Ill Effects and Complications Associated to Removable Dentures With Improper Use and Poor Oral Hygiene: A Systematic Review

Abstract

The importance of oral care and its relationship with an individual's well-being has been identified over the past few decades. As there is a drastic increase in the aging population, so did the use of removable dentures more than ever before. The use of dentures among the elderly provides functional advantages and esthetic benefits. However, improper use and poor oral hygiene with removable dentures come with complications, including denture stomatitis, ulcerations, pneumonia, and many more. The study aims to determine the complications associated with inappropriate use and poor oral care and bring forth evidence-based dentistrecommended guidelines for denture maintenance.Articles were systematically screened in PubMed/Medline (Medical Literature Analysis and Retrieval System Online), PubMed Central (PMC), and Cochrane Library using keywords. Medical Subject Heading (MeSH) was also utilized to identify relevant articles. Inclusion and exclusion criteria were applied, duplicate articles were discarded, and then the articles were reviewed by title and abstract screening. The remaining articles went through a detailed full-text review. A quality appraisal check was conducted for each unique type of research publication, after which a total of 22 articles were finalized.In this study, we have seen pathological biofilm formation on dentures, life-threatening pneumonia, denture stomatitis, and accidental ingestion/aspiration of dentures amongst the elderly population. The study also identified members with low literacy rates, minorities, and low-income families seem to be at higher risk of poor oral care and denture hygiene. We identified that most of these complications could be prevented with proper guidance and education. In the future, a further detailed study is important as no clear consensus exists in terms of best practices of denture cleaning methods. In addition, measures should be initiated to encourage regular dentist appointments and increase accessibility among members of low socioeconomic status and minorities.

Management of Chronic Atrophic Candidiasis (Denture Stomatitis)—A Narrative Review

“…Recently, De Souza et al [ 28 ] reported that individuals with low socioeconomic status are more likely to develop DS due to poor access to routine medical care. An association relationship between DS and other diseases, such as pneumonia and bacterial endocarditis, is also reported [ 3 , 19 , 28 ].…”

“…Dentures provide a microenvironment that encourages Candida colonization [ 14 ]. The longstanding use of dentures in patients with poor oral hygiene allows the dental biofilm (plaque) to colonize the surface of the prosthesis and the mucosal surfaces in contact with the denture base [ 18 , 19 ].…”

“…However, a minority of patients may report irritation of the affected oral mucosa, ulcerations, or a burning sensation, dysgeusia, dysphagia, and halitosis. Concurrent lesions commonly associated with DS include angular cheilitis, atrophic glossitis, and pseudomembranous or hyperplastic candidiasis [ 7 , 19 , 21 ]. The presence of prolonged inflammation may enhance the patient’s chance of developing cardiovascular disease, diabetes, pulmonary disease, and lead to the progression of systemic infections.…”

“…The presence of prolonged inflammation may enhance the patient’s chance of developing cardiovascular disease, diabetes, pulmonary disease, and lead to the progression of systemic infections. [ 19 , 28 ].…”

Effect of a new generation premium adhesive cream on the quality of life of patients with removable dentures

“…Однако при реабилитации пациентов пожилого возраста с частичной и полной адентией при помощи съемных зубных протезов возникают определенные сложности. Неправильное использование и плохая гигиена полости рта при использовании съемных зубных протезов приводят к осложнениям, включая стоматит, язвы, пневмонию и многое другое [ 4 ] .…”