1
|
Evirgen Ş, Kahraman EN, Korcan SE, Yıldırım B, Şimşek AT, Aydın B, Ünal M. Intake of probiotics as an option for reducing oral and prosthetic microbiota: A clinical study. J Prosthet Dent 2024:S0022-3913(24)00470-0. [PMID: 39174381 DOI: 10.1016/j.prosdent.2024.07.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2023] [Revised: 07/03/2024] [Accepted: 07/09/2024] [Indexed: 08/24/2024]
Abstract
STATEMENT OF PROBLEM The accumulation of microorganisms on complete dentures has adverse effects on general health. Precautions should be taken to prevent colonization by these harmful pathogens, but whether an intake of probiotics effectively reduces microbiota is unclear. PURPOSE The purpose of this clinical study was to examine the effectiveness of probiotics against the microbial colonization of dentures and the oral regions. MATERIAL AND METHODS Sixty-one edentulous participants with dentures were recruited, and samples were collected from the palate, cheek, tongue, and denture surface using sterile erasers before and after applying probiotics containing Lactobacillus acidophilus, Lactobacillus rhamnosus, Lactobacillus casei, and Bifidobacterium bifidum. The count of bacterial species in the original culture was calculated by multiplying the number of colonies by the dilution factor of cells per mL [log10 (CFU/mL)] for different media. Spread plating was used to colonize in vitro. A Wilcoxon test was used to compare the groups according to time reveal. Kruskal-Wallis and Mann-Whitney U tests were performed to compare the values in the various regions studied (α=.05). RESULTS A statistical difference in microbial count was found before and after probiotic intake (P<.05). For each medium, the microbial count values were statistically lower on the tongue, palate, dentures, and cheek after probiotic intake (P<.05), except for in malt medium on dentures (P>.05). CONCLUSIONS Probiotics reduced the microbial count in the oral region and showed promising results for oral health and denture hygiene. Since the oral microbiota has among the highest levels of species diversity in the human body, further studies are needed.
Collapse
Affiliation(s)
- Şehrazat Evirgen
- Professor and Department Head, Department of Dentomaxillofacial Radiology, Faculty of Dentistry, University of Usak, Usak, Turkey
| | - Emine Nur Kahraman
- Assistant Professor, Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Istinye University, İstanbul, Turkey
| | - Safiye Elif Korcan
- Professor, Health Services Vocational School Medical Laboratory Program, Faculty of Medicine, University of Usak, Usak, Turkey
| | - Bengisu Yıldırım
- Associate Professor, Department of Prosthodontics, Faculty of Dentistry, University of Usak, Usak, Turkey
| | - Aysıla Tekeli Şimşek
- Assistant Professor, Department of Prosthodontics, Faculty of Dentistry, University of Usak, Usak, Turkey.
| | - Büşra Aydın
- Research Assistant, Health Services Vocational School Medical Laboratory Program, Faculty of Medicine, University of Usak, Usak, Turkey
| | - Merve Ünal
- Lecturer, Department of Prosthodontics, Faculty of Dentistry, University of Usak, Usak, Turkey
| |
Collapse
|
2
|
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.
Collapse
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
| |
Collapse
|
3
|
Algabri R, Alqutaibi AY, Altayyar S, Mohammed A, Khoshafa G, Alryashi E, Al‐Shaher S, Hassan B, Hassan G, Dammag M, Al‐Aqab S, Al‐Shami S, Al‐Barakani A. Behaviors, hygiene habits, and sources of care among removable complete and partial dentures wearers: A multicenter cross-sectional study. Clin Exp Dent Res 2024; 10:e867. [PMID: 38433293 PMCID: PMC10909811 DOI: 10.1002/cre2.867] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2023] [Revised: 02/06/2024] [Accepted: 02/12/2024] [Indexed: 03/05/2024] Open
Abstract
OBJECTIVES There is a lack of data regarding the hygiene practices and sources of care among individuals in Yemen who wear removable complete and partial dentures. The purpose of this study was to explore the behaviors, hygiene habits, and sources of care information among patients who utilize complete and partial dentures in Yemen. MATERIALS AND METHODS A descriptive cross-sectional research design was utilized, and a sample of 217 consecutive participants who wore removable complete and/or partial dentures were enlisted. A questionnaire was employed to collect data on demographic information, educational attainment, denture habits, denture cleaning practices, and encountered difficulties. Statistical analysis was conducted using SPSS software, and significance was determined using chi-square tests, with a significance level of .05. RESULTS The data analysis revealed that a majority of the participants were male (72.4%) and had an average age of 65.14 years. Fifty-three percent of the participants wore partial dentures, while 34.6% wore complete dentures. Only 6.5% of the participants wore both complete and partial dentures, and 6% wore overdentures. The majority of participants (88.47%) had dentures made of acrylic material. Additionally, 43% of participants wore dentures while sleeping, and 61.3% stored their dentures in dry places without a water-filled container when not in use. The most commonly reported cleaning methods were water only (24.4%), followed by water and soap (19.4%). Furthermore, a large portion of the participants (59.4%) received denture care information from dentists. However, the majority (59%) did not visit a dentist for regular denture maintenance or any denture-related issues. The data analysis did not reveal any significant association between age or education level and denture cleaning methods. CONCLUSION This cross-sectional survey provides insight into the hygiene knowledge and practices of removable denture wearers in Yemen. The findings underscore the necessity for enhanced oral hygiene education and awareness within this population. The study offers valuable insights for oral health professionals to design targeted interventions and educational initiatives aimed at promoting proper denture care and maintenance. These efforts have the potential to enhance the oral health and overall well-being of removable denture wearers.
