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      Evaluation of efficacy of commercial denture cleansing agents to reduce the fungal biofilm activity from heat polymerized denture acrylic resin: An in vitro study

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          Abstract

          Aims:

          To compare and evaluate Candida removing effects of three most commonly available varieties of commercial denture cleansers from heat polymerized acrylic resins. To compare and evaluate Candida lytic effects of denture cleansers. To assess the effect of time on ability of denture cleansers in reducing Candidal biofilm.

          Materials and Methods:

          A specially designed metal mold was fabricated to obtain wax plates of uniform dimensions which were used to fabricate heat cure acrylic resin plates. A square-shaped window of dimension 15 mm and thickness of 1.5 mm was provided in metal mould to simulate thickness of denture base. All samples used in this study were prepared using this mould. Candida albicans colonies were then cultured on this acrylic resin plates by colonization assay. Yeast removing test for samples was performed using microscope and yeast lytic test was performed using photo colorimeter.

          Results:

          Denture cleanser D2 showed the highest Candida removing activity when compared with cleansers D1, D3, and control solution. Denture cleansers D2 showed increased yeast lytic ability when compared with denture cleansers D1, D3, and control solution. More time span shared a definite influence on yeast lytic ability of denture cleansers.

          Conclusions:

          The effect of cleansing agents on removal of colonized yeasts particularly fungal biofilm from acrylic resins was assessed for clinical implications. The observation indicated superior performance of cleanser D2 when compared with D1 and D3 even though they all belong to same chemical group of alkaline peroxide. The increased effectiveness may be due to presence of sodium lauryl sulphate in formula of D2.

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          Most cited references8

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          Retention of Candida albicans on acrylic resin and silicone of different surface topography.

          The adhesion of microorganisms to a denture surface is a prerequisite for colonization. This study compared the retention of Candida albicans on smooth and rough acrylic resin and silicone surfaces after a washing procedure to determine the effect of surface roughness on prosthesis infection and hygiene. Standardized cell suspensions of C. albicans were incubated with smooth and rough acrylic resin and silicone surfaces for 1 hour at 24 degrees C. After washing, cells that had been retained on the surface were stained with acridine orange and examined with incident beam fluorescent microscopy. There was no significant difference in cell numbers on either of the smooth surfaces. Significantly higher numbers of cells (p > 0.0005) were observed on roughened surfaces (silicone > acrylic resin) than on smooth surfaces. The fitting surface of the maxillary denture was not polished. Silicones used in prostheses were processed against dental stone. The resultant surface roughness may facilitate microbial retention and infection and should therefore be kept to a minimum.
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            Materials and methods for cleaning dentures.

            Proper hygienic care of removable dentures is an important means of maintaining a healthy oral mucosa in denture wearers. Denture cleanliness is often poor due to improper mechanical cleansing and the relative inefficiency of most commercial products for chemical cleansing of dentures. Dentists and patients should realize that microbial plaque on dentures may be harmful to both the oral mucosa and the patient's general health. It is the responsibility of the patient to maintain oral hygiene through a daily home care routine. It is the obligation of the dentist to motivate and instruct the patient and provide the means and methods for plaque control. Future research should be directed to developing solution cleansers which can maintain plaque-free dentures with a daily soaking period of 15 to 30 minutes and not affect the color and surface luster of the denture acrylic resin.
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              Denture stomatitis: a role for Candida biofilms.

              To assess the contribution of Candida biofilms to the etiology of denture stomatitis. Samples of denture acrylic were retrieved from patients with denture stomatitis and subjected to scanning electron microscopy (SEM) analysis. Oral swab and swish samples were taken from the same group of patients and representative C albicans isolates recovered were used to investigate the kinetics of biofilm development in vitro. Candida biofilms could be visualized by SEM directly from denture samples from patients with denture stomatitis. These biofilms showed a propensity to adhere along cracks and imperfections of the denture acrylic. C albicans clinical isolates were able to form biofilms in vitro, although differences in the extent of biofilm formation were observed for different isolates recovered from the same patient. Susceptibility testing indicated that the resulting biofilms showed increased resistance to antifungal treatment. Presence of serum and saliva conditioning films increased the initial adherence of selected isolates but had little effect in overall biofilm formation. Candida biofilms play a role in denture stomatitis.
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                Author and article information

                Journal
                Contemp Clin Dent
                Contemp Clin Dent
                CCD
                Contemporary Clinical Dentistry
                Medknow Publications & Media Pvt Ltd (India )
                0976-237X
                0976-2361
                Apr-Jun 2012
                : 3
                : 2
                : 168-172
                Affiliations
                [1] Department of Prosthodontics, Sharad Pawar Dental College, Wardha, India
                [1 ] Department of Prosthodontics, Rungtha college of Dental Sciences and Research Centre, Bhillai, India
                Author notes
                Correspondence: Dr. Mithilesh M. Dhamande, Engineer's Appt, 79, laxmi Nagar, Wardha, Maharashtra – 442001, India. E-mail: miths_d@ 123456rediffmail.com
                Article
                CCD-3-168
                10.4103/0976-237X.96820
                3425099
                22919216
                8e6e1e50-1b93-4f73-9209-38b2fa0157ea
                Copyright: © Contemporary Clinical Dentistry

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Categories
                Original Article

                Dentistry
                acrylic resins,denture cleanser,candida albicans
                Dentistry
                acrylic resins, denture cleanser, candida albicans

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