Golecka M, Ołdakowska-Jedynak U, Mierzwińska-Nastalska E, Adamczyk-Sosińska E
Department of Prosthetic Dentistry, Transplantology and Internal Diseases, Warsaw Medical University, ul. Nowogrodzka 59, 02-006 Warsaw, Poland.
Transplant Proc. 2006 Jan-Feb;38(1):155-6. doi: 10.1016/j.transproceed.2005.12.078.
Patients who undergo kidney or liver transplantation receive long-lasting immunosuppressive therapy. The resultant unfavorable symptoms result from immune deficiency and the side effects of the medications. The aim of this study was to establish the frequency and intensity of denture stomatitis and oral candidiasis among denture-wearing patients who were treated with immunosuppressive drugs. The study was performed in the group of denture wearers with a transplanted kidney or liver who had been treated with immunosuppressive medications. The control group included healthy people wearing dentures. We made physical and clinical examinations in both groups. The history covered nonobjective symptoms in the oral cavity, hygienic habits in the mouth, and the time span during which the dentures had been used. We also evaluated the conditions of the oral mucosal membrane, angular cheilitis, as well as denture stabilization. In both groups mycological investigations were performed by inoculating a direct swab from the oral mucosa and the denture surface on Soborauda agar. The results of our study suggest that patients with immunosuppression were more frequently subject to Candida albicans infections and stomatitis.
接受肾脏或肝脏移植的患者需接受长期免疫抑制治疗。由此产生的不良症状源于免疫缺陷和药物的副作用。本研究的目的是确定接受免疫抑制药物治疗的戴假牙患者中义齿性口炎和口腔念珠菌病的发生率及严重程度。该研究在接受过免疫抑制药物治疗的肾移植或肝移植戴假牙患者组中进行。对照组包括佩戴假牙的健康人。我们对两组进行了体格检查和临床检查。病史涵盖口腔主观症状、口腔卫生习惯以及假牙使用时长。我们还评估了口腔黏膜状况、口角炎以及假牙稳定性。两组均通过将口腔黏膜和假牙表面的直接拭子接种于沙氏琼脂上进行真菌学调查。我们的研究结果表明,免疫抑制患者更易发生白色念珠菌感染和口炎。