Candida spp. prevalence in well controlled type 2 diabetic patients with denture stomatitis

Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011 Jun;111(6):726-33. doi: 10.1016/j.tripleo.2011.02.033.

Abstract

Objective: The aim of this study was to compare the prevalence of Candida spp. in diabetics and nondiabetics with and without denture stomatitis (DS).

Study design: Mycologic samples were taken from the dentures of 90 healthy subjects (control group [CG]), 80 denture stomatitis nondiabetics (DSND), and 40 denture stomatitis diabetics (DSD; well controlled type 2) for identification of Candida spp. Results were analyzed by Fisher exact test, Bonferroni-corrected confidence interval, and χ(2) test (α = .05).

Results: Candida albicans was the predominant species isolated (81.9%; P < .016), with C. tropicalis and C. glabrata demonstrating similar prevalence (15.71% and 15.24%, respectively). The prevalence of C. albicans and C. tropicalis in the DS groups were significantly higher (P < .01) than in the CG. The prevalence of C. tropicalis significantly increased with the highest degree of inflammation (P < .05).

Conclusions: The prevalence of Candida spp. was similar between diabetic and nondiabetic patients with DS. Candida tropicalis may play a role in the progression of DS.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Blood Glucose / metabolism
  • Candida / classification
  • Candida / isolation & purification*
  • Case-Control Studies
  • Chi-Square Distribution
  • Cross-Sectional Studies
  • Dental Prosthesis / adverse effects
  • Dental Prosthesis / microbiology*
  • Dentures / adverse effects*
  • Diabetes Mellitus, Type 2 / blood
  • Diabetes Mellitus, Type 2 / complications
  • Diabetes Mellitus, Type 2 / microbiology*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Mouth / microbiology
  • Reference Values
  • Sex Factors
  • Statistics, Nonparametric
  • Stomatitis, Denture / blood
  • Stomatitis, Denture / complications
  • Stomatitis, Denture / microbiology*

Substances

  • Blood Glucose