Abstract
ObjectiveEffective cleaning of dentures is important for the maintenance of good oral hygiene for denture stomatitis patients. The in vivo efficacy of three different brands of alkaline peroxide tablets (Polident, Efferdent, and Fittydent) and two mouthwashes (CloSYS II and Corsodyl) to eliminate Candida albicans on dentures was evaluated in this in vivo study.Material and methodsNinety denture wearers with clinical evidence of denture stomatitis were randomly divided into 5 test groups and 1 control group. Each group was further divided into three subgroups in which the dentures were subjected to 15-, 30-, and 60-min disinfection procedures. The dentures of each test group were treated with one of the cleaners, while those of the control group were treated with distilled water. Swab samples from the palatal surfaces (2 cm x 2 cm template delimited area) of the upper dentures were obtained before and after 15, 30, and 60 min periods of cleaner use and examined mycologically.ResultsThe reduction in the number of colony-forming units (CFU) of C. albicans before, and after 15, 30, and 60 min of use of CloSYS II and Corsodyl was significantly greater than that of the control group (p<0.05). Moreover, there was no statistically significant difference (p>0.05) among Polident, Efferdent and the control group in any of the treatment periods. Dentures treated with Fittydent appeared to have a significantly greater reduction in the number of Candida spp. only after 60 min of treatment.ConclusionsThe results of this study showed that the use of mouthwashes significantly reduced the number of microorganisms on dentures.
Highlights
Oral and denture hygiene of dependent elderly individuals is extremely poor4,33,34,39
All materials tested in this study showed a reduction in the number of C. albicans colony-forming units (CFU)
In a multivariate analysis encompassing all study periods, dentures treated with CloSYSII and Corsodyl appeared to KDYH D VLJQL¿FDQWO\ JUHDWHU UHGXFWLRQ LQ WKH QXPEHU of Candida spp. than those treated with Polident, Efferdent, or Fittydent
Summary
Oral and denture hygiene of dependent elderly individuals is extremely poor. Q YLYR HI¿FDF\ RI DONDOLQH SHUR[LGH WDEOHWV DQG PRXWKZDVKHV RQ &DQGLGD DOELFDQV in patients with denture stomatitis soap is still contradictory The use of chemical denture cleaners can produce more effective results, especially in geriatric patients and in people who have problems with wearing dentures29 &KHPLFDO GHQWXUH FOHDQHUV DUH FODVVL¿HG into various groups such as alkaline peroxides, alkaline hypochlorite, acids, disinfectants, and enzymes. Chlorhexidine gluconate is an antiseptic and disinfectant agent, which is active against various bacteria, viruses, bacterial spores, and fungi. These include the C. albicans which causes thrush infection in the mouth, and bacteria that may infect mouth ulcers or other mouth sores, e.g. after dental surgery. The in vivo HI¿FDF\ RI WKUHH GLIIHUHQW EUDQGV RI denture cleaners and two mouthwashes to eliminate C. albicans on dentures was investigated in this study
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