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2012, Number 6

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Rev ADM 2012; 69 (6)

Risk factors for Prosthesis - associated oral candidiasis

de la Rosa-García E, Vera HFL, Espinoza ÁL, Mondragón PA

Language: Spanish
References: 30
Page: 266-270
PDF size: 273.34 Kb.


ABSTRACT

Aim: To find potential risk factors for Prosthesis – associated oral candidiasis (PAC) in edentulous patients attending a University Dental Clinic.
Methods: A comparative, cross-sectional study on patients using either partial or total oral prosthesis was carried out. Demographic and clinical data was obtained from the patients'clinical history. We performed a random capillary glucose determination and where there were lesions indicating erythematous candidiasis (EC), exfoliative cytology was performed on the hard palate, the oral prostheses, and the dorsal tongue. Oral candidiasis was ascertained based on the presence of hyphae in the smear. For statistical analysis purposes, the group was divided into DM (diabetic) and non-DM subjects. Correlations were analyzed using Chi-square and Multiple Logistic Regression.
Results: 99 patients were examined, in an age range of 63.6 ± 11.6, 32 of whom were men and32 DM. 78 wore two total prostheses. PAC prevalence was 56.6% and 62.65% had Candida colonization on the prosthesis. 23 had erythematous candidiasis on the dorsal tongue, all with coexisting PAC. PAC was found to be associated with: the presence of hyphae on the oral prosthesis (OR=10.4, p ‹0.0001); using two prostheses (OR=4.4, p=0.029); and having erythematous candidiasis of the dorsal tongue (OR=4.1, p=0.031).
Conclusions: Candida colonization of the prosthesis and using two total prostheses are risk factors for prosthesis-associated candidiasis; EC of the tongue seems to be a secondary infection in these patients. DM was not a significant risk factor for PAC


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