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Published on: February 14, 2018
Assessing the Antifungal Effects of Posaconazole and Voriconazole on Soft Liners
Madhurima Sharma1, Taniya Bhatia1, Rohit Sharma2
1Prosthodontics, Teerthanker Mahaveer Dental College and Research Centre, Moradabad, IND.
Abstract:
Introduction The cushion effect of soft liners serves to distribute the mastication forces and stresses more evenly, along with absorbing energy. Instead, soft liners can act as a nidus for microbial growth, especially Candida species. An accumulation of these fungi is a problem encountered during the clinical use of them, especially in immunocompromised individuals. This study aimed to evaluate and compare the antifungal activity of soft liners when combined with posaconazole and voriconazole. Methods For this study, one soft liner and two antifungal drugs were used. Before testing, drugs were incorporated in a soft liner, and discs were made that were allowed to be immersed in distilled water. Three groups of five samples each were used to categorize the specimens: groups I, II, and III were GC soft liner, GC soft liner + posaconazole, and GC soft liner + voriconazole, respectively. These samples were assessed for antifungal activity on the 1st, 10th, and 20th day. For antifungal activity, the zone of growth inhibition was measured. Results A statistically significant difference in zone of growth inhibition across three groups was observed. Group II had the highest zone of inhibition, followed by group III and group I, which had the least. In intragroup comparisons over different time intervals, statistically significant variations were observed; day 20 had the highest zone of inhibition, followed by day 10 and day 1. Conclusion Significant changes were seen in the antifungal properties of posaconazole and voriconazole with the soft liner. Posaconazole in soft liners showed a significantly higher zone of growth inhibition than the other two groups.
Insights
This study found that incorporating antifungal drugs into soft liners significantly enhances their ability to inhibit fungal growth. Posaconazole demonstrated superior antifungal activity when combined with soft liners compared to voriconazole.
Area of Science:
- Biomaterials Science
- Mycology
- Dental Materials
Background:
- Soft liners distribute mastication forces but can harbor Candida species, posing risks, especially for immunocompromised individuals.
- Fungal accumulation on soft liners is a clinical challenge.
- Antifungal agents are explored to mitigate microbial growth in dental materials.
Purpose of the Study:
- To evaluate and compare the antifungal activity of a soft liner combined with posaconazole and voriconazole.
- To assess the efficacy of antifungal-loaded soft liners against fungal growth over time.
Main Methods:
- A single soft liner material was combined with posaconazole and voriconazole.
- Specimens were prepared, immersed in distilled water, and tested for antifungal activity.
- Zones of growth inhibition were measured on days 1, 10, and 20.
Main Results:
- A statistically significant difference in the zone of growth inhibition was observed across the groups.
- The soft liner with posaconazole (Group II) exhibited the largest zone of inhibition, followed by the soft liner with voriconazole (Group III).
- Antifungal activity increased over time, with the highest inhibition observed on day 20.
Conclusions:
- Combining posaconazole and voriconazole with soft liners significantly alters their antifungal properties.
- Posaconazole-loaded soft liners demonstrated superior antifungal efficacy compared to voriconazole-loaded liners and the control soft liner.
- These findings suggest potential for improved infection control in patients using antifungal-modified soft liners.
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