The effect of upper removable orthodontic appliances on oral candidal mucosal carriage

Abstract EN

Background : Treatment of malocclusions using removable orthodontic appliances may prepare new stagnant areas susceptible for colonization and retention of Candida species, therefore; the aim of this study was to investigate the effect of upper removable orthodontic appliances on the mucosal Candidal count in group of apparently healthy orthodontic patients.

Materials and Methods : Patients enrolled in this study were children aged 8-12 years having upper removable orthodontic appliances.

Candidal counts at six mucosal sites were estimated using Imprint Culture method before, 14 and 28 days during orthodontic therapy.

Results: Whole mouth and individual mucosal sites for Candidal counts increase significantly during treatment with upper removable orthodontic appliances.

Conclusion : The results suggest that removable orthodontic appliances treatment promotes an increase in Candida counts.

Furthermore, removable appliance therapy had a positive transient influence upon the prevalence and density of oral candidal carriage.

This can indicate a more cautious approach when providing orthodontic treatments for immunocompromised children regarding the increased possibility of candidal infection.