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Denture stomatitis-An interdisciplinary clinical review.

David E McReynolds1, Advan Moorthy2, James O'Connor Moneley1

  • 1Dublin Dental University Hospital, Trinity College Dublin, Dublin, Ireland.

Journal of Prosthodontics : Official Journal of the American College of Prosthodontists
|March 29, 2023
PubMed
Summary
This summary is machine-generated.

Effective denture stomatitis management requires daily cleaning, nightly removal of dentures, and professional care. This approach is crucial for preventing complications like aspirational pneumonia, especially in vulnerable populations.

Keywords:
Candida albicansaspirational pneumoniabiofilmcleaningdenturedenture stomatitisdisinfectionpolymethylmethacrylate

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Area of Science:

  • Oral Medicine
  • Prosthodontics
  • Oral Microbiology

Background:

  • Denture stomatitis is a common, multifactorial condition linked to poor hygiene and continuous denture wear.
  • It involves Candida-associated polymicrobial biofilms and has associations with other oral conditions and mortality.

Purpose of the Study:

  • To provide an interdisciplinary review of denture stomatitis.
  • To outline its etiopathogenesis, clinical features, and management strategies.

Main Methods:

  • Literature search for English-language articles on denture stomatitis.
  • Summarization of relevant articles for pragmatic information.

Main Results:

  • Denture stomatitis is multifactorial, driven by hygiene and denture wear, leading to Candida biofilms.
  • Associated conditions include dental caries, periodontitis, and aspirational pneumonia.

Conclusions:

  • Long-term treatment necessitates patient behavioral changes: daily cleaning, nightly denture removal, professional maintenance, and potential replacement.
  • Antifungals provide limited short-term benefits due to resistance; treatment reduces mortality risk in frail populations.