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KMID : 0362419940320020268
Journal of Korean Academy of Prosthodontics
1994 Volume.32 No. 2 p.268 ~ p.280
The Inhibiting Effect of Tissue Conditioners combined With Antifungal Agents on The Growth of Candida Albicans
Chang Dae-Soon

Lee Keun-Woo
Abstract
Tissue conditioner have been used for treatment of denture stomatitis caused by wearing of dentures. Early studies pointed out Candida albicans (C. albicans) as main etiologic factor, and antifugal agents were added for control of the species. But there is a little information about broad comparison on the effect of tissue conditioners and antifungal agents added. The purpose of the present study was to compare the inhibiting effect of four tissue conditioners and one temporary soft liner on the growth of C. albicans for treatment of denture stomatitis using gel diffusion method by measuring diameter of the zone of growth inhibition. Three antifungal agents were added to each material for evaluation of the effect of added agents. Finally, observation was made to evaluate the effect of the loss of antifungal elements by aging of the specimen. @ES The results of this study were obtained as follows: @EN 1. Tempo had remarkable antifungal effect showing the zone of growth inhibition as 2.35 mm at 1st day, and most effective on 2nd, 4th and 7th day from incubation (p<0.05). But Coe-comfort, Dura conditioner, Visco-gel, Coe-soft had little antifungal effect from the 1st day of incubation. 2. Nystatin was mot effective showing 9.60-12.04 mm of zone of inhibition at the 1st day from incubation. The antifungal properties were reduced to amphotericin B, chlorhexidine and materials without agent (p<0.05), and the effect was diminished by time. 3. As pretreatment with amphotericin B, nystatin, chlorhexidine, Tempo was very effective at the 1st day from incubation showing showing zone of inhibition as 3.65, 12.04, 4.78 mm with addition of each gent. Dura conditioner had strongest antifungal effect at the next day as 2.86, 5.33, 1.29 mm of one of inhibition, and yielding results of Coe-comfort, Tempo, Coe-soft was shown at 4th and 7th day from incubation (p<0.05). Taken all Together, tissue conditioners have little antifungal effect except Tempo. Formation of the zone of growth inhibition was due to agents amphotericin B, nystatin, chlorhexidine and nystatin was most effective. Conclusively, it is advisable to select material which is effective on the growth of C. albicans and consider addition of antifungal agents for treatment of denture stomatitis.
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