Denture stomatitis, a diffuse inflammaton of the denture-bearing mucosa, has been reported in 23-65% of European patients. The aetiology remains controversial but the evidence suggests that the condition is multifactorial with Candida albicans playing a central role in most cases. Other factors which have been implicated include trauma, irritation by denture materials, iron deficiency and folic acid-deficiency. The existence of the condition complicates prosthetic treatments, because the inflamed mucosa is swollen, and may also be associated with fungal infectons at other sites. As the candida population in denture stomatitis resides primarily within the denture plaque it is essential in treatment to modify the patient's attitude and hygiene practice so that a high level of denture plaque control is maintained. Chemical control of plaque is important in this context and buffered hypochlorite denture cleansers are effective agents for this purpose. If a tissue conditioner is applied to the denture precautions should be taken to prevent candidal invasion of the material either by incorporating nystatin into the conditioner or by daily immersion of the dentures in a fungicidal solution. In the latter instance a tissue conditioner should be selected which is compatible with the solution of choice. Five case histories are presented.
|Number of pages||12|
|Journal||Hiroshima Journal of Medical Sciences|
|Publication status||Published - 1979|
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