Quantificação de cândida SPP. em diferentes tratamentos de estomatite protética: relato de dois casos.

Abstract

Prosthetic stomatitis is a Candida-induced lesion very prevalent in patients who use a removable mucosa-supported prosthesis, consisting of erythematous atrophic areas on the mucosa covered by the prosthesis surface. Conventional treatment is carried out using topical antifungal agents and depends on the patient's cooperation. The treatment duration is sometimes long and prone to relapse, which contributes to the development of resistance of Candida spp. Photodynamic therapy may be an alternative for the treatment of these lesions, since it has a known antimicrobial effect. The aim of this study was to report two cases of prosthetic stomatitis treated with oral miconazole gel and methylene blue photodynamic therapy. The amount of Candida spp. colonies, and clinical outcome before, during and after treatment with 14-day follow-up were observed. The patient treated using photodynamic therapy showed variation in the count of colony forming units (CFUs) without complete elimination of the infection at the end of therapy, and improvement in the clinical appearance of the palate, in the patient treated with oral miconazole gel it was possible to zero the count of Candida CFUs at the end of treatment and achieve remission of the clinical signs and symptoms of the lesion.