Revista de Odontologia da UNESP
https://revodontolunesp.com.br/article/doi/10.1590/rou.2014.050
Revista de Odontologia da UNESP
Original Article

Relationship among local and functional factors in the development of denture stomatitis in denture wearers in northern Brazil

Relação entre fatores locais e funcionais no desenvolvimento de estomatite protética em usuários de dentadura no norte do Brasil

Gauch, Lurdete Maria R; Silveira-Gomes, Fabiola; Pedrosa, Simone Soares

Downloads: 1
Views: 1047

Abstract

Objective: The aim of this study was to evaluate the relationship among functional and qualitative factors in the development of denture stomatitis (DS) (according to Newton’s classification) in acrylic-based denture wearers residents from northern Brazil. Material and method: A total of 99 patients who wore partial or total acrylic resin-based upper dentures were included in this study. The subjects completed an epidemiological data form that includes the patient’s gender, age, local factors (hygiene habits, remove denture to sleep, use of mouthwash, present condition of the denture, age of the denture) and functional factors (vertical dimension at rest, vertical dimension of occlusion, occlusion, retention, and static and dynamic stability). To detect yeasts, samples were collected from the inner surface of the dentures and from the palatal mucosa in contact with it. Subsequently, the samples were cultured on Sabouraud dextrose agar, observing macro and microscopic characteristics. Result: In the present study, we did not find any significant relationship between the gender and disease onset. Based on the Newton classification, 36.3% of the patients presented with DS and 89.0% were colonized by yeasts; of these subjects, 50% had type I lesions, 33.3% had type II lesions, and 16.6% had type III lesions. All of the qualitative and local factors, except the use of mouthwash, were clinically relevant to the development of disease. Conclusion: Denture stomatitis in denture users in northern Brazil was multifactorial, involving local, functional and microbiological factors.

Keywords

Dentures, stomatitis, oral hygiene, Candida.

Resumo

Objetivo: O objetivo deste estudo foi avaliar a relação entre fatores funcionais e qualitativos no desenvolvimento da estomatite protética (EP) (de acordo com a classificação de Newton) em usuários de dentadura acrílica residentes no norte do Brasil. Material e método: Um total de 99 pacientes, que usavam dentadura superior de resina acrílica parcial ou total, foi incluído neste estudo. Os participantes preencheram um formulário de dados epidemiológicos, que incluiu gênero, idade, fatores locais (hábitos de higiene, retirar a dentadura ao dormir, uso de colutório, condição atual da dentadura, idade da dentadura) e fatores funcionais (dimensão vertical de repouso, dimensão vertical de oclusão, oclusão, retenção, estabilidade estática e dinâmica). Para detectar leveduras, amostras foram coletadas da superfície interna da dentadura e da mucosa palatal em contato com esta. Posteriormente, as amostras foram cultivadas em ágar Sabouraud dextrose, observando-se características macro e microscópicas. Resultado: No presente estudo, não foi encontrada relação significante entre gênero e início da doença. Baseada na classificação de Newton, 36,3% dos pacientes apresentaram EP e 89,0% foram colonizados por leveduras; destes indivíduos, 50% tiveram lesões tipo I, 33,3% tiveram lesões tipo II e 16,6% tiveram lesões tipo III. Todos os fatores locais e qualitativos, exceto o uso de colutório, foram clinicamente relevantes para o desenvolvimento da doença. Conclusão: Estomatite protética em usuários de dentadura do norte do Brasil foi multifatorial, associando fatores locais, funcionais e microbiológicos.

Palavras-chave

Dentaduras, estomatite, higiene bucal, Candida.

References

 


1. Pattanaik S, Vikas BVJ, Pattanaik B, Sahu S, Lodam S. Denture stomatitis: a literature review. J Indian Acad Oral Med Radiology. 2010 July-September; 22: 136-40. http://dx.doi.org/10.5005/jp-journals-10011-1032.

2. Castro AL, Furuse TA, Gaetti-Jardim Júnior E, Castro EVFL, Jardim PTC, Paro MLC. Denture stomatitis induced by the improper use of complete dentures: a case report. Rev Odontol Araçatuba. 2006 Jul-Dez; 7: 87-90.

3. Dar-Odeh NS, Shehabi AA. Oral candidosis in patients with removable dentures. Mycoses. 2003 June; 46(5-6): 187-91. http://dx.doi.org/10.1046/j.1439- 0507.2003.00871.x. PMid:12801360

4. Falcão AFP, Santos LB, Sampaio NM. Candidiasis associated with dental prosthesis. Sitientibus. 2004 Jan-Jun; 30: 135-46.

5. Serrano-Granger C, Cerero-Lapiedra R, Campo-Trapero J, Del Río-Highsmith J. In vitro study of the adherence of Candida albicans to acrylic resins: relationship to surface energy. Int J Prosthodont. 2005 September-October; 18(5): 392-8. PMid:16220804.