Collapse
Affiliation(s)
- Radwan Algabri
- Department of Prosthodontics, Faculty of DentistryIbb UniversityIbbYemen
- Department of Prosthodontics, Faculty of DentistryNational UniversityIbbYemen
| | - Ahmed Yaseen Alqutaibi
- Department of Prosthodontics, Faculty of DentistryIbb UniversityIbbYemen
- Substitutive Dental Science Department, College of DentistryTaibah UniversityAl MadinahSaudi Arabia
| | - Sadeq Altayyar
- Department of Prosthodontics, Faculty of DentistryIbb UniversityIbbYemen
| | - Abdulkarem Mohammed
- Department of Oral Medicine and Periodontology, Faculty of DentistryDhamar UniversityThamarYemen
| | - Ghadeer Khoshafa
- Department of Prosthodontics, Faculty of DentistryNational UniversityIbbYemen
| | - Emad Alryashi
- Department of Prosthodontics, Faculty of DentistryIbb UniversityIbbYemen
| | - Shaher Al‐Shaher
- Department of Prosthodontics, Faculty of DentistryNational UniversityIbbYemen
| | - Baghdad Hassan
- Department of Prosthodontics, Faculty of DentistryIbb UniversityIbbYemen
| | - Gubran Hassan
- Department of Prosthodontics, Faculty of DentistryIbb UniversityIbbYemen
| | - Motaher Dammag
- Department of Prosthodontics, Faculty of DentistryIbb UniversityIbbYemen
| | - Sami Al‐Aqab
- Department of Prosthodontics, Faculty of DentistryIbb UniversityIbbYemen
| | - Shaima Al‐Shami
- Department of Prosthodontics, Faculty of DentistryNational UniversityIbbYemen
| | | |
Collapse
|
4
|
Ribeiro AB, Pizziolo PG, Clemente LM, Aguiar HC, Poker BDC, Silva AAME, Makrakis LR, Fifolato MA, Souza GC, Oliveira VDC, Watanabe E, Lovato da Silva CH. Strategies for Preventing and Treating Oral Mucosal Infections Associated with Removable Dentures: A Scoping Review. Antibiotics (Basel) 2024; 13:273. [PMID: 38534708 DOI: 10.3390/antibiotics13030273] [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: 01/30/2024] [Revised: 03/01/2024] [Accepted: 03/14/2024] [Indexed: 03/28/2024] Open
Abstract
Oral infections occur due to contact between biofilm rich in Candida albicans formed on the inner surface of complete dentures and the mucosa. This study investigated historical advances in the prevention and treatment of oral mucosal infection and identified gaps in the literature. Bibliographic research was conducted, looking at PubMed, Embase, Web of Science, and Scopus, where 935 articles were found. After removing duplicates and excluding articles by reading the title and abstract, 131 articles were selected for full reading and 104 articles were included. Another 38 articles were added from the gray literature. This review followed the PRISMA-ScR guidelines. The historical period described ranges from 1969 to 2023, in which, during the 21st century, in vitro and in vivo studies became more common and, from 2010 to 2023, the number of randomized controlled trials increased. Among the various approaches tested are the incorporation of antimicrobial products into prosthetic materials, the improvement of oral and denture hygiene protocols, the development of synthetic and natural products for the chemical control of microorganisms, and intervention with local or systemic antimicrobial agents. Studies report good results with brushing combined with sodium hypochlorite, and new disinfectant solutions and products incorporated into prosthetic materials are promising.
