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Denture stomatitis in the elderly.

C G Cumming1, C Wight, C L Blackwell

  • 1Department of Oral Medicine, University of Edinburgh, Scotland.

Oral Microbiology and Immunology
|April 1, 1990
PubMed
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Oral yeast infections and denture stomatitis are common in elderly institutionalized individuals. Smoking significantly increases the risk of denture stomatitis in this population.

Area of Science:

  • Gerontology
  • Oral Medicine
  • Microbiology

Background:

  • Elderly individuals in institutionalized settings are susceptible to oral health issues.
  • Edentulism can predispose individuals to oral mucosal conditions like denture stomatitis.
  • The prevalence of oral yeasts and associated diseases in this demographic requires investigation.

Purpose of the Study:

  • To determine the prevalence of yeasts and denture stomatitis among elderly edentulous residents in institutionalized homes.
  • To identify the main yeast species associated with oral disease in this population.
  • To explore potential risk factors, such as smoking and secretor status, for denture stomatitis.

Main Methods:

  • A cross-sectional study was conducted on 121 elderly edentulous individuals in institutionalized homes.

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  • Clinical examinations were performed to diagnose denture stomatitis.
  • Oral yeast identification was achieved through cultures of saliva, mouth floor, and palate swabs.
  • Main Results:

    • Denture stomatitis was prevalent in 54% of individuals, with yeasts isolated from 78% of these cases.
    • The primary yeasts identified were Torulopsis glabrata and Candida albicans.
    • Daily cigarette consumption showed a significant positive correlation with denture stomatitis prevalence.

    Conclusions:

    • Institutionalized elderly edentulous individuals exhibit a significant prevalence of oral mucosal yeast infections.
    • Denture stomatitis is a common condition in this population, strongly linked to yeast presence.
    • Smoking is a significant risk factor contributing to the development of denture stomatitis.