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Background  The purpose of this study was to clarify the species of  Candida  that are important for the development of atrophic glossitis in xerostomia patients.    Methods  A total of 231 patients with subjective dry mouth were enrolled in the present study. Logistic regression analysis was performed to clarify the contribution of each  Candida  species and other variables to the development of atrophic glossitis. The dependent variable was the absence/presence of atrophic glossitis. The  Candida  colony-forming units (CFU) of  C. albicans ,  C. glabrata ,  C. tropicalis , and  C. krusei , as well as age, gender, resting (RSFR) and stimulated (SSFR) whole salivary flow rate, and denture-wearing status, were treated as explanatory variables.    Results  Logistic regression analysis showed that two factors were closely associated with the presence of atrophic glossitis: an increase in  C. albicans  CFU and a decrease in the SSFR.    Conclusions    C. albicans , but not non- albicans Candida , was associated with atrophic glossitis in xerostomia patients who had no systemic predisposing factors, indicating that  C. albicans  remains a treatment target for  Candida -related atrophic glossitis.

The Candida species that are important for the development of atrophic glossitis in xerostomia patients