Prevalence of yeast species in the oral mucosa of patients with periodontal disease in the menopausal stage
DOI:
https://doi.org/10.56294/piii2025375Keywords:
Buccal Mucosa, Menopause, Periodontal Disease, Bacteria, Candida AlbicansAbstract
Introduction: substantial, transient, physiological or pathological endocrine changes can affect periodontal condition through modulation of the inflammatory response, as well as through a direct action on periodontal pathogens.
Objective: to determine the prevalence of yeast species in the oral mucosa of patients in the menopausal stage with periodontal disease.
Methods: observational, descriptive, cross-sectional study. Patients who attended the dental consultation, within the framework of the private practice of general dentistry, in the Autonomous City of Buenos Aires, between March and August 2022, who were diagnosed with periodontal disease, were evaluated, which allowed obtaining a sample of 25 female patients from a universe of 50, selected from the exclusion and inclusion criteria and a simple random sampling. For statistical analysis of the data obtained, the epi-info programs and the GNU pspp version 1.4.1 and JASP 0.16.4 programs were used.
Results: In 14 positive cases of yeast colonization in mucosa, 12 had positive colonization in the sulci and 2 were negative. Of the remaining 11 cases that had negative results in the mucosa, all were negative in the sulcus. No case was found in which the result was negative in the mucosa and positive in the sulcus. Oral examination revealed that 52 % of the patients had stage 2 periodontal disease and as for stages 1 and 3, 24 % of the patients were in this range.
Conclusions: Candida albicans was the predominant species both in the oral mucosa and in the periodontal sulcus in postmenopausal patients. In both studied sites, buccal mucosa and periodontal sulcus, other opportunistic species such as C. parapsilosis, C. kruzei, C. tropicalis and C. glabrata were also found
References
1. Suresh Unniachan A, Krishnavilasom Jayakumari N, Sethuraman S. Association between Candida species and periodontal disease: A systematic review. CMM 2020. https://doi.org/10.18502/cmm.6.2.3420.
2. Morales Morales NE, Peñaloza Pérez NX, Miranda Coello KC. Bibliographic review on acrylic materials modified with nanoparticles for the development of dental prostheses. Salud, Ciencia y Tecnología 2023;3:642. https://doi.org/10.56294/saludcyt2023642.
3. Peláez Yáñez LA, Orraca Castillo O, García García M, Lugo Hernández A, Lorenzo Rodriguez MA, Vitón Castillo AA. Chronic mucocutaneous candidiasis: case report. Salud, Ciencia y Tecnología 2024;4. https://doi.org/10.56294/saludcyt2024.1368.
4. Oka I, Shigeishi H, Ohta K. Co-Infection of Oral Candida albicans and Porphyromonas gingivalis Is Associated with Active Periodontitis in Middle-Aged and Older Japanese People. Medicina (Kaunas) 2022;58:723. https://doi.org/10.3390/medicina58060723.
5. Lima Vital E, Carnovale SI. Multi-resistant Candida Species: A Global Public Health Problem: A Systematic Review. SCT Proceedings in Interdisciplinary Insights and Innovations 2023;1:162. https://doi.org/10.56294/piii2023162.
6. Gutierrez Garcia E, Ortega Martinez RA. Cerebral cryptococcosis regarding two clinical cases and bibliographic review. Salud, Ciencia y Tecnología - Serie de Conferencias 2024;3:679. https://doi.org/10.56294/sctconf2024679.
7. Chevalier M, Ranque S, Prêcheur I. Oral fungal-bacterial biofilm models in vitro: a review. Medical Mycology 2018;56:653-67. https://doi.org/10.1093/mmy/myx111.
8. Ciesielska A, Kusiak A, Ossowska A, Grzybowska ME. Changes in the Oral Cavity in Menopausal Women-A Narrative Review. Int J Environ Res Public Health 2021;19:253. https://doi.org/10.3390/ijerph19010253.
9. Radesca Moncayo Y. Vaginal candidiasis, predisposing factors, symptoms and treatment. SCT Proceedings in Interdisciplinary Insights and Innovations 2024;2:347. https://doi.org/10.56294/piii2024347.
