Denture Stomatitis: Sequel of wearing artificial complete denture
Denture Stomatitis is the pathological reaction of the soft tissues of the denture bearing area. The use of artificial denture is not as easy as it can induce many of the problems to the wearer and there are various side effects which if left unchecked can produce many of the aggressive conditions.
Denture Stomatitis is seen in 50% of the artificial denture wearers and according to the spread of infection these are classified into three categories which are:
1. Localized simple infection with pinpoint hyperemia or redness.
2. This is the erythematous type and is generalized that involves almost the entire denture bearing part of the mucosa.
3. This is the type that is seen in conjugation with type I and type II. This type of Denture Stomatitis is granular type and the spread of infection involves the entire ridges along with hard palate.
Type I Denture Stomatitis is usually trauma induced but type II and III are particularly related to increased accumulation of microbes that induces the plaque formation. Candida associated Denture Stomatitis is often seen along with angular cheilitis or glossitis.
Diagnosis of Denture Stomatitis
The presence of Candida associated Denture Stomatitis is confirmed by the presence of mycelia or the pseudohyphae in a direct smear. Denture Stomatitis can also be diagnosed by isolation of more than 50 candidial colonies from the lesions. The candida usually resides on the fitting surface of the denture.
Aetiology of Denture Stomatitis
Candidial infection is the main reason as the denture wearers are found not more concerned to cleaning the denture after every meal and the food particles that got resided under the denture leads to accumulation of bacterial colonies and that results in Denture Stomatitis.
The other predisposing factors are the systemic factors that include:
• Old age
• Diabetes
• Nutritional deficiency
• Tumours and malignancies
• Weak immune system
Local Factors that predispose to Denture Stomatitis
• Trauma
• Denture use at night time
• Denture uncleanness
• Dry mouth
• Irradiation
• Drug therapy
• Use of antibiotics that are broad spectrum
• Smoking and tobacco use
Management and preventive measures of Denture Stomatitis
1.
Supportive Measures
• Institution of efficient oral and denture hygiene habits. Correction of denture wearing habits. The patients with Denture Stomatitis are advised to keep the denture in 0.2% chlorhexidine at night.
• The patients should be guided to remove the denture after every meal and scrub the denture properly with the help of brush and normal soap. The use of tooth paste is inhibited for cleaning the dentures.
2.
Drug Therapy
• Local therapy with Nystatin, Amphotericin B, Micorazole and Clotrimazole are usually preferred.
• Anti- fungal drugs are given mainly that remove Candida albicans.
3.
Surgical Management
In Denture Stomatitis that is very aggressive surgical procedure is followed in which the crypts are removed by the procedure of cryosurgery. For free online consultation, contact this online dentist through comments.
