Prevalence of Candida Species in Endodontic Infections: Systematic Review and Meta-analysis.

Abstract:

INTRODUCTION:Candida in endodontic infections has been investigated in a large number of studies, but its role as an endodontic pathogen is still debatable. The aim of this study was to systematically review the literature on the prevalence of Candida species in root canal infections. METHODS:Extensive literature research was performed in the most important electronic biomedical databases, and additional studies have been identified from references from relevant articles. Studies were critically appraised using a modified version of the Joanna Briggs Institute Critical Appraisal Checklist. RESULTS:From 2225 unique records, 2118 were excluded on the basis of title and abstract. Of the remaining 107 studies, 50 were excluded after full-text review, and 57 were included for qualitative and quantitative analysis. The overall prevalence of Candida spp. in root canal infections was 8.20% (95% confidence interval, 5.56%-11.21%). Candida albicans was the most frequently isolated species. Significant heterogeneity among studies was observed (P < .001, I2 = 86.07%). Subgroup analyses revealed a higher prevalence of Candida spp. from African samples. All studies considered, a high or unclear risk of bias was prevalent regarding 6 out of the 8 items considered in the critical appraisal. CONCLUSIONS:Candida spp. occurred in a small proportion of root canal infections. Further and better designed research is needed to investigate the real contribution of Candida spp. to the microbial ecology in infected root canals.

journal_name

J Endod

journal_title

Journal of endodontics

authors

Mergoni G,Percudani D,Lodi G,Bertani P,Manfredi M

doi

10.1016/j.joen.2018.07.016

subject

Has Abstract

pub_date

2018-11-01 00:00:00

pages

1616-1625.e9

issue

11

eissn

0099-2399

issn

1878-3554

pii

S0099-2399(18)30512-0

journal_volume

44

pub_type

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