The Study of Prevalence of Candida Species in Oral Cavity between Habitual and Non-Habitual of Gutka Chewers in Vitro Condition

Umeshwar Narayan, A. Garg
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Abstract

Candida albicans are the most common opportunistic pathogen and Candida yeast has drawn attention of the researcher due to the increased incidence of severe oral Candidiasis. The study reveals that more than 90% person visited in dental OPD were affected by Candida. Usually this is considered as normal oral flora but it may act as pathogen in case of weak immunity and this incidence has increased with wide spread use of corticosteroids, antibiotics and immunosuppressive drugs, these type of fungi called opportunistic pathogenic yeast. (Samarnayake L, P., 1990) Candida albicans is the dominant species to cause disease in oral cavity. Although some other Candida species are also involved such as C.glabrata, Candida dulbigenesis, Candida tropicalis, Candida parapsilosis, Candida krusii, Candida dubliniensis, Candida famata and Candida guillerrmondii. Among these, Candida dubliniensis is a new, recently seen species which was initially described from severe oral Candidiasis of subjects infected with human immunodeficiency virus (HIV) and it was therefore suspected to increase virulence (Hannula, 2000). Candida causes endogenous infection known as Candidiasis or oral thrush or lesions. These lesions are soft white and slightly elevated plaque frequently occurring on the buccal mucosa of tongue but may also be seen on another part of oral cavity such as on the gingival palate and floor of the mouth. In acute condition the entire oral cavity may be affected. Lesions or thrush is very common in weak immunity due to HIV infection and the patients being treated by chemotherapy or radiotherapy and it may also be seen in children due to improper developed immune system. Chronic oral Candidiasis may be denture induced stomatitis or chronic hypertrophic condition. Denture induced is due to tight fitted denture. This may prevent saliva having antimicrobial activities. In chronic hypertrophic Candidiasis, plaques remain tightly sticked usually on tongues, cheeks and lips. (Arendroff., et. al., 1979). Candida dubliniensis, which is morphologically similar to Candida albicans (show germ tubes formation and chlamydospore among other similar traits), it has now been identified (Sullivan, et. al., 1995) and is among the list of pathogens. Several medical microbiologists have ____________________________________________________________________________________________
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古特卡习惯性咀嚼者与非习惯性咀嚼者体外条件下口腔念珠菌种类的研究
白色念珠菌是最常见的机会致病菌,念珠菌因严重的口腔念珠菌病发病率增高而引起研究者的重视。研究表明,超过90%的牙科门诊就诊的人受到念珠菌的影响。通常这被认为是正常的口腔菌群但在免疫力较弱的情况下,它可能作为病原体这种发病率随着皮质类固醇,抗生素和免疫抑制药物的广泛使用而增加,这些类型的真菌被称为机会致病性酵母。(Samarnayake L, P., 1990)白色念珠菌是引起口腔疾病的优势菌种。虽然也涉及一些其他种类的念珠菌,如光滑念珠菌、杜氏念珠菌、热带念珠菌、副假丝酵母菌、克氏念珠菌、dubliniensis念珠菌、famata念珠菌和guillerrmondii念珠菌。其中,都柏林念珠菌(Candida dubliniensis)是最近发现的一种新物种,最初是在感染人类免疫缺陷病毒(HIV)的受试者的严重口腔念珠菌病中发现的,因此怀疑它会增加毒力(Hannula, 2000)。念珠菌引起内源性感染称为念珠菌病或口腔鹅口疮或病变。这些病变是柔软的白色和轻微升高的斑块,经常发生在舌颊粘膜上,但也可以在口腔的其他部位,如牙龈、上颚和口腔底部看到。在急性情况下,整个口腔都可能受到影响。鹅口疮常见于因HIV感染而免疫力低下或接受化疗或放疗的患者,也可见于免疫系统发育不良的儿童。慢性口腔念珠菌病可能是假牙引起的口腔炎或慢性增生性疾病。假牙诱发的原因是假牙配合紧密。这可能会阻止唾液具有抗菌活性。在慢性增生性念珠菌病中,斑块通常紧紧粘在舌头、脸颊和嘴唇上。(Arendroff。等人,1979年)。dubliniensis在形态上与白色念珠菌相似(表现出胚管形成和衣孢子等类似特征),现已被确定(Sullivan, et. al, 1995),并被列入病原体名单。一些医学微生物学家 ____________________________________________________________________________________________
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