Abstract

Evaluating the addition of minimum inhibitory concentrations (MICs) of antifungals for Candida albicans biofilm on the hardness and roughness of temporary denture soft liners. Specimens (n=8; 36×7×6 mm) of tissue conditioner (Softone) and resilient liner (Trusoft) were produced either without (control) or with incorporation of drugs at MICs: nystatin (0.032 g/mL), chlorhexidine diacetate (0.064 g/mL), ketoconazole (0.128 g/mL), miconazole (0.256 g/mL) and itraconazole (0.256 g/mL). Specimens were stored in distilled water at 37 °C for 24 h, 7 days and 14 days prior to the hardness/roughness measurements. Data were analyzed by 3-way ANOVA and Tukey HSD test (α=0.05). The addition of the antifungals into both materials demonstrated no evident hardness change or decrease of this property compared with the control, except for miconazole in Softone, which increased the hardness after 14 days (p=0.003). The addition of nystatin into both materials, chlorhexidine in Trusoft and ketoconazole in Softone resulted in no significant changes of roughness compared with the control, after 7 days and 14 days (p>0.05). In these periods, itraconazole increased the roughness of both materials (p<0.001). The addition of all antifungals, except for the miconazole in Softone, resulted in no deleterious effects on the materials' hardness over the evaluation time. The MICs of nystatin in both temporary soft lining materials, ketoconazole in Softone and chlorhexidine in Trusoft resulted in no deleterious effects for roughness up to 14 days.

Highlights

  • Denture stomatitis has been considered the most common injury among users of removable dentures (1)

  • The addition of drugs in both temporary soft lining materials resulted in no significant increase of Shore A hardness compared with the control group, except for Softone specimens with miconazole after 14 days (p=0.0035)

  • No significant changes in hardness of both materials were observed with the addition of nystatin, miconazole, or ketoconazole after 7 days of water immersion (p>0.05) compared with the control group

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Summary

Introduction

Denture stomatitis has been considered the most common injury among users of removable dentures (1). Despite being an infection of multifactorial etiology, denture stomatitis has as main etiological factor the colonization of denture-bearing mucosa and acrylic bases by species of Candida spp., especially Candida albicans (1). To enhance the treatment of denture stomatitis, it has been recommended to eliminate the contact between the denture biofilm and infected tissues, avoiding a reinfection cycle (4). This is possible through the use of a denture reline, especially with soft lining materials (4), which results in the recovery of injured tissues and patient comfort (5). The soft lining materials are degradable and susceptible to microbial colonization (7)

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