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Glycaemic disorders in denture stomatitis.

L Vitkov1, R Weitgasser, A Lugstein

  • 1Dental Clinic Vöcklabruck of Upper-Austrian Gebietskrankenkasse, Austria.

Journal of Oral Pathology & Medicine : Official Publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology
|October 27, 1999
PubMed
Summary

Candida-associated denture stomatitis may signal undiagnosed diabetes in older adults. Early screening for impaired glucose tolerance and type 2 diabetes is recommended for patients with this oral condition.

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Area of Science:

  • Oral Medicine
  • Endocrinology
  • Infectious Diseases

Background:

  • Candida-associated denture stomatitis is a common oral condition.
  • Glycaemic disorders, including diabetes mellitus, are prevalent globally.
  • The relationship between oral infections and systemic diseases warrants further investigation.

Purpose of the Study:

  • To investigate the prevalence of glycaemic disorders in individuals with Candida-associated denture stomatitis in Upper Austria.
  • To explore the potential of Candida-associated denture stomatitis as an early diagnostic marker for diabetes mellitus.

Main Methods:

  • A cohort of native Upper-Austrians with Candida-associated denture stomatitis was assessed.
  • Oral glucose tolerance tests (OGTT) were performed on patients with previously unknown diabetes mellitus.

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  • Prevalence rates of diabetes mellitus and impaired glucose tolerance (IGT) were determined in different age groups.

    • Main Results:

    • Diabetes mellitus was diagnosed in 13% of patients over 50 years old with previously unknown diabetes.
    • Among patients over 50 with denture stomatitis, 35% had type 2 diabetes mellitus and 36% had IGT.
    • Reduced resistance to Candida, preceding diabetes, was identified as a potential link between the conditions.

    Conclusions:

    • Candida-associated denture stomatitis is correlated with type 2 diabetes mellitus and impaired glucose tolerance in older adults.
    • The oral condition may serve as an indicator for early diabetes diagnosis.
    • Further research is needed to elucidate the causal relationship and underlying mechanisms.