Collapse
Affiliation(s)
- Adriana Barbosa Ribeiro
- Department of Dental Materials and Prosthesis, Ribeirão Preto School of Dentistry, University of São Paulo, Café Avenue S/N, Ribeirão Preto 14040-904, SP, Brazil
| | - Pillar Gonçalves Pizziolo
- Department of Dental Materials and Prosthesis, Ribeirão Preto School of Dentistry, University of São Paulo, Café Avenue S/N, Ribeirão Preto 14040-904, SP, Brazil
| | - Lorena Mosconi Clemente
- Department of Dental Materials and Prosthesis, Ribeirão Preto School of Dentistry, University of São Paulo, Café Avenue S/N, Ribeirão Preto 14040-904, SP, Brazil
| | - Helena Cristina Aguiar
- Department of Dental Materials and Prosthesis, Ribeirão Preto School of Dentistry, University of São Paulo, Café Avenue S/N, Ribeirão Preto 14040-904, SP, Brazil
| | - Beatriz de Camargo Poker
- Department of Dental Materials and Prosthesis, Ribeirão Preto School of Dentistry, University of São Paulo, Café Avenue S/N, Ribeirão Preto 14040-904, SP, Brazil
| | - Arthur Augusto Martins E Silva
- Department of Dental Materials and Prosthesis, Ribeirão Preto School of Dentistry, University of São Paulo, Café Avenue S/N, Ribeirão Preto 14040-904, SP, Brazil
| | - Laís Ranieri Makrakis
- Department of Dental Materials and Prosthesis, Ribeirão Preto School of Dentistry, University of São Paulo, Café Avenue S/N, Ribeirão Preto 14040-904, SP, Brazil
| | - Marco Aurelio Fifolato
- Department of Dental Materials and Prosthesis, Ribeirão Preto School of Dentistry, University of São Paulo, Café Avenue S/N, Ribeirão Preto 14040-904, SP, Brazil
| | - Giulia Cristina Souza
- Department of Dental Materials and Prosthesis, Ribeirão Preto School of Dentistry, University of São Paulo, Café Avenue S/N, Ribeirão Preto 14040-904, SP, Brazil
| | - Viviane de Cássia Oliveira
- Department of Dental Materials and Prosthesis, Ribeirão Preto School of Dentistry, University of São Paulo, Café Avenue S/N, Ribeirão Preto 14040-904, SP, Brazil
| | - Evandro Watanabe
- Department of Restorative Dentistry, Ribeirão Preto School of Dentistry, University of São Paulo, Café Avenue S/N, Ribeirão Preto 14040-904, SP, Brazil
| | - Cláudia Helena Lovato da Silva
- Department of Dental Materials and Prosthesis, Ribeirão Preto School of Dentistry, University of São Paulo, Café Avenue S/N, Ribeirão Preto 14040-904, SP, Brazil
| |
Collapse
|
5
|
Huang JJ, Jia L, Zhang QJ, Li HH, Zheng DL, Zheng M. Anti-Microbial Effect of AgBr-NP@CTMAB on Streptococcus Mutans and Assessment of Surface Roughness Hardness and Flexural Strength of PMMA. Int J Nanomedicine 2024; 19:1273-1285. [PMID: 38348176 PMCID: PMC10860590 DOI: 10.2147/ijn.s436613] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2023] [Accepted: 01/24/2024] [Indexed: 02/15/2024] Open
Abstract
Purpose To investigate the inhibition of Streptococcus mutans (S.mutans) and its biofilm by AgBr-nanoparticles (NP) @CTMAB (cetyltrimethyl-ammonium bromide) and evaluate the changes in Polymethyl methacrylate (PMMA)'s surface roughness (Ra), microhardness, and flexural strength during prolonged immersion in AgBr-NP@CTMAB for application in the denture cleaning industry. Patients and Methods The antibacterial activity of AgBr-NP@CTMAB against S.mutans was measured colony formation assay, OD600 and laser confocal microscopy. Changes in the specimens' values for surface roughness, microhardness, and flexural strength (MPa) were measured after immersion solutions for 180 or 360 days. Results The AgBr-NP@CTMAB solution exhibited a robust antibacterial effect on planktonic S. mutans, with a minimum bactericidal concentration of 5 µg/mL. The 10 µg/mL AgBr-NP@CTMAB solution efficiently inhibited S. mutans biofilm formation. (2) No significant difference in surface roughness after immersion in AgBr-NP@CTMAB (10 µg/mL and 20 µg/mL) comparing with distilled water (P > 0.05) and Polident had significantly higher than distilled water (P < 0.05). There was a significant decrease in the surface hardness of the PMMA specimens that were immersed in the Polident compared with those in distilled water (P < 0.05). While, no significant differences in surface hardness after immersion in the AgBr-NP@CTMAB (P > 0.05). The result of flexural strength suggested that there was no statistically significant difference (P < 0.05) between AgBr-NP@CTMAB as well as Polident and water. Conclusion AgBrNP@CTMAB can efficiently inhibit the growth of plankton S.mutans and biofilm formation, without affecting the flexural strength, microhardness, or surface roughness of PMMA. Therefore, AgBrNP@CTMAB holds promise as a new denture cleaning agent.
