RESUMO
OBJECTIVE: The aim of this study was to evaluate the inhibitory effects of oral moisturising gel containing egg yolk antibody against Candida albicans (anti-CA IgY) in older people. Therefore, we measured the number of Candia CFU present on oral swabs at baseline and after using the gel. METHODS: A randomised, double-blind, placebo-controlled trial was conducted among volunteers living in a nursing home in Japan. The participants were divided into two groups. The group 1 participants received oral care using an experimental oral moisturising gel with anti-CA IgY, and those in group 2 received oral care using a placebo oral moisturising gel without anti-CA IgY. The oral care was performed by care workers three times a day for 4 weeks. The participants' tongues were sampled using a swab method at baseline and after 2 and 4 weeks of using the oral gel, and the number of C. albicans, Candida tropicalis and Candida krusei colonies was counted. RESULTS: The baseline oral condition of the participants in the two groups did not differ significantly. The experimental gel significantly reduced the number of C. albicans colonies from baseline to after 4 weeks of using the oral gel; however, no significant reductions were observed in the number of C. tropicalis or C. krusei colonies. CONCLUSION: The use of oral moisturising gel containing anti-CA IgY for 1 month significantly reduces the number of C. albicans CFU present on swabs in older people.
Assuntos
Anticorpos Antifúngicos/farmacologia , Candida albicans/efeitos dos fármacos , Gema de Ovo/imunologia , Idoso de 80 Anos ou mais , Anticorpos Antifúngicos/imunologia , Candida/efeitos dos fármacos , Candida/crescimento & desenvolvimento , Candida/imunologia , Candida albicans/crescimento & desenvolvimento , Candida albicans/imunologia , Candida tropicalis/efeitos dos fármacos , Candida tropicalis/crescimento & desenvolvimento , Candida tropicalis/imunologia , Candidíase Bucal/tratamento farmacológico , Candidíase Bucal/imunologia , Candidíase Bucal/microbiologia , Contagem de Colônia Microbiana , Método Duplo-Cego , Feminino , Humanos , Imunoglobulinas , Japão , Masculino , Casas de Saúde , Higiene Bucal , Língua/efeitos dos fármacos , Língua/microbiologia , VoluntáriosRESUMO
PURPOSE: A water fluoridation program launched in the United States in 1945 has become a worldwide application for caries prevention. Although such a program is important in Japan, water fluoridation in large communities has not been established. This study aimed to develop safe small-scale water fluoride equipment that can be easily used to carry out water fluoridation programs in areas with children in long-term care facilities, and in developing countries without water supply facilities. METHODS: Batch-type NaF addition adjustment equipment was manufactured as small-scale water fluoride equipment. The fluoride concentration of the adjusted water with this equipment was measured using an ion meter and a fluoride composite electrode. All 51 water quality standards set by the Ministry of Health, Labour, and Welfare of Japan were tested. RESULTS: The fluoride ion concentration of the adjusted water was 0.7 mg/L and it was constant and stable. The adjusted water conformed to the water quality standard values of the Japanese Water Supply Law. CONCLUSION: Water produced with small-scale water fluoridation equipment had a fluoride concentration of 0.7 mg/L, which is the recommended concentration for caries prevention. The fluoride concentration was stable.