgA, and IgG antibodies againstC. albicansin sera of participants.Candidaspecies were isolated from the skin and oral cavity of 31% of the patients and 12% of the controls. There was no significant difference betweenCandidacolonization in patients and controls (P>0.05).Candida albicanswas isolated from the skin and oral cavity of 23% of the patients and 6% of the controls (P< 0.05). There were no significant differences between serum levels of IgM and IgA in patients and controls (P>0.05). Serum level of IgG was significantly lower in patients than in controls (P<0.05). Type ofCandidacolonization can change in patients with atopic dermatitis. In addition, these patients have abnormalities in the production of antibodies againstCandida albicansthat may have a role in the pathogenesis of atopic dermatitis.Corrigendum to “Evaluation ofCandidaColonization and Specific Humoral Responses againstCandida albicansin Patients with Atopic Dermatitis”

Isolation of Candida Species from the Oral Cavity and Fingertips of Complete Denture Wearers

ABSTRACT Background Wearing a dental prosthesis is known to increase oral candidal colonization and predispose the wearer to oral candidosis. Denture wearers frequently use fingers to take the prosthesis out of their mouth. Oral Candida, if present may contaminate wearer's finger. The objective of this study was to investigate the simultaneous candidal colonization of oral cavity and fingertips of complete denture wearers. Materials and methods A total of 25 apparently healthy male subjects who had worn complete dentures for at least 1 year were selected. Information about each patient's denture age, denture hygiene, handling, and wearing habits, and hand washing habits after denture handling were be obtained. Intraoral examination of all the patients was done. For microbiological examination samples were collected from the fingertip and oral rinse of each patient. Candida species were identified with use of germ tube test and commercially available yeast identification system. Data was statistically analyzed. Significance was set at p < 0.05. Results It was found that frequency of hand washing, denture handling and denture stomatitis with respect to fingertip candidal isolation was not statistically significant. But poor denture hygiene and denture stomatitis with respect to oral candidal colonization was statistically significant. Conclusion Denture wearers with oral Candida had a higher prevalence of Candida contamination on their fingers. Patients with removable prostheses should be informed about the importance of proper prosthesis and personal hygiene and the possibility of microbial contamination of the hands and other parts of the body. How to cite this article Nagaral S, Desai RG, Kamble V, Patil AKG. Isolation of Candida Species from the Oral Cavity and Fingertips of Complete Denture Wearers. J Contemp Dent Pract 2014;15(6):712-716.