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Background   Candida’s  potential association with dental caries has previously been reported in children. This research aimed at investigating the associations between  Candida  species in whole saliva and dental and periodontal health indices in a sample of adult patients.    Methods  A cross-sectional study involving 160 patients investigated the associations between  Candida  species collected by oral rinse technique, and Decayed, Missing, and Filled Surfaces (DMFS), and periodontal health indices. Chi-square and Independent Samples  t -test were used to assess the associations between  Candida  carriage and confounding variables. Binary logistic regression was used to assess association strengths between  Candida  carriage and DMFS, adjusted for socio-demographic variables, diabetes mellitus and plaque index.    Results   Candida  colonies were identified in 49 (30.6%) patients with CFUs ranging from 10 3  to 10 5  colonies per mL. The quantity of  Candida  CFUs increased with age ( r  = 0.200;  p  < 0.05). Among all dental and periodontal health indices, only DMFS was significantly associated with higher values of  Candida  carriage ( p  = 0.034), and this association was independent from sex, age, smoking, diabetes mellitus and plaque index (OR: 1.014; 95% CI 1.0–1.03;  p  = 0.048).    Conclusion  The association between  Candida  species in whole saliva and DMFS reported here supports an etiological role of  Candida  in dental cariogenesis among adults.

Oral candidal carriage and its association with dental carious lesions in asymptomatic adults: a cross-sectional study from the UAE