TY  - JOUR
AU  - Rakašević, Dragana
AU  - Marinković, Jelena
AU  - Rakonjac, Bojan
AU  - Arce, Marion
AU  - Joksimović, Ena
AU  - Marković, Jovana
AU  - Kulić, Milan
AU  - Hadži-Mihailović, Miloš
AU  - Marković, Aleksa
PY  - 2024
UR  - https://vinar.vin.bg.ac.rs/handle/123456789/12444
AB  - Background: The long-term use of antifungal therapy in denture stomatitis (DS) treatment could be accompanied by antifungal-resistant strain onset, leading to compromised therapeutic procedure and disease reappearance. Photodynamic therapy (PDT) has shown the ability to eradicate oral infections and resistance strains. This prospective clinical study aimed to assess the PDT’s effectiveness compared to the conventional treatment on clinical and microbiological parameters in patients with DS without denture wear during the treatment and follow-ups. Methods: Forty-two patients diagnosed with DS were randomly assigned to one-session single PDT application (test group) or conventional antifungal therapy (control group). Clinical and microbiological parameters were assessed and analyzed before and at 3rd, 15th, and 30th day following the treatments. Microbiological samples were analyzed by a Matrix-assisted laser desorption/ionization time-of-flight mass spectrometry. The data was statistically analyzed. Results: Prior to the treatment, Candida species, including C. albicans (100%), C. glabrata (33%), C. tropicalis (31%), C. krusei (31%) were isolated in all patients. Both treatment procedures demonstrated a statistically significant reduction in C. albicans at all follow-up time intervals (p < 0.05). However, PDT displayed a statistically significant reduction in C. krusei compared to the conventional treatment at all follow-up periods (p < 0.05). Clinical parameters improved considerably in the test group compared to the control group at the 3rd and 15th day of follow-up. Conclusion: One-session single PDT application demonstrated significant improvement in both clinical and microbiological outcomes in a short-term period, resulting in complete Candida spp. eradication compared to conventional antifungal therapy.
T2  - Photodiagnosis and Photodynamic Therapy
T1  - Evaluation of photodynamic therapy efficacy vs. conventional antifungal therapy in patients with poor-fitting dentures suffering from denture stomatitis. A prospective clinical study
VL  - 45
SP  - 103913
DO  - 10.1016/j.pdpdt.2023.103913
ER  - 

@article{
author = "Rakašević, Dragana and Marinković, Jelena and Rakonjac, Bojan and Arce, Marion and Joksimović, Ena and Marković, Jovana and Kulić, Milan and Hadži-Mihailović, Miloš and Marković, Aleksa",
year = "2024",
abstract = "Background: The long-term use of antifungal therapy in denture stomatitis (DS) treatment could be accompanied by antifungal-resistant strain onset, leading to compromised therapeutic procedure and disease reappearance. Photodynamic therapy (PDT) has shown the ability to eradicate oral infections and resistance strains. This prospective clinical study aimed to assess the PDT’s effectiveness compared to the conventional treatment on clinical and microbiological parameters in patients with DS without denture wear during the treatment and follow-ups. Methods: Forty-two patients diagnosed with DS were randomly assigned to one-session single PDT application (test group) or conventional antifungal therapy (control group). Clinical and microbiological parameters were assessed and analyzed before and at 3rd, 15th, and 30th day following the treatments. Microbiological samples were analyzed by a Matrix-assisted laser desorption/ionization time-of-flight mass spectrometry. The data was statistically analyzed. Results: Prior to the treatment, Candida species, including C. albicans (100%), C. glabrata (33%), C. tropicalis (31%), C. krusei (31%) were isolated in all patients. Both treatment procedures demonstrated a statistically significant reduction in C. albicans at all follow-up time intervals (p < 0.05). However, PDT displayed a statistically significant reduction in C. krusei compared to the conventional treatment at all follow-up periods (p < 0.05). Clinical parameters improved considerably in the test group compared to the control group at the 3rd and 15th day of follow-up. Conclusion: One-session single PDT application demonstrated significant improvement in both clinical and microbiological outcomes in a short-term period, resulting in complete Candida spp. eradication compared to conventional antifungal therapy.",
journal = "Photodiagnosis and Photodynamic Therapy",
title = "Evaluation of photodynamic therapy efficacy vs. conventional antifungal therapy in patients with poor-fitting dentures suffering from denture stomatitis. A prospective clinical study",
volume = "45",
pages = "103913",
doi = "10.1016/j.pdpdt.2023.103913"
}

Rakašević, D., Marinković, J., Rakonjac, B., Arce, M., Joksimović, E., Marković, J., Kulić, M., Hadži-Mihailović, M.,& Marković, A.. (2024). Evaluation of photodynamic therapy efficacy vs. conventional antifungal therapy in patients with poor-fitting dentures suffering from denture stomatitis. A prospective clinical study. in Photodiagnosis and Photodynamic Therapy, 45, 103913.
https://doi.org/10.1016/j.pdpdt.2023.103913

Rakašević D, Marinković J, Rakonjac B, Arce M, Joksimović E, Marković J, Kulić M, Hadži-Mihailović M, Marković A. Evaluation of photodynamic therapy efficacy vs. conventional antifungal therapy in patients with poor-fitting dentures suffering from denture stomatitis. A prospective clinical study. in Photodiagnosis and Photodynamic Therapy. 2024;45:103913.
doi:10.1016/j.pdpdt.2023.103913 .

Rakašević, Dragana, Marinković, Jelena, Rakonjac, Bojan, Arce, Marion, Joksimović, Ena, Marković, Jovana, Kulić, Milan, Hadži-Mihailović, Miloš, Marković, Aleksa, "Evaluation of photodynamic therapy efficacy vs. conventional antifungal therapy in patients with poor-fitting dentures suffering from denture stomatitis. A prospective clinical study" in Photodiagnosis and Photodynamic Therapy, 45 (2024):103913,
https://doi.org/10.1016/j.pdpdt.2023.103913 . .