Presence of Different Candida Species at Denture Wearers With Type 2 Diabetes and Clinically Healthy Oral Mucosa-Pilot Study

Background/Aim: The aim of this study was to examine prevalence of different Candida spp. at diabetics and nondiabetics wearing dentures without clinical signs of Denture Stomatitis (DS) and to study if some local and systematic factors are confounders for harboring Candida at these subjects. Materi...

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Main Authors: Petrović Sanja Matić, Barać Milena, Pfićer Jovana Kuzmanović, Radunović Milena, Jotić Aleksandra, Pucar Ana
Format: Article
Language:English
Published: Balkan Stomatological Society 2018-03-01
Series:Balkan Journal of Dental Medicine
Subjects:
Online Access:https://doi.org/10.2478/bjdm-2018-0003
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author Petrović Sanja Matić
Barać Milena
Pfićer Jovana Kuzmanović
Radunović Milena
Jotić Aleksandra
Pucar Ana
author_facet Petrović Sanja Matić
Barać Milena
Pfićer Jovana Kuzmanović
Radunović Milena
Jotić Aleksandra
Pucar Ana
author_sort Petrović Sanja Matić
collection DOAJ
description Background/Aim: The aim of this study was to examine prevalence of different Candida spp. at diabetics and nondiabetics wearing dentures without clinical signs of Denture Stomatitis (DS) and to study if some local and systematic factors are confounders for harboring Candida at these subjects. Material and Methods: Total of 60 subjects wearing partial or complete upper acrylic denture having at least half of palatal mucosa covered by denture were selected and stratified into three experimental groups: systematically health subjects; patients with diagnosed Type 2 Diabetes (T2D) and good glycoregulation; and T2D subjects with poorly regulated blood sugar level. Cotton swab samples were obtained from each patient from hard palate mucosa and denture surface. Swab cultures were made on Sabouraud dextrose agar and ChromAgar Media for distinciton of various Candida spp. Density growth was also measured. Results: Frequency of Candida spp. findings were similar between groups. At healthy subjects, only C.albicans was detected. At diabetics, C.albicans was the most common isolated species, followed by C.glabrata and C.tropicalis. Negative finding of yeasts on palatal mucosa, but positive on denture surface were detected at all groups, with the highest frequency (33.4%) at diabetics with poor glycoregulation. Denture surface was heavier colonized than hard palate mucosa. Duration of diabetes in years were only independent predictors for harboring Candida spp. at denture surface (Exp B=1.186, CI=1.047-1.344, p=0.007). Conclusions: Prosthesis of denture wearers without DS may serve as reservoir of Candida spp. Presence of more pathogenic and resistant non-albicans species are related to diabetics, even without clinical signs of DS.
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spelling doaj.art-8743b95b6a09464cace7926bcaad05e32022-12-22T00:56:11ZengBalkan Stomatological SocietyBalkan Journal of Dental Medicine2335-02452018-03-01221152110.2478/bjdm-2018-0003bjdm-2018-0003Presence of Different Candida Species at Denture Wearers With Type 2 Diabetes and Clinically Healthy Oral Mucosa-Pilot StudyPetrović Sanja Matić0Barać Milena1Pfićer Jovana Kuzmanović2Radunović Milena3Jotić Aleksandra4Pucar Ana5School of Dental Medicine, University of Belgrade, Belgrade, SerbiaSchool of Dental Medicine, University of Belgrade, Belgrade, SerbiaSchool of Dental Medicine, University of Belgrade, Belgrade, SerbiaSchool of Dental Medicine, University of Belgrade, Belgrade, SerbiaFaculty of Medicine University of Belgrade, Belgrade, SerbiaSchool of Dental Medicine, University of Belgrade, Belgrade, SerbiaBackground/Aim: The aim of this study was to examine prevalence of different Candida spp. at diabetics and nondiabetics wearing dentures without clinical signs of Denture Stomatitis (DS) and to study if some local and systematic factors are confounders for harboring Candida at these subjects. Material and Methods: Total of 60 subjects wearing partial or complete upper acrylic denture having at least half of palatal mucosa covered by denture were selected and stratified into three experimental groups: systematically health subjects; patients with diagnosed Type 2 Diabetes (T2D) and good glycoregulation; and T2D subjects with poorly regulated blood sugar level. Cotton swab samples were obtained from each patient from hard palate mucosa and denture surface. Swab cultures were made on Sabouraud dextrose agar and ChromAgar Media for distinciton of various Candida spp. Density growth was also measured. Results: Frequency of Candida spp. findings were similar between groups. At healthy subjects, only C.albicans was detected. At diabetics, C.albicans was the most common isolated species, followed by C.glabrata and C.tropicalis. Negative finding of yeasts on palatal mucosa, but positive on denture surface were detected at all groups, with the highest frequency (33.4%) at diabetics with poor glycoregulation. Denture surface was heavier colonized than hard palate mucosa. Duration of diabetes in years were only independent predictors for harboring Candida spp. at denture surface (Exp B=1.186, CI=1.047-1.344, p=0.007). Conclusions: Prosthesis of denture wearers without DS may serve as reservoir of Candida spp. Presence of more pathogenic and resistant non-albicans species are related to diabetics, even without clinical signs of DS.https://doi.org/10.2478/bjdm-2018-0003stomatitisdenturecandida albicansdiabetes mellitus type 2denturecompletedenturepartialremovable
spellingShingle Petrović Sanja Matić
Barać Milena
Pfićer Jovana Kuzmanović
Radunović Milena
Jotić Aleksandra
Pucar Ana
Presence of Different Candida Species at Denture Wearers With Type 2 Diabetes and Clinically Healthy Oral Mucosa-Pilot Study
Balkan Journal of Dental Medicine
stomatitis
denture
candida albicans
diabetes mellitus type 2
denture
complete
denture
partial
removable
title Presence of Different Candida Species at Denture Wearers With Type 2 Diabetes and Clinically Healthy Oral Mucosa-Pilot Study
title_full Presence of Different Candida Species at Denture Wearers With Type 2 Diabetes and Clinically Healthy Oral Mucosa-Pilot Study
title_fullStr Presence of Different Candida Species at Denture Wearers With Type 2 Diabetes and Clinically Healthy Oral Mucosa-Pilot Study
title_full_unstemmed Presence of Different Candida Species at Denture Wearers With Type 2 Diabetes and Clinically Healthy Oral Mucosa-Pilot Study
title_short Presence of Different Candida Species at Denture Wearers With Type 2 Diabetes and Clinically Healthy Oral Mucosa-Pilot Study
title_sort presence of different candida species at denture wearers with type 2 diabetes and clinically healthy oral mucosa pilot study
topic stomatitis
denture
candida albicans
diabetes mellitus type 2
denture
complete
denture
partial
removable
url https://doi.org/10.2478/bjdm-2018-0003
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