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    Area of Science:

    • Oral Health
    • Geriatric Dentistry
    • Infectious Diseases

    Background:

    • Denture stomatitis affects two-thirds of UK denture wearers, exacerbated by poor oral hygiene, smoking, and xerostomia.
    • A polymicrobial biofilm on dentures forms plaque, causing local inflammation (erythema, hyperplasia) and posing systemic risks.
    • Denture plaque harbors respiratory pathogens, with overnight denture wear linked to increased aspiration pneumonia risk.

    Purpose of the Study:

    • To address the lack of evidence-based management strategies for denture stomatitis.
    • To present a novel protocol for denture stomatitis management in primary care settings.

    Main Methods:

    • Literature review on denture stomatitis prevalence, risk factors, and management.
    • Development of a clinical protocol for primary care practitioners.
    • Identification of key diagnostic and treatment components.

    Main Results:

    • Denture stomatitis is prevalent and multifactorial, with significant local and systemic implications.
    • Current management strategies are often inadequate, highlighting the need for standardized protocols.
    • The proposed protocol offers a structured approach for primary care, integrating hygiene, antifungal therapy, and patient education.

    Conclusions:

    • Effective management of denture stomatitis is crucial for oral and systemic health in denture wearers.
    • The presented primary care protocol provides a framework for consistent and evidence-based treatment.
    • Further research and implementation studies are needed to validate the protocol's efficacy.