Collapse
Affiliation(s)
- Jing-Jing Huang
- Second Department of Dental Implant, School and Hospital of Stomatology, Fujian Medical University, Fuzhou, 350001, People’s Republic of China
| | - Lin Jia
- Fujian Key Laboratory of Oral Diseases, Fujian Biological Materials Engineering and Technology Center of Stomatology, School and Hospital of Stomatology, Fujian Medical University, Fuzhou, Fujian, 350004, People’s Republic of China
- Department of Prosthodontics, School and Hospital of Stomatology, Fujian Medical University, Fuzhou, 350001, People’s Republic of China
| | - Qiao-Jun Zhang
- Zhongshan Hospital Affiliated to Xiamen University, Xiamen, 361000, People’s Republic of China
| | - Hao-Hong Li
- College of Chemistry, Fuzhou University, Fuzhou, Fujian, 350116, People’s Republic of China
| | - Da-Li Zheng
- Fujian Key Laboratory of Oral Diseases, Fujian Biological Materials Engineering and Technology Center of Stomatology, School and Hospital of Stomatology, Fujian Medical University, Fuzhou, Fujian, 350004, People’s Republic of China
| | - Ming Zheng
- Department of Prosthodontics, School and Hospital of Stomatology, Fujian Medical University, Fuzhou, 350001, People’s Republic of China
| |
Collapse
|
6
|
Aljubran H, Alshammary H, Alamoudi M, Alramadan H, Nazir M, Gad MM. Denture care and oral health-related quality of life among complete denture wearers in Eastern Province of Saudi Arabia. Int J Dent Hyg 2024; 22:194-200. [PMID: 37774090 DOI: 10.1111/idh.12773] [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: 12/27/2022] [Revised: 09/18/2023] [Accepted: 09/19/2023] [Indexed: 10/01/2023]
Abstract
INTRODUCTION This study aimed to evaluate denture care and hygiene and oral health-related quality of life (OHRQoL) among complete denture (CD) wearers in the Eastern Province of Saudi Arabia. METHODOLOGY This cross-sectional study was conducted on CD wearers in the Eastern Province of Saudi Arabia. A pre-tested questionnaire was administered among study participants. Questionnaire was divided in three sections: (1) patients' demographic data, (2) awareness and maintenance of CD and (3) OHRQoL. Independent sample t-test and one-way ANOVA test were performed. RESULTS The study included data of 300 participants with 71% of males and 28% of females. Majority of participants (82.7%) cleaned CD daily, removed CD while sleeping (88.0%) and knew that unhygienic dentures can cause oral infection (92.7%). Only 19.3% used denture cleansing tables, 41% used toothpaste, and 60.7% rinsed CD with water. Regarding OHIP-DENT domains, highest score was for functional limitation domain (2.20 ± 1.67) and the lowest for handicap domain (0.94 ± 1.09). The mean OHIP-DENT score of the sample was 12.02 ± 8.52. Females (p = 0.006), participants below 65 years of age (p = 0.029), non-Saudis (p = 0.042), those with university education (p = 0.030) and low monthly income (p = 0.045) and participants who visited dentist due to problem with CD (p = 0.041) demonstrated significantly higher mean OHIP-DENT score. CONCLUSION Majority of participants demonstrated appropriate denture care behaviours because they were aware of the importance of denture care and hygiene. Female gender, age below 65 years, non-Saudi nationality, university education, low monthly income and visiting dentist due to problem were related to poor OHRQoL.
