Oral mucosa of complete denture wearing patients is subjected to varying amount of stresses as compared to patient having natural teeth. This can leads to different type of oral mucosal lesions like denture stomatitis, epulis fissuratum, angular cheilitis, traumatic ulcers, inflammatory papillary hyperplasia (IPH) etc. IPH is a type of chronic inflammatory proliferative lesion characterized by numerous small, wart like edematous red papillary growth most commonly seen in deepest part of the palate. Review of literature suggest denture associated widely distributed etiology for IPH like over accentuation of palatal relief and vacuum chamber in upper denture, old ill fitting dentures, poor denture hygiene, continuous denture wearing habit, faulty occlusion, skidding of instable denture etc. Treatment for IPH varies with the severity of the condition and may range from conservative to surgical depending on clinical presentation. Conservative approach include discontinuing use of ill fitting denture, correction of faulty prostheses, improving the oral and denture hygiene and antifungal drugs. However, the surgical approach is used when the lesion is more aggressive and this include supraperiosteal excision, resesctive surgery, cryotherapy, and electrosurgery, blade-loop surgery, fulguration, and mucoabrasion or laser surgery. As a method of prevention patient should be advised to avoid continuous day and night wearing of denture. Additionally, avoid providing excessive relief in the palatal region, as these areas become site for bacterial and fungal colonization. Patients should be well motivated for proper care and maintenance of denture hygiene and also for the importance of periodic dental visits and follow-ups.
ABSTRACT Background: Age related changes in oral structures and nutritional deficiencies cause difficulties in wearing complete dentures amongst elderly adults Objective: To identify the impact of edentulism on nutritional status of eldrly adults. Methodology: To conduct the present study, information of existing literature are collected from textbooks, printed journals, and electronic databases such as pubmed, scopus, and science direct. Result: Prevalence of malnutrition rises with an increase in age. Edentulous subjects more likely to report trouble in chewing their food as compared to dentulous subjects. Edentulous subjects had significantly lower intake of calories, protein, carbohydrate, fibres, vitamins A, C,B1, and B6 . Intake of calcium and protein was lower in women with dentures than in dentate women. Compromised oral functional status was associated with lower serum albumin levels and lower BMI in functionally dependent elderly people. Conclusion: There is good quality evidence that edentulism is associated with poor diet and compromised nutrition.Although the majority of the studies cited here have not established a cause and effect relationship, results from Sheiham and others. However, more longitudinal studies on this topic are required to further understand the potential role of nutrition in the prevention of age related changes and reduce the failure of complete denture treatment in elderly adults. Keywords:Aging, Complete Denture, Elderly adults, Nutritional Assessment, Nutrition.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.