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universidade de são paulo - Faculdade de Odontologia - Unesp

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61<br />

adhering to <strong>de</strong>nture surfaces [1]. This adhesion capacity of Candida albicans to<br />

<strong>de</strong>nture surfaces is the first step, consi<strong>de</strong>red essential, for the <strong>de</strong>velopment of<br />

<strong>de</strong>nture stomatitis [3-5], a common type of oral candidiasis among <strong>de</strong>nture<br />

wearers [6-8]. Therefore, the <strong>de</strong>velopment of methods that could modify these<br />

surfaces in or<strong>de</strong>r to prevent the adhesion of Candida albicans, would be a<br />

significant advancement in the treatment of this pathology.<br />

Although the exact mechanisms involved in the adherence of<br />

microorganisms to <strong>de</strong>ntures are not completely known, various factors may<br />

influence this process, among them, surface roughness and the presence of saliva.<br />

The increase in surface roughness has been correlated with the greater ease of<br />

fungal retention [3, 9]. On the other hand, the effect of saliva on this process is not<br />

clear and the results are controversial [10-12]. Some authors [13-15] also point<br />

out the influence of hydrophobic interactions. Minagi et al. [14] observed that the<br />

closer the surface energy of the fungal cell and the substrate are, the greater the<br />

probability of adherence occurring. Klotz et al. [13] observed a linear relationship<br />

between the number of Candida albicans adhered per unit of area and the<br />

hydrophobicity of polymers. Electrostatic interactions have also been mentioned<br />

as another factor that could influence the adherence of microorganisms to<br />

polymers [11, 13, 16]. Fungal cells, whose surfaces were electrically altered with<br />

a positive charge, were shown to be more adherent, suggesting the action of<br />

repulsive forces present between the fungi and polymers [13].<br />

Thus, consi<strong>de</strong>ring that the characteristics of the substrate are important for<br />

Candida adherence [4, 17], the surface modification of the

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