Evidence map›Paper›PMID 28476133›Full record

Trial reportTrials2017

Improving practice guidelines for the treatment of denture-related erythematous stomatitis: a study protocol for a randomized controlled trial.

Raphael F de Souza, Muhammad Faheem Khiyani, Carolina A L Chaves, Jocelyne Feine, Jean Barbeau, Ramón Fuentes, Eduardo Borie, Luciana C Crizostomo, Claudia H Silva-Lovato, Pierre Rompre and 1 more

Registry-linked trialOpen access · goldAbstract readMulticenter StudyPragmatic Clinical TrialRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02686632 (Improving Practice Guidelines for the Treatment of Denture-related Erythematous Stomatitis), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02686632 nacompletednot on this map

Improving Practice Guidelines for the Treatment of Denture-related Erythematous Stomatitis: A Pragmatic International Multicenter Randomized Controlled Trial

TypeinterventionalSponsorUniversité de MontréalRan2016 to 2018Enrolled52ConditionsDenture StomatitisArmsPalatal brushing
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Multitarget Anti-Scientifica · 2025
    Article
  3. Article
  4. Management of Chronic Atrophic Candidiasis (Denture Stomatitis)-A Narrative Review.International journal of environmental research and public health · 2023
    Review
  5. Article
  6. Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 3 countries.

Raphael F de SouzaDivision of Oral Health and Society, Faculty of Dentistry, McGill University, Montreal, QC, Canada.
Muhammad Faheem KhiyaniFaculty of Dental Medicine, Université de Montréal, Montreal, QC, Canada.
Carolina A L ChavesFaculty of Dental Medicine, Université de Montréal, Montreal, QC, Canada.
Jocelyne FeineDivision of Oral Health and Society, Faculty of Dentistry, McGill University, Montreal, QC, Canada.
Jean BarbeauFaculty of Dental Medicine, Université de Montréal, Montreal, QC, Canada.
Ramón FuentesResearch Centre in Dental Sciences (CICO), Faculty of Dentistry, Universidad de la Frontera, Temuco, Chile.
Eduardo BorieResearch Centre in Dental Sciences (CICO), Faculty of Dentistry, Universidad de la Frontera, Temuco, Chile.
Luciana C CrizostomoDepartment of Dental Materials and Prosthetics, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil.
Claudia H Silva-LovatoDepartment of Dental Materials and Prosthetics, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil.
Pierre RompreFaculty of Dental Medicine, Université de Montréal, Montreal, QC, Canada.
Elham EmamiFaculty of Dental Medicine, Université de Montréal, Montreal, QC, Canada. elham.emami@umontreal.ca.
Université de Montréal · CAUniversidade de São Paulo · BRUniversidad de La Frontera · CLMcGill University · CA

Funding

CIHR 201110
6 · The paper itself

Abstract

backgroundDenture-related erythematous stomatitis (DES) is a chronic biofilm-mediated disease, affecting one in every three complete denture wearers. Antifungals are the treatment most commonly prescribed by oral health professionals, based on the belief that colonization by Candida spp. is the main cause of DES. However, high recurrence rates and adverse effects are commonly observed, prompting the need for practice guidelines regarding treatment. Results from our pilot study demonstrate that palatal brushing can reduce the palatal inflammation and potentially associated Candida carriage without any need for antifungal therapy. The objective of this study is to validate these pilot results by means of a randomized controlled trial (RCT) and provide a practice guideline for clinicians. METHODS/

designA pragmatic, two-parallel-arm, multicenter RCT will be conducted in Canada, Brazil, and Chile. Fifty-two adult complete denture wearers presenting with moderate to severe DES will be allocated randomly to two groups: the Intervention arm will consist of palatal brushing and standard oral and denture hygiene measures, while the Control arm will include only standard oral and denture hygiene measures. The study outcome will be the oral Candida carriage. Participants will be assessed at baseline, and at 3 and 6 months post intervention. Descriptive, bivariate, and mixed models with repeated measures will be performed following the intention-to-treat principle. DISCUSSION: This pragmatic RCT will serve to provide a clinical practice guideline regarding the use of preventive measures in the treatment of biofilm-mediated oral diseases. Moreover, it will have a great impact on reducing the harm of antifungal overtreatment on patients suffering from DES.

trial registrationClinicalTrials.gov, NCT02686632 . Registered on 15 February 2016.

Indexed as

Antifungal AgentsBiofilmsBrazilCandidiasis, OralChileClinical ProtocolsDenture, CompleteGuideline AdherenceHumansIntention to Treat AnalysisPractice Guidelines as TopicPractice Patterns, Physicians'QuebecRecurrenceResearch DesignSingle-Blind MethodAntifungal AgentsCandidaComplete dentureDenture stomatitisOral candidosisPragmatic trials

Identifiers

PMID28476133
PMCPMC5420092
OpenAlexW2610456951

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.