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References

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Denture stomatitis – a clinical update

From Volume 43, Issue 6, July 2016 | Pages 529-535

Authors

James Puryer

BDS DPDS MFDS RCS(Eng) MDFTEd MSc FHEA

Clinical Lecturer (Restorative), School of Oral and Dental Sciences, Bristol Dental Hospital, Lower Maudlin Street, Bristol BS1 2LY, UK (James.Puryer@bristol.ac.uk)

Articles by James Puryer

Abstract

Denture stomatitis is a benign condition, usually asymptomatic, that can affect edentulous patients. Studies have reported a prevalence of denture stomatitis affecting over 75% of denture wearers and, whilst the aetiology may be multifactorial, Candida albicans has a strong association with the condition, along with denture trauma and poor denture hygiene being associated local risk factors. This paper describes the aetiology, diagnosis and treatment of denture stomatitis, with the aim of helping clinicians to provide appropriate management of this condition.

CPD/Clinical Relevance: Denture stomatitis can be a recurrent problem amongst denture wearers and is often asymptomatic to the patient. Dental practitioners should be able to identify and manage this condition.

Article

Denture stomatitis (DS) is a benign and common disorder that affects denture wearers. It may be described as a chronic inflammation, with erythema of the oral mucosal tissues supporting a removable prosthesis,1 and is not caused by an allergy to the denture's constituents. DS has also been known by other names including ‘chronic denture palatitis’, ‘chronic atrophic candidiasis’, ‘denture sore mouth’ and ‘denture-induced candidiasis’. The condition is usually asymptomatic, but can give rise to bleeding of the affected areas of mucosa, a burning sensation, halitosis, a bad taste and xerostomia.2,3 The prevalence of DS ranges from 15–77.5%1,4,5 and, whilst a higher incidence has been reported in the elderly and females,1,5,6 this is not always the case.7 This marked difference in prevalence can be attributed to different populations of patients studied. Various studies have found that those patients that are institutionalized are especially susceptible to DS, possibly as a result of their impaired immune system, overall general health, xerostomia, decreased motor function leading to an inability to carry out good oral hygiene, and the reliance on others to carry out oral hygiene measures.8,9,10

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