Oral complaints of Candida-associated denture stomatitis in patients with type 2 diabetes mellitus
Journal Title: Prosthodontics - Year 2012, Vol 62, Issue 1
Abstract
Aim of the study. To describe the occurrence and intensity of clinical symptoms of Candida-associated denture stomatitis (CaDS) in acrylic complete denture wearers with type 2 diabetes.Material and methods. The study was carried out on a cohort of 110 patients (47 males and 63 females, mean age 63.2 ± 10.5 years) with type 2 diabetes associated with obesity and with symptoms of CaDS (Group I). The control group comprised of 50 non-diabetic edentulous patients (29 males and 21 females, mean age 66.9 ± 8.8 years) with denture stomatitis (Group II). All patients were wearers of complete acrylic resin dentures. The study population was examined clinically for oral mucosal conditions and denture stomatitis was categorized according to the Newton classification. The prevalence of yeasts on the oral mucosa was estimated by the culture method. Isolated yeasts were identified using test ID 32 C (bioMerieux SA, Marcy-l’Etoile, France). Results. Type II (diffuse inflammation) of CaDS was more frequently found in patients with diabetes than in controls (57.3% vs. 30.0%; p<0.002), while type I was found in 54% of controls. The incidence of type I and type III of denture stomatitis was statistically similar in both groups. It was observed that the patients with diabetes were more likely to report oral complaints of CaDS compared with controls (60.9% vs. 24.0%; p<0.001). Burning sensation in the mouth was the most frequent complaint of denture stomatitis in both groups, (51.8% vs. 24.0%; p<0.001). Dryness of the oral mucosa was found to be more frequent in the persons with diabetes (50.9% vs. 6.0%; p<0.001). Additionally, the diabetic patients manifested a significantly greater prevalence of angular cheilitis, (26.4% vs. 8.0%; p<0.01) and glossitis, (27.3% vs. 6.0%; p<0.003). This study indicates that in all diabetic patients denture stomatitis was associated with Candida colonization, (100% vs. 50%; p<0.001).Conclusion. In patients with type 2 diabetes denture stomatitis is more severe and more frequently associated with Candida infection. Diabetic patients show an increased severity of subjective oral complaints, of which burning mouth sensation is most common.
Authors and Affiliations
Barbara Dorocka-Bobkowska, Dorota Zozulińska-Ziółkiewicz, Bogna Wierusz-Wysocka, Anna Szumała-Kąkol, Ryszard Koczorowski
Keywords
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