Candida species are yeasts and within the oral cavity, Candida albicans is the most frequently isolated. There is clear evidence that C. albicans adheres to oral surfaces including acrylic dentures and mucosa. The mechanisms of attachment differ, with candidal adhesion to inert surfaces under the control of hydrophobic and electrostatic forces and adhesion to mucosa dependent on a number of complex ligand-recognition systems. Other factors within the oral environment such as saliva, pH, bacteria and hyphal formation have been shown to influence adhesion of candida species to surfaces in the mouth.
Wall Glycerol Glc B. subtilis Marburg 49 L. buchneri NCIB 8007 21 S. epidermidis T1 65 GalNAc S. epidermidis (albus) 81 NCTC Ribitol Glc B. subtilis W-23 189 L. plantarum (arabinosus) 17-5 14 GlcNAc S. aureus Copenhagen 280 GalNAc S. aureus phage type 187 152 aGlc, n-glucose; Gal, D-galactose; GlcNAc, N-acetyl-D-glucosamine; GalNAc, N-acetyl-D-galactosamine. " A. J. Wicken and K. W. Knox, unpublished data.
Treatment of oral candidosis with topical antifungal agents such as nystatin and amphotericin B is effective initially. However, medication can produce side effects in some patients and when therapy is stopped the condition can recur. Alternative treatment involving the use of antiseptics and disinfecting agents has been shown to play an important role in the control of dental plaque. The use of sodium hypochlorite as an overnight denture soak has been shown to eliminate denture plaque and recent investigations have demonstrated that microwave irradiation of dentures at a specified setting and exposure time is bactericidal and candidacidal.Key words: Candida albicans, antifungals, denture stomatitis, chlorhexidine, sodium hypochlorite, microwave i r r a d i a t i o n .
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