Candida species are component of oral micro flora with prevalence of 3-70%, and are generally regarded as being commensals, hence probable role of candida in oral carcinogenesis cannot be excluded. Various microbiological studies suggest association of candida with potentially malignant lesions. Pathogenicity of candida depends on many factors such as; nutritional disorders, diabetes mellitus, long-term antibiotic or corticosteroid use, head and neck cancer, radiation therapy and HIV infections.
Oral Submucous fibrosis (OSMF) is considered a as a high-risk
precancerous condition that is associated with chewing areca nut. This is
noticed that OSMF, patients show Candida colonization and further leading to
malignant transformation. Similarly Oral Lichen Planus (OLP) is an autoimmune
potentially malignant disorder. Recently researchers have noticed pathogenic
microorganisms, such as Candida albicans in patients with oral lichen planus.
Few studies have suggested that symptoms of Oral Lichen Planus may be
exacerbated by candida overgrowth or infection. According to our findings;
higher candida carriage revealed in OSMF+ OLP groups (23.3%); as compared to
controls (10%). The species level findings showed 13.3% of candida albicans in
OSMF+ OLP and6.7% in controls, candida krusei 6.7% in OSMF+ OLP and 3.3% in
controls and non-candida albicans were 10% in OSMF+ OLP and 6.7% in control
group respectively.
Conclusion: The association of candida species with potentially
malignant disorders such as OSMF and OLP aggravate to malignancies through
secondary infections. So early assessment of these microbes in preliminary
state of cancers can avoid further complications and help for better
interventions.
Author
(s) Details.
Ashok
Vikey
Department of Oral and Maxillofacial Pathology, Govt. College of
Dentistry, MPMSU, Indore, M.P., India.
Astha
Pusame
Department of Oral and Maxillofacial Pathology, Govt. College of
Dentistry, MPMSU, Indore, M.P., India.
Please see the book here:- https://doi.org/10.9734/bpi/rpmab/v6/1477
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