Therapeutic efficacy of adjunctive photodynamic therapy in the treatment of denture stomatitis

Al-Ghamdi ARS 1 , Khanam HK 2 , Qamar Z 3 , Abdul NS 4 , Reddy N 5 , Vempalli S 6 Show all authors , Noushad M 7 , Alqahtani WMS 8

Affiliations 

  • 1 Department of Restorative and Prosthetic Dentistry, College of Dentistry, Dar Al Uloom University, Riyadh, Saudi Arabia
  • 2 Department of Restorative and Prosthetic Dentistry, College of Dentistry, Dar Al Uloom University, Riyadh, Saudi Arabia. Electronic address: khuthija@dau.edu.sa
  • 3 Department of O&MFS and Diagnostic Sciences, Faculty of Dentistry, Riyadh Elm University, Riyadh, Saudi Arabia
  • 4 Department of OMFS and Diagnostic Sciences (Oral Pathology), Faculty of Dentistry, Riyadh Elm University, Riyadh, Saudi Arabia
  • 5 Department of Prosthodontics, Faculty of Dentistry, Jazan University, Jazan, Saudi Arabia
  • 6 Department of Oral and Maxillofacial Sciences, Faculty of Dentistry, Jazan University, Jazan, Saudi Arabia
  • 7 Department of Restorative and Prosthetic Dentistry, College of Dentistry, Dar Al Uloom University, Riyadh, Saudi Arabia; Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
  • 8 Department of Prosthetic Dentistry, College of Dentistry, King Khalid University, Abha, Saudi Arabia
Photodiagnosis Photodyn Ther, 2023 Jun;42:103326.
PMID: 36773753 DOI: 10.1016/j.pdpdt.2023.103326

Abstract

BACKGROUND: The present report assessed the efficacy of curcumin-mediated photodynamic therapy (CUR-mediated PDT) as an adjunct to antifungal gel treatment by evaluating the salivary interleukin-6 (IL-6) and matrix metalloproteinases-8 (MMP-8) levels together with Candida species counts in denture stomatitis (DS) patients.

METHODS: In total, 50 DS subjects were randomly categorized into 2 groups: Group-1: subjects who received the antifungal gel treatment and Group-2: participants who received CUR-mediated PDT. The Sabourad Dextrose Agar and CHROMAgar were utilized for evaluating Candida species counts, while the Enzyme-Linked Immunosorbent Assay was employed to estimate the salivary levels of IL-6 and MMP-8. All clinical evaluations were performed at the baseline, 1 month, and 2 months.

RESULTS: In total, group-2 subjects showed a significant decrease in Candida albicans (C. albicans) counts on both follow-ups (i.e., 1-month and 2-month) than group-1 participants. C. krusei count also reduced in group-2 subejcts than group-1 participants at the 2nd follow-up as compared to the baseline, nevertheless, a slight increase in C. krusei count was noticed in group-2 subjects at the 2nd follow-up than the 1st follow-up. The salivary IL-6 and MMP-8 levels in both groups reduced significantly at both follow-ups than the baseline. According to the stepwise logistic regression analysis, no statistically significant correlation was observed between Candida species count and other parameters such as age and gender of the patient, duration of DS, and frequency of treatment(s).

CONCLUSION: CUR-mediated PDT is an efficaciousness therapeutic modality for alleviating Candida species counts on the surface of denture and the palatal mucosa, as well as improving the salivary IL-6 and MMP-8 levels in DS patients.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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