Serveur d'exploration sur le patient édenté

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FACTORS RELATED TO ORAL CANDIDIASIS IN ELDERLY USERS AND NON-USERS OF REMOVABLE DENTAL PROSTHESES

Identifieur interne : 006538 ( Ncbi/Curation ); précédent : 006537; suivant : 006539

FACTORS RELATED TO ORAL CANDIDIASIS IN ELDERLY USERS AND NON-USERS OF REMOVABLE DENTAL PROSTHESES

Auteurs : Cyra Maria Pires De Carvalho Bianchi ; Hélcio Aparecido Bianchi ; Tomoko Tadano ; Claudete Rodrigues De Paula ; Hugo Dias Hoffmann-Santos ; Diniz Pereira Leite ; Rosane Christine Hahn

Source :

RBID : PMC:4804554

Abstract

This study examined the association between oral candidiasis in elderly users and nonusers of prosthesis and its predisposing factors. To this end, we performed a cross-sectional study where saliva samples from 48 patients were collected they used prosthesis and 43 patients (control group) who did not use. Among the 91 patients, Candida spp were isolated in 40 (83.3%) who used prosthesis and in 23 (53.5%) in the control group. A statistically significant association was determined between the two groups, the isolation of yeasts and dental prosthesis (p < 0.05, OR = 4.3). The most common etiological agent was Candida albicans (37 isolates), with 23 (62.2%) in the denture group and 14 (37.8%) (control group). Among patients who presented clinical manifestations of oral candidiasis (n = 24), 83.3% (n = 20) belonged to the group that wore dentures, while only 16.7% (n = 4) belonged to the control group. Elderly patients with diabetes had 4.4 times higher estimated risk of developing oral candidiasis when compared with individuals without this condition. There was no statistically significant association between being user prostheses and have diabetes with the onset of candidiasis. No statistically significant association was determined between xerostomia, use of prosthesis and oral candidiasis. The use of prosthetics and poor oral hygiene in elderly patients predisposes to the development of oral candidiasis.


Url:
DOI: 10.1590/S1678-9946201658017
PubMed: 27007560
PubMed Central: 4804554

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PMC:4804554

Le document en format XML

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<name sortKey="Bianchi, Cyra Maria Pires De Carvalho" sort="Bianchi, Cyra Maria Pires De Carvalho" uniqKey="Bianchi C" first="Cyra Maria Pires De Carvalho" last="Bianchi">Cyra Maria Pires De Carvalho Bianchi</name>
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<nlm:aff id="aff1">Federal University of Mato Grosso, Faculty of Medicine, Laboratory of Investigation and Mycology. Cuiabá, Mato Grosso, Brazil. E-mail:
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<name sortKey="Bianchi, Helcio Aparecido" sort="Bianchi, Helcio Aparecido" uniqKey="Bianchi H" first="Hélcio Aparecido" last="Bianchi">Hélcio Aparecido Bianchi</name>
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<nlm:aff id="aff2">Federal University of Mato Grosso, Faculty of Medicine, Laboratory of Investigation and Mycology. Cuiabá, Mato Grosso, Brazil. E-mail:
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<name sortKey="Tadano, Tomoko" sort="Tadano, Tomoko" uniqKey="Tadano T" first="Tomoko" last="Tadano">Tomoko Tadano</name>
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<nlm:aff id="aff3">University Hospital Júlio Muller, Laboratory of Mycology. Cuiabá, Mato Grosso, Brazil. E-mail:
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<name sortKey="De Paula, Claudete Rodrigues" sort="De Paula, Claudete Rodrigues" uniqKey="De Paula C" first="Claudete Rodrigues" last="De Paula">Claudete Rodrigues De Paula</name>
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<nlm:aff id="aff4">Federal University of São Paulo, Institute of Biomedical Sciences, Laboratory of Pathogenic Yeasts. SP, Brazil. E-mail:
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<name sortKey="Hoffmann Santos, Hugo Dias" sort="Hoffmann Santos, Hugo Dias" uniqKey="Hoffmann Santos H" first="Hugo Dias" last="Hoffmann-Santos">Hugo Dias Hoffmann-Santos</name>
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<nlm:aff id="aff6">Federal University of Mato Grosso, Faculty of Medicine, Laboratory of Investigation and Mycology. Cuiabá, Mato Grosso, Brazil. E-mail:
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<name sortKey="Hahn, Rosane Christine" sort="Hahn, Rosane Christine" uniqKey="Hahn R" first="Rosane Christine" last="Hahn">Rosane Christine Hahn</name>
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<nlm:aff id="aff7">Federal University of Mato Grosso, Faculty of Medicine, Laboratory of Investigation and Mycology. Cuiabá, Mato Grosso, Brazil. E-mail:
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<name sortKey="Bianchi, Cyra Maria Pires De Carvalho" sort="Bianchi, Cyra Maria Pires De Carvalho" uniqKey="Bianchi C" first="Cyra Maria Pires De Carvalho" last="Bianchi">Cyra Maria Pires De Carvalho Bianchi</name>
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<nlm:aff id="aff1">Federal University of Mato Grosso, Faculty of Medicine, Laboratory of Investigation and Mycology. Cuiabá, Mato Grosso, Brazil. E-mail:
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<name sortKey="Bianchi, Helcio Aparecido" sort="Bianchi, Helcio Aparecido" uniqKey="Bianchi H" first="Hélcio Aparecido" last="Bianchi">Hélcio Aparecido Bianchi</name>
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<nlm:aff id="aff2">Federal University of Mato Grosso, Faculty of Medicine, Laboratory of Investigation and Mycology. Cuiabá, Mato Grosso, Brazil. E-mail:
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<nlm:aff id="aff3">University Hospital Júlio Muller, Laboratory of Mycology. Cuiabá, Mato Grosso, Brazil. E-mail:
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<nlm:aff id="aff4">Federal University of São Paulo, Institute of Biomedical Sciences, Laboratory of Pathogenic Yeasts. SP, Brazil. E-mail:
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<name sortKey="Hoffmann Santos, Hugo Dias" sort="Hoffmann Santos, Hugo Dias" uniqKey="Hoffmann Santos H" first="Hugo Dias" last="Hoffmann-Santos">Hugo Dias Hoffmann-Santos</name>
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<p>This study examined the association between oral candidiasis in elderly users and nonusers of prosthesis and its predisposing factors. To this end, we performed a cross-sectional study where saliva samples from 48 patients were collected they used prosthesis and 43 patients (control group) who did not use. Among the 91 patients,
<italic>Candida</italic>
spp were isolated in 40 (83.3%) who used prosthesis and in 23 (53.5%) in the control group. A statistically significant association was determined between the two groups, the isolation of yeasts and dental prosthesis (
<italic>p</italic>
< 0.05, OR = 4.3). The most common etiological agent was
<italic>Candida albicans</italic>
(37 isolates), with 23 (62.2%) in the denture group and 14 (37.8%) (control group). Among patients who presented clinical manifestations of oral candidiasis (n = 24), 83.3% (n = 20) belonged to the group that wore dentures, while only 16.7% (n = 4) belonged to the control group. Elderly patients with diabetes had 4.4 times higher estimated risk of developing oral candidiasis when compared with individuals without this condition. There was no statistically significant association between being user prostheses and have diabetes with the onset of candidiasis. No statistically significant association was determined between xerostomia, use of prosthesis and oral candidiasis. The use of prosthetics and poor oral hygiene in elderly patients predisposes to the development of oral candidiasis.</p>
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