10. Aguilar Vallejo MI, Peña Sisto M, Chacón Rodríguez J, Fernández Villasante F, Gutierrez Torres D. Enfermedad periodontal y climaterio. MEDISAN 2014;18:151-7.
11. Järvensivu A, Hietanen J, Rautemaa R, Sorsa T, Richardson M. Candida yeasts in chronic periodontitis tissues and subgingival microbial biofilms in vivo. Oral Diseases 2004;10:106-12. https://doi.org/10.1046/j.1354-523X.2003.00978.x.
12. Slots J, Feik D, Rams TE. Age and sex relationships of superinfecting microorganisms in periodontitis patients. Oral Microbiology and Immunology 1990;5:305-8. https://doi.org/10.1111/j.1399-302X.1990.tb00430.x.
13. Mujica MT, Finquelievich JL, Jewtuchowicz V, Iovannitti CA. Prevalence of Candida albicans and Candida non-albicans in clinical samples during 1999-2001. Rev Argent Microbiol 2004;36:107-12.
14. Da Costa KRC, Ferreira JC, Komesu MC, Candido RC. Candida albicans and Candida tropicalis in Oral Candidosis: Quantitative Analysis, Exoenzyme Activity, and Antifungal Drug Sensitivity. Mycopathologia 2009;167:73-9. https://doi.org/10.1007/s11046-008-9154-8.
15. Jewtuchowicz VM, Mujica MT, Malzone MC, Cuesta A, Nastri ML, Iovannitti CA, et al. Genetic relatedness of subgingival and buccal Candida dubliniensis isolates in immunocompetent subjects assessed by RAPD-PCR. Journal of Oral Microbiology 2009;1:2003. https://doi.org/10.3402/jom.v1i0.2003.
16. Reynaud AH, Nygaard‐Østby B, Bøygard G ‐K., Eribe ER, Olsen I, Gjermo P. Yeasts in periodontal pockets. J Clinic Periodontology 2001;28:860-4. https://doi.org/10.1034/j.1600-051x.2001.028009860.x.
17. Jewtuchowicz VM, Brusca MI, Mujica MT, Gliosca LA, Finquelievich JL, Lovannitti CA, et al. Subgingival distribution of yeast and their antifungal susceptibility in immunocompetent subjects with and without dental devices. Acta Odontol Latinoam 2007;20:17-22.
18. Yu J, Zhang M, Wang J-L, Xu W-L, Ou J-P, Wang F-R, et al. Candida species distribution in the patients with high risk of deep fungal infections and relevant risk factors: a prospective cohort study. Zhonghua Yi Xue Za Zhi 2007;87:2991-3.
19. Tadec L, Talarmin J, Gastinne T, Bretonnière C, Miegeville M, Le Pape P, et al. Epidemiology, risk factor, species distribution, antifungal resistance and outcome of Candidemia at a single French hospital: a 7‐year study. Mycoses 2016;59:296-303. https://doi.org/10.1111/myc.12470.
20. Aguiar Muñoz NR, Yauli Flores CF. Current Perspectives on Antifungal Resistance: Focus on Opportunistic Mycoses. Salud, Ciencia y Tecnología 2024;4:1064. https://doi.org/10.56294/saludcyt20241064.
21. Verran J, Maryan CJ. Retention of Candida albicans on acrylic resin and silicone of different surface topography. The Journal of Prosthetic Dentistry 1997;77:535-9. https://doi.org/10.1016/S0022-3913(97)70148-3.
22. Pereira CA, Domingues N, Araújo MIDSA, Junqueira JC, Back-Brito GN, Jorge AOC. Production of virulence factors in Candida strains isolated from patients with denture stomatitis and control individuals. Diagnostic Microbiology and Infectious Disease 2016;85:66-72. https://doi.org/10.1016/j.diagmicrobio.2016.01.014.
Published
Issue
Section
License
Copyright (c) 2025 Elba Beatriz Secreto, Virginia Jewtuchowicz, María Isabel Brusca (Author)

This work is licensed under a Creative Commons Attribution 4.0 International License.
The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.