义齿性口腔炎(DS)是可移动的完整和部分义齿佩戴者中非常常见的疾病,全球患病率为20-67%。工业发达国家和贫困国家都受到这种疾病的影响。DS通常与假牙不合适或假丝酵母属真菌感染有关。念珠菌通常在口腔微生物群中发现,但它可能对患有潜在疾病的老年人的健康有害。因此,本研究的目的是提供有关流行病学的最新信息,病因学,通过系统评价与DS相关的念珠菌物种的全球分布。几个数据库,包括Medline,WebofScience,还有Scopus,被用来对前20年发表的文献进行广泛的搜索。研究的选择由两位作者进行。提取的数据如下:作者,出版年份,国家,样品,DS的频率,诊断口腔炎的方法,念珠菌的种类,危险因素,和疾病的病因。JBI关键评估工具用于评估研究质量。最终,28项研究纳入了系统评价.21项研究调查了DS,虽然有7项研究检查了使用可移动假牙的患者中的念珠菌定植。结果表明,DS的主要原因包括义齿的类型,连续佩戴假牙,和念珠菌生物膜的形成,这是由不良的牙齿卫生促进。此外,以前的研究已经确定了唾液流的重要性,唾液成分,和唾液pH值。当前审查的结果表明,监测假牙佩戴者对DS的外观至关重要,尤其是由于全身性疾病而导致免疫力受损的患者。最后,频繁的随访应包括临床检查和对腭粘膜和义齿粘膜表面的微生物拭子。
Denture stomatitis (DS) is a very common disease in wearers of removable complete and partial dentures with a worldwide prevalence in the range of 20-67%. Both industrially developed and impoverished nations are affected by the illness. DS is often associated with ill-fitting dentures or a fungal infection with Candida spp. Candida is normally found in the oral cavity microbiota, but it can be harmful to the health of elderly people with underlying diseases. Therefore, the purpose of the present study is to offer the most recent information about the epidemiology,
etiology, and global distribution of Candida species associated with DS through a systematic
review. Several databases, including Medline, Web of Science, and Scopus, were used to conduct an extensive search of the literature published in the previous 20 years. The selection of studies was performed by two authors. The extracted data were as follows: author, year of publication, country, sample, frequency of DS, method of diagnosing stomatitis, species of Candida, risk factors, and
etiology of the disease. The JBI Critical appraisal tools were used to assess the quality of the studies. Eventually, twenty-eight studies were included in the systematic
review. Twenty-one studies investigated DS, while seven studies examined Candida colonization in patients using removable dentures. The results show that the main causes of DS include the type of dentures, continuous wearing of dentures, and the formation of a Candida biofilm, which is facilitated by poor dental hygiene. Additionally, previous studies have pinpointed the significance of the salivary flow, saliva composition, and salivary pH. The findings of the current
review indicate that it is crucial to monitor denture wearers for the appearance of DS, especially the patients whose immunity has been impaired due to a systemic condition. Finally, frequent follow-ups should include a clinical examination and microbial swabs of the palatal mucosa and the mucosal surface of the denture.