Document Detail


Candida-associated denture stomatitis in type 2 diabetes mellitus.
MedLine Citation:
PMID:  20638146     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To describe the clinical appearance of Candida-associated denture stomatitis (DS) in subjects with type 2 diabetes (T2DM). The relationships between the types of DS, oral complaints and associated conditions were assessed in terms of glycemic control as determined by glycated hemoglobin (HbA1c) measurements.
MATERIALS AND METHODS: Demographic and clinical data were obtained from questionnaires and oral examinations of 110 edentulous patients with T2DM and 50 control subjects.
RESULTS: Type II DS commonly occurred in diabetics (57.3% vs 30%; p=0.002) together with DS related oral complaints (60.9% vs 24%; p<0.001) compared with controls. Burning sensation of the mouth (BS) was the most common complaint. Dryness of the oral mucosa (DOM) (50.9% vs 6%; p<0.001), angular cheilitis (26.4% vs 8%; p=0.01) and glossitis (27.3% vs 6%; p=0.003) occurred more frequently in diabetics. Oral complaints and associated conditions of DS coincided with elevated HbA1c levels (p<0.001). Diabetics with extensive type of inflammation had higher HbA1c levels than type I/III DS subjects (p<0.001).
CONCLUSIONS: Diffuse type of inflammation was associated with T2DM. BS and DOM were the most common oral complaints. Inadequately controlled diabetes with Candida-associated DS was linked to a high incidence of an extensive type of inflammation, oral complaints and associated conditions.
Authors:
Barbara Dorocka-Bobkowska; Dorota Zozulinska-Ziolkiewicz; Bogna Wierusz-Wysocka; Wieslaw Hedzelek; Anna Szumala-Kakol; Ejvind Budtz-Jörgensen
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-07-16
Journal Detail:
Title:  Diabetes research and clinical practice     Volume:  90     ISSN:  1872-8227     ISO Abbreviation:  Diabetes Res. Clin. Pract.     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-06     Completed Date:  2011-01-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8508335     Medline TA:  Diabetes Res Clin Pract     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  81-6     Citation Subset:  IM    
Affiliation:
Department of Prosthetic Dentistry, Poznan University of Medical Sciences, Bukowska 70, Poznan, Poland. b.dorocka@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Burning Mouth Syndrome / complications
Candidiasis / blood,  complications*,  microbiology,  physiopathology
Cheilitis / complications
Cohort Studies
Dental Plaque Index
Dentures
Diabetes Mellitus, Type 2 / blood,  complications*,  microbiology
Female
Glossitis / complications
Hemoglobin A, Glycosylated / analysis
Hospitals, University
Humans
Male
Middle Aged
Mouth, Edentulous / complications*,  microbiology
Poland
Questionnaires
Stomatitis, Denture / blood,  complications*,  microbiology,  physiopathology
Xerostomia / complications
Chemical
Reg. No./Substance:
0/Hemoglobin A, Glycosylated; 0/hemoglobin A1c protein, human

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