Collapse
Affiliation(s)
- Hussain Aljubran
- College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Hend Alshammary
- College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Marwah Alamoudi
- College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Hassan Alramadan
- College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Muhammad Nazir
- Department of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Mohammed M Gad
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| |
Collapse
|
7
|
Alhamdan EM. Influence of Contemporary Photoactivated Disinfection on the Mechanical Properties and Antimicrobial Activity of PMMA Denture Base: A Systematic Review and Meta Analysis. Photodiagnosis Photodyn Ther 2023; 42:103523. [PMID: 36958538 DOI: 10.1016/j.pdpdt.2023.103523] [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: 03/19/2023] [Accepted: 03/20/2023] [Indexed: 03/25/2023]
Abstract
PURPOSE The present study aimed to perform a systematic review and meta-analysis to investigate the effectiveness of the contemporary photoactivated disinfection methods on the mechanical features and/or antimicrobial activity of polymethyl methacrylate (PMMA) dentures bases. METHODS THE FOCUSED RESEARCH QUESTION WAS: : "What is the effect of contemporary photoactivated disinfection methods as compared to conventional disinfection protocols on the mechanical features and/or antimicrobial activity of PMMA dentures bases?". An electronic literature search was carried out by the author and a senior librarian specialized in health sciences on Web of Science, PubMed, and Scopus. In vitro investigations evaluating the antimicrobial and/or mechanical effects of photoactivated disinfectants as compared to conventional chemical disinfectants on the microbes formed on PMMA denture bases were included. Meta-analysis was performed for calculating the standard mean difference (SMD) with a 95% confidence interval. RESULTS Four out of eight studies concluded that photoactivated disinfectants, including riboflavin-mediated photodynamic therapy (PDT), hematoporphyrin-mediated PDT, poly-L-glycolic acid loaded with methylene blue, Erbium, chromium-doped yttrium, scandium, gallium, and garnet (Er,Cr:YSGG) laser, erbium-doped yttrium-aluminum-garnet (Er:YAG) laser, and chitosan-mediated PDT, demonstrated a significant reduction in colony-forming unit per milliliter (CFU/mL) of exposed viable colonies of Escherichia coli (E. coli), Streptococcus mutans (S. mutans), Staphylococcus aureus (S. aureus), and Candida albicans (C. albicans) comparable to the conventionally used chemical disinfectants of PMMA denture bases. Contrarily, two studies concluded that the PMMA denture base colonized with C. albicans and disinfected with conventional chemical disinfectants showed the greatest anti-fungal efficaciousness. All the included studies concluded that the application of photoactivated disinfectants does not negatively impact the mechanical features of the PMMA denture bases colonized with microbes including E. coli, S. mutans, S. aureus, and C. albicans. The meta-analysis revealed statistically significant reduction in C. albicans counts (CFU/mL [Log10]) (p < 0.00001) and improvement in the flexural strength (p = 0.0002) of PMMA-based denture base after the application of conventional disinfectants, while a statistically significant improvement in the fracture strength of PMMA-based denture base was observed after the application of photoactivated disinfectants (p = 0.03). CONCLUSION According to the systematic review (qualitative synthesis), photoactivated disinfectants demonstrated comparable mechanical features and antimicrobial activity of PMMA dentures bases to conventional chemical disinfectants suggesting their potential to be utilized as an alternative to conventional chemical disinfectants. However, the meta-analysis (quantitative synthesis) revealed that the application of conventional disinfectants demonstrated better outcomes related to antimicrobial activity and flexural strength of PMMA-based denture based.
Collapse
Affiliation(s)
- Eman M Alhamdan
- Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, P.O.Box 21069, Riyadh 11475, Saudi Arabia.
| |
Collapse
|
8
|
Abstract
Dentures are an excellent treatment modality for partial and edentate patients; however, improper denture care and hygiene can result in both decreased longevity of the prosthesis and increased risk of developing dental caries, periodontal disease and oral candidosis. Previously, it has been shown that patients and dental professionals are unaware of the different materials and methods available for optimum denture care and hygiene. This article provides an overview of the key legislation and main commercially available methods for denture cleanliness and hygiene, and serves as a basis for providing tailored denture hygiene for denture wearers. Patients typically demonstrate poor levels of denture hygiene which impacts oral health. Denture hygiene instructions comprise mechanical and chemical methods; both should be tailored to the denture wearer. Denture base and denture teeth materials had different compatibility with different denture cleaning methods.