6. Dağistan S, Aktas AE, Caglayan F, Ayyildiz A, Bilge M. Differential diagnosis of denture-induced stomatitis, Candida, and their variations in patients using complete denture: a clinical and mycological study. Mycoses. 2009 May; 52(3): 266-71. http://dx.doi.org/10.1111/j.1439-0507.2008.01592.x. PMid:18643887

7. Barbeau J, Séguin J, Goulet JP, de Koninck L, Avon SL, Lalonde B, et al. Reassessing the presence of Candida albicans in denture-related stomatitis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003 January; 95(1): 51-9. http://dx.doi.org/10.1067/moe.2003.44. PMid:12539027

8. Scalercio M, Valente T, Israel M, Ramos ME. Denture stomatitis associated with candidiasis: diagnosis and treatment. Rev Gaúcha Odontol. 2007 Out-Dez; 55(4): 395-8.

9. Newton AV. Denture sore mouth: a possible etiology. Br Dent J. 1962; 112: 357-60.

10. Elguezabal N, Maza JL, Dorronsoro S, Pontón J. Whole saliva has a dual role on the adherence of Candida albicans to polymethylmetacrylate. Open Dent J. 2008; 2(1): 1-4. http://dx.doi.org/10.2174/1874210600802010001. PMid:19088875

11. Kennedy E. Partial denture construction. Dent Items Interest. 1925; 47(1): 23-5.

12. Sidrim JJC, Rocha MFG. Micologia médica à luz de autores contemporâneos. Rio de Janeiro: Guanabara Koogan; 2004.

13. da Silva HF, Martins-Filho PR, Piva MR. Denture-related oral mucosal lesions among farmers in a semi-arid Northeastern Region of Brazil. Med Oral Patol Oral Cir Bucal. 2011 September; 16(6): e740-4. http://dx.doi.org/10.4317/medoral.17081. PMid:21196849

14. Arnaud RR, Soares MSM, Santos MGC, Santos RC. Denture stomatitis: prevalence and correlation with age and gender. Rev Bras Ciênc Saúde. 2012 Mar; 16(1): 59-62.

15. Salerno C, Pascale M, Contaldo M, Esposito V, Busciolano M, Milillo L, et al. Candida-associated denture stomatitis. Med Oral Patol Oral Cir Bucal. 2011 March; 16(2): e139-43. http://dx.doi.org/10.4317/medoral.16.e139. PMid:20711156

16. Naik AV, Pai RC. A study of factors contributing to denture stomatitis in a north Indian community. Int J Dent. 2011; 2011: 589064. http://dx.doi. org/10.1155/2011/589064. PMid:22194746

17. Jeganathan S, Lin CC. Denture stomatitis—a review of the aetiology, diagnosis and management. Aust Dent J. 1992 April; 37(2): 107-14. http://dx.doi. org/10.1111/j.1834-7819.1992.tb03046.x. PMid:1294074

18. Budtz-Jørgensen E. Ecology of Candida-associated denture stomatitis. Microb Ecol Health Dis. 2000; 12(3): 170-85. http://dx.doi. org/10.1080/089106000750051846.

19. Cruz PC, Andrade IM, Peracini A, Souza-Gugelmin MC, Silva-Lovato CH, de Souza RF, et al. The effectiveness of chemical denture cleansers and ultrasonic device in biofilm removal from complete dentures. J Appl Oral Sci. 2011 November-December; 19(6): 668-73. http://dx.doi.org/10.1590/S1678-77572011000600021. PMid:22231005

20. Orsi IA, Junior AG, Villabona CA, Fernandes FH, Ito IY. Evaluation of the efficacy of chemical disinfectants for disinfection of heat-polymerised acrylic resin. Gerodontology. 2011 December; 28(4): 253-7. http://dx.doi.org/10.1111/j.1741-2358.2010.00400.x. PMid:20609007

21. Işeri U, Uludamar A, Ozkan YK. Effectiveness of different cleaning agents on the adherence of Candida albicans to acrylic denture base resin. Gerodontology. 2011 December; 28(4): 271-6. http://dx.doi.org/10.1111/j.1741-2358.2010.00379.x. PMid:21554382

22. Ferreira RC, Magalhães CS, Moreira AN. Oral mucosal alterations among the institutionalized elderly in Brazil. Braz Oral Res. 2010 July-September; 24(3): 296-302. PMid:20877966.

23. Hadžić S, Dedić A, Gojkov-Vukelić M, Pašić E, Ožegović L, Bešlagić E. Influence of Candida infection on denture stomatitis. Acta Med Acad. 2009; 38(1): 6-10.

24. Garcia AR, Souza V. Necessity of relining free-end extension partial dentures. Rev Odontol UNESP. 1992; 21: 333-8.

25. Bomfim IPR, Soares DG, Tavares GR, Santos RC, Araújo TP, Padilha WWN. Prevalence of oral mucosa lesions in denture wearers. Pesqui Bras Odontopediatria Clín Integr. 2008 Jan-Abr; 8(1): 117-21.

 

588019887f8c9d0a098b51cf rou Articles
Links & Downloads

Rev. odontol. UNESP

Share this page
Page Sections