Nikawa H, Hamada T, Yamamoto T
Department of Prosthetic Dentistry, Hiroshima University School of Dentistry, Japan.
J Dent. 1998 May;26(4):299-304. doi: 10.1016/s0300-5712(97)00026-2.
This paper critically reviews the history of denture plaque and identifies some concerns with the presence of Candida in the mouth.
This review covers literature sources related to Candida albicans and its relationship to denture plaque.
The articles selected for this review are from referred journals and describe C. albicans and its relationship to oral, gastrointestinal and pleuropulmonary infections. The relationship to caries, root caries and periodontal disease is also covered.
Denture plaque containing Candida could cause not only oral candidiasis, like oral thrush or denture-induced stomatitis, but also caries, root caries and periodontitis of abutment teeth. However, there is only limited experimental evidence or information available on the cariogenicity of Candida. The continuous swallowing or aspiration of micro-organisms from denture plaque exposes patients, particularly the immunocompromised host or medicated elderly, to the risks of unexpected infections. The term, 'denture plaque' has been used throughout the review. However, the term 'plaque on denture' should be used because the microbial flora and its pathogenicity of denture plaque resembles those of plaque formed on the tooth surface, so called dental plaque. In addition, the term 'denture related stomatitis' would be preferable to 'denture induced stomatitis', since the inflammation of (palatal) mucosa is not induced by the denture, but by wearing the denture or by plaque on the denture.
本文对义齿菌斑的历史进行了批判性回顾，并确定了口腔中念珠菌存在的一些问题。
本综述涵盖了与白色念珠菌及其与义齿菌斑关系相关的文献来源。
本次综述所选文章均来自权威期刊，描述了白色念珠菌及其与口腔、胃肠道和胸膜肺部感染的关系。还涵盖了其与龋齿、根面龋和牙周病的关系。
含有念珠菌的义齿菌斑不仅可导致口腔念珠菌病，如鹅口疮或义齿性口炎，还可导致基牙的龋齿、根面龋和牙周炎。然而，关于念珠菌致龋性的实验证据或信息有限。义齿菌斑中的微生物持续吞咽或误吸会使患者，尤其是免疫功能低下的宿主或使用药物的老年人面临意外感染的风险。在整个综述中使用了“义齿菌斑”一词。然而，应使用“义齿上的菌斑”这一术语，因为义齿菌斑的微生物群落及其致病性与牙齿表面形成的菌斑（即所谓的牙菌斑）相似。此外，“义齿相关口炎”比“义齿性口炎”更合适，因为（腭部）黏膜的炎症不是由义齿引起的，而是由佩戴义齿或义齿上的菌斑引起的。
