Candida colonisation and the efficacy of chlorhexidine gluconate on soft silicone‐lined dentures of diabetic and non‐diabetic patients

Abstract

Dentures with silicone resilient liner exhibit increased Candida growth in diabetic patients. Four per cent chlorhexidine gluconate solution effectively disinfects these dentures.

Candida albicans adherence and proliferation on the surface of denture base materials

“…Regardless of the issues of surface free energy, the conventional wisdom is that higher amounts of Candida albicans are accumulated on soft relining materials than on conventional acrylics 8,9 . The results of this study, however, suggest that this assumption is only valid for prolonged incubation periods, which simulate long-term denture wearing without proper hygiene.…”

Hygiene practices in removable prosthodontics: A systematic review

“…Of 47 clinical trials, 22 were excluded for the reasons reported in Table . Eventually, 25 CCTs met the predefined inclusion criteria in order to arrive at the final selection . These were further classified into 4 categories according to their objective of investigation; 21 CCTs (17 RCTs and 4 N‐RCTs) examined denture hygiene practices in terms of effectiveness pertaining to either killing or inactivation of microorganisms or removal of denture biofilm in individuals with no clinical signs of denture stomatitis, 3 CCTs examined denture hygiene approaches in terms of colour stability and 2 CCTs tested microwave disinfection with regard to dimensional stability .…”

“…Eventually, 25 CCTs met the predefined inclusion criteria in order to arrive at the final selection . These were further classified into 4 categories according to their objective of investigation; 21 CCTs (17 RCTs and 4 N‐RCTs) examined denture hygiene practices in terms of effectiveness pertaining to either killing or inactivation of microorganisms or removal of denture biofilm in individuals with no clinical signs of denture stomatitis, 3 CCTs examined denture hygiene approaches in terms of colour stability and 2 CCTs tested microwave disinfection with regard to dimensional stability . Finally, 30 articles investigated the attitudes and habits of removable denture wearers towards the hygiene of their prostheses, including the frequency, of the applied hygiene interventions as well as the presence of nocturnal wearing of removable dentures …”

“…The effectiveness of the hygiene approach was examined via the calculation of the quantity of microorganisms through conventional microbiological analysis, through evaluation of the area percentage covered with denture biofilm or their combination . With respect to the design of the clinical studies investigating the quantity of microorganisms through microbiological analysis, 2 CCTs performed identification of periodontal pathogens and Candida albicans , 2 CCTs both Candida spp.…”

“…The major target of all the hygiene interventions in the field of Removable Prosthodontics is to eliminate pathogenic microorganisms' counts preventing the reestablishment of a pathogenic biofilm, as well. Denture biofilm removal can be achieved via the application of different types of hygiene practices including mechanical methods, chemical agents and irradiation or combination of the aforementioned methods . Brushing represents the most commonly applied mechanical method combining the advantage of simplicity, effectiveness and low cost .…”