Collapse
|
9
|
Alkahtani F. Efficacy of chemical and Photoactivated disinfectants against Candida Albicans and assessment of hardness, roughness, and mass loss of acrylic denture base resin. Photodiagnosis Photodyn Ther 2022; 39:102911. [PMID: 35595187 DOI: 10.1016/j.pdpdt.2022.102911] [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: 05/05/2022] [Revised: 05/11/2022] [Accepted: 05/13/2022] [Indexed: 11/29/2022]
Abstract
AIM The present study aimed to assess the antimicrobial efficacy of hematoporphyrin derivative, sodium hypochlorite (NaOCl), glutaraldehyde (GaH), and a chlorhexidine (CHX) on mass loss (ML), microhardness, and surface roughness (Ra) of acrylic denture base colonized with C. Albicans. MATERIAL AND METHODS A total of 40 heat cure acrylic resin dentures were fabricated and inoculated by the American Type Culture Collection (ATCC) of C. Albicans in an in-vitro situation. Specimens were divided into four groups (n=10) based on the method of disinfection. Hematoporphyrin derivatives, 1% NaOCl, 2% GaH, and 4% CHX.The pre and post candida (CFU/ml) counts were recorded before and after immersion. ML, microhardness, and Ra of acrylic denture were also assessed. Statistical analysis was executed for CFU/mL (log10) for exposed C. Albicans by two-way ANOVA and Tukey's multiple tests (p>0.05). For normality of the data, Dunnet's Simultaneous test was performed. RESULTS In terms of candida strain analysis, pretreatment to posttreatment comparisons revealed a reduction in mean Candida count in all groups (p<0.05). The highest ML value after post candida disinfection of acrylic denture was observed in 2% GaH (1.587 ± 0.25) treated specimens. The least microhardness value was found in group 1 when treated with hematoporphyrin (0.97 ± 0.22 VHN) which was significantly different from other groups (p<0.05). Group 1 surface treated with hematoporphyrin derivate (1.84 ± 0.22 μm) showed the highest Ra values (p<0.05). CONCLUSION Acrylic denture base resin colonized with C. Albicans when treated with a chemical disinfectant of 4% chlorhexidine displayed the highest antimicrobial efficacy with reduced mass loss, less surface roughness, and maximum denture hardness.
Collapse
Affiliation(s)
- Fahad Alkahtani
- Department of prosthodontics, College of Dentistry, Prince Sattam Bin Abdulaziz University, Alkharj 11942, Saudi Arabia.
| |
Collapse
|
10
|
Ryniewicz J, Orczykowska M, Gronkiewicz K, Pihut M. Assessment of Oral Hygiene in Patients Using Fixed and Removable Dentures Treated at the University Dental Clinic in Krakow. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182211986. [PMID: 34831743 PMCID: PMC8620725 DOI: 10.3390/ijerph182211986] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/05/2021] [Revised: 11/08/2021] [Accepted: 11/09/2021] [Indexed: 11/25/2022]
Abstract
Apart from local lesions, the presence of dental plaque may also have an effect on health, especially in people with general diseases. The aim of this project was to assess the oral hygiene of patients prosthetically treated at the Dental Prosthetics Clinic of the University Dental Clinic in Krakow (Poland) using fixed and removable dentures and to determine the demographic relationships and data related to the education of the respondents. The research material consisted of 120 patients who used fixed (group I) and removable (group II) restorations. Basic dental examinations and oral hygiene examinations were carried out with the use of the API (Approximal Plaque Index) and PI (Plaque Index) plaque indices. This study presents the percentage of respondents in terms of sex, place of residence, and education. The mean PI (Plaque Index) values were 46.73% (Group I) and 50.05% (Group II). (p = 0.4839). The mean values of API (Approximal Plaque Index) amounted to 65.14% (Group I) and 68.94% (Group II) (p = 0.4695). Patients using dentures showed insufficient oral hygiene, and the hygiene status of patients did not depend on the type of dentures used. The group that is most often treated with prosthetics is women with secondary education. The most numerous group of patients at the Dental Prosthetics Clinic are people living in large cities which results from easier access to health care.
