The role of biotribocorrosion in the development and progression of clinical manifestations of pseudomembranous candidiasis

   Objective. To establish the effect of biotribocorrosion on the development and chronic course of pseudomembranous candidiasis.

   Materials and methods. The study was conducted at the Department of Orthopedic Dentistry and Gnatology and at the Department of Propaedeutics of Orthopedic Dentistry of the Russian University of Medicine. The study involved 80 patients with pseudomembranous candidiasis using metal dentures and 40 patients with pseudomembranous candidiasis without metal-containing structures, who made up the control group. All participants in the study measured the difference in oral biopotentials, hydrogen index, and salivation rate.

   Results. In patients of the main group, the content of Fe, Cr, Ni, Ti, Si, K, Na in saliva was significantly increased (p < 0.05) compared with the control group. It was found that dissimilar metal alloys have different effects on the duration of use of dentures. In pseudomembranous candidiasis and the presence of metal-containing structures with signs of biotribocorrosion, a more pronounced electrochemical reaction of stainless steel coated with titanium nitride and uncoated significantly reduces the life of dentures (from 3 to 5 years), compared with CCC metal-ceramic prostheses (from 2 to 10 years) and Ni-Cr-Ni-Cr (from 5 to 8 years old). The greatest pH shift to the acidic side is observed with a combination of stainless steel and Ni-Cr prostheses (pH 5.5–6.0). In pseudomembranous candidiasis, patients using metal dentures have the highest potential differences between M-M.

   Conclusions. Due to tribocorrosion, corrosion products enter the oral fluid, under their influence, a decrease in pH occurs, provoking a weakening of the protective properties of saliva, a violation of metabolic processes and structural changes in the oral mucosa. Thus, there is a favorable environment for the growth of fungi of the genus Candida, inflammation of the oral mucosa occurs. Microbial flora and fungi that stimulate the development of the inflammatory process are localized in inflammatory areas.

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