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.

Cureus
|January 6, 2025
PubMed

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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