Strategies for Preventing and Treating Oral Mucosal Infections Associated with Removable Dentures: A Scoping Review

Ribeiro, Adriana Barbosa; Pizziolo, Pillar Gonçalves; Clemente, Lorena Mosconi; Aguiar, Helena Cristina; Poker, Beatriz de Camargo; Silva, Arthur Augusto Martins e; Makrakis, Laís Ranieri; Fifolato, Marco Aurelio; Souza, Giulia Cristina; Oliveira, Viviane de Cássia; Watanabe, Evandro; Lovato da Silva, Cláudia Helena

doi:10.3390/antibiotics13030273

Cited by 1 publication

(2 citation statements)

References 150 publications

(650 reference statements)

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“…So far, encouraging results have been reported regarding both natural and synthetic antimicrobial agents incorporated into brushes and toothpastes [62][63][64]. Moreover, it is essential to ensure disinfection of the denture using agents for removing prosthetic plaque such as: chlorhexidine gluconate 2%, sodium hypochlorite 0.5% or 1%, alkaline peroxide, or effervescent tablets [65][66][67][68]. It might be desirable for patients with general diseases to use natural products preventively.…”

Section: Etiology Of Ds and Global Candida Distributionmentioning

confidence: 99%

“…In some cases, it is necessary to apply antifungal agents such as: amphotericin B, miconazole 2% gel applied locally or fluconazole 50 mg applied systemically in the case of advanced DS [65,69]. In particular, the significance of follow-up examinations should be emphasized since they enable the doctor to evaluate the degree of denture hygiene and motivate the patients [68,70], but also to obtain mycological findings of different Candida spp. [44].…”

Section: Etiology Of Ds and Global Candida Distributionmentioning

confidence: 99%

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A Systematic Review of Denture Stomatitis: Predisposing Factors, Clinical Features, Etiology, and Global Candida spp. Distribution

Perić,

Miličić,

Kuzmanović Pfićer

et al. 2024

JoF

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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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