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universidade de são paulo - Faculdade de Odontologia - Unesp

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123<br />

absorbance values obtained after preconditioning with saliva were higher than<br />

those of the control group. The two methods used in the present study to<br />

<strong>de</strong>termine the adhesion of C. albicans to the <strong>de</strong>nture base resin are based on<br />

different principles. In the crystal violet staining method, the stained cells are<br />

quantified by counting in selected fields of the substrate 15,18,19,23,24 , whereas in the<br />

XTT assay, the metabolic activity of all viable cells is measured 1,11,21,26 . It is<br />

worth noting that most of the studies that have found an increase in Candida<br />

albicans colonization on <strong>de</strong>nture materials after pre-incubation with saliva have<br />

used tests of monitoring the pH of the growth medium, a<strong>de</strong>nosine triphosphate<br />

(ATP) analysis and XTT assay 6,7,8,9,10 . Conversely, when the adherent cells were<br />

quantified by microscopy or by colony forming unit (UFC) counts, the majority of<br />

the studies on Candida albicans colonization on <strong>de</strong>nture materials observed an<br />

absence of significant effect of saliva 12,13,14 or reduced adhesion 14,15,16,17,18,19 .<br />

Hence, it is suggested that the controversial results regarding the role of saliva on<br />

the adhesion of Candida to <strong>de</strong>nture materials may at least partially be accounted<br />

for by different adhesion assays used. This highlight that the effect of saliva on<br />

the adhesion and biofilm <strong>de</strong>velopment of Candida should not be studied by a<br />

single quantification method.<br />

The divergent results among studies may also be attributable to the various<br />

materials that have been used as substrates, among them acrylic surfaces<br />

9,10,13,14,15,16,17,18,19,22 , <strong>de</strong>nture reline materials 6,7,8,12,17,19 , maxillofacial polymeric<br />

materials 5,9 and polystyrene 11,21 . It has been reported that the exposed chemical<br />

groups of the solid surface probably play the most important role in <strong>de</strong>termining

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