Collapse
Affiliation(s)
- Joanna Ryniewicz
- Department of Integrated Dentistry, Institute of Dentistry, Faculty of Medicine, Jagiellonian University Medical College, 31-155 Kraków, Poland
- Correspondence: ; Tel.: +48-12-424-55-55
| | - Magdalena Orczykowska
- Department of Prosthodontics, Institute of Dentistry, Faculty of Medicine, Jagiellonian University Medical College, 31-155 Kraków, Poland; (M.O.); (K.G.); (M.P.)
| | - Krzysztof Gronkiewicz
- Department of Prosthodontics, Institute of Dentistry, Faculty of Medicine, Jagiellonian University Medical College, 31-155 Kraków, Poland; (M.O.); (K.G.); (M.P.)
| | - Małgorzata Pihut
- Department of Prosthodontics, Institute of Dentistry, Faculty of Medicine, Jagiellonian University Medical College, 31-155 Kraków, Poland; (M.O.); (K.G.); (M.P.)
| |
Collapse
|
11
|
Srimaneepong V, Thanamee T, Wattanasirmkit K, Muangsawat S, Matangkasombut O. Efficacy of low-molecular weight chitosan against Candida albicans biofilm on polymethyl methacrylate resin. Aust Dent J 2021; 66:262-269. [PMID: 33486770 DOI: 10.1111/adj.12826] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2020] [Revised: 01/05/2021] [Accepted: 01/18/2021] [Indexed: 01/07/2023]
Abstract
BACKGROUND Candida biofilm is a major cause of denture stomatitis. We aimed to compare the efficacy of low-molecular-weight chitosan solutions against Candida albicans biofilm on polymethyl methacrylate (PMMA) resin. METHODS Various types of chitosan were tested for anti-Candida activity by broth dilution. Two types were selected for further testing on 24-hour C.albicans biofilm formed on PMMA specimens. Specimens were randomly distributed among experimental groups, including 0.1% and 0.2% acetic acid, 3 and 6 mg/mL of oligomer chitosan and 30 kDa chitosan solutions, effervescent tablet (Polident), and 0.2% chlorhexidine, and immersed for 5 min to 12 h. The viability of C. albicans after cleansing were determined by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assays. Remaining viability was calculated into percentage relative to respective controls and analyzed using ANOVA with Tukey post-hoc tests. Live/dead fluorescence microscopy was also performed. RESULTS Chitosan solutions had high efficacy against C. albicans biofilm on PMMA. The mean relative viability compared to control after 12-h immersion was 6.60 ± 4.75% and 12.72 ± 6.96% for 3 and 6 mg/mL oligomer, respectively, and 11.68 ± 4.81% and 18.08 ± 6.20% for 3 and 6 mg/mL 30 kDa chitosan, respectively. CONCLUSIONS Low-molecular-weight chitosan solution is an effective antifungal denture cleanser that can significantly reduce C. albicans viability in biofilm on PMMA.
Collapse
Affiliation(s)
- Viritpon Srimaneepong
- Department of Prosthodontics, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
| | - Thanaporn Thanamee
- Department of Prosthodontics, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
| | | | - Sureeporn Muangsawat
- Department of Microbiology and Research unit on Oral Microbiology and Immunology, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
| | - Oranart Matangkasombut
- Department of Microbiology and Research unit on Oral Microbiology and Immunology, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.,Research Laboratory of Biotechnology, Chulabhorn Research Institute, Bangkok, Thailand
| |
Collapse
|
12
|
Measurement of the Level of Nitric Oxide in Exhaled Air in Patients Using Acrylic Complete Dentures and with Oral Pathologies. COATINGS 2021. [DOI: 10.3390/coatings11020169] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
The measurement of nitric oxide (NO) in exhaled air is used in diagnostics and monitoring of the pathologies in the respiratory system but also in the oral cavity. Researchers have shown a huge increase of its level in asthma and diseases in the oral cavity. It seems reasonable to research the impact of pathologies in the oral cavity on the level of NO in exhaled air. The purpose of this study was to determine the impact of inflammation in the oral cavity (according to the material of dentures) on the level of nitric oxide in exhaled air. Three groups of patients were examined in this study. The hygiene of acrylic dentures, hard tissues, periodontal tissues, hygiene of the oral cavity, and level of NO in exhaled air were examined. Prosthetic stomatitis, denture plaque, tooth decay, poor sanitation and periodontitis increase levels of NO.
Collapse
|