Prevalence and possible predictors of the occurence of denture stomatitis in patients older than 60 years

Abstract

Prevalence and possible predictors of the occurence of denture stomatitis in patients older than 60 years Prevalencija i mogući prediktori nastanka protetskog stomatitisa kod pacijenata starijih od 60 godina Abstract Background/Aim. Denture stomatitis (DS) is one of the most common oral health problems among elderly population with removable dentures. Despite the high prevalence, etiology of the disease is not completely understood. It appears to be multifactorial, with a predominance of local factors. The aim of the study was to determine the prevalence and risk factors that contribute to the development of DS in upper removable denture wearers. Methods. This clinical study comprised three groups of subjects with upper removable dentures: the DS group, and the positive and negative control groups. Swab samples were taken from the tongue and palatal mucosa for microbiological examination. Data of denture age, dentures night wearing, unstimulated salivary flow rate (US-FR) and saliva pH values were evaluated for all the participants. Results. The prevalence of DS was found to be 26.5%. Significantly higher values of overnight wearing (p = 0.000) and the mean age of dentures (p = 0.022) were found in the DS group compared to the controls. In relation to the positive mycological finding, a borderline significance difference among the groups was confirmed (p = 0.053). No significant association was found between DS and gender, age, the type of dentures, USFR, pH of saliva and bacteria findings. The patients who wore dentures at night had 26 times more chances to get DS compared to the patients who did not wear them overnight. Conclusion. This study confirms similar characteristics of DS prevalence in elderly population of Vojvodina compared to European. Continuous (overnight) wearing of dentures is considered to be major direct risk factor for DS development, while secondary role is attributed to denture age and oral Candida infection. ApstraktUvod/Cilj. Protetski stomatitis (PS) jedno je od najčešćih oboljenja usne duplje kod starijih osoba sa mobilnim protezama. Uprkos velikoj rasprostranjenosti, etiologija oboljenja nije u potpunosti razjašnjena. Ona je verovatno multifaktorijalna, sa predominacijom lokalnih faktora. Cilj rada bio je da se utvrde prevalencija i faktori rizika koji doprinose nastanku PS kod nosilaca gornjih mobilnih proteza. Metode. Studija je obuhvatila tri grupe ispitanika sa gornjim mobilnim protezama: grupu sa PS, te pozitivnu i negativnu kontrolnu grupu. Brisevi jezika i nepca uzeti su za mikrobiološko ispitivanje. Za sve ispitanike utvrđivani su podaci o starosti proteza, noćnom nošenju proteza, sijalometriji i pH vrednosti pljuvačke. Rezultati. Prevalencija PS iznosila je 26,5%. Utvrđena je statistički značajna razlika između grupe sa PS i kontrolnih grupa u odnosu na noćno nošenje proteza (p = 0,000) i prosečne starosti proteza (p = 0,022). Pozitivan mikološki nalaz u granicama statističke značajnosti (p = 0,053) utvrđen je kod pacijenata sa PS. Nije utvrđena značajna povezanost između prot...

Palatal inflammation and the presence of Candida in denture-wearing patients

“…Previous studies have reported Candida colonization at the palatal mucosa of non-DS subjects in 45%–53% of cases. [ 15 19 ] The current study showed the presence of Candida colonization at the palatal mucosa, found in both the DS and non-DS groups at rates of 54.88% and 26.83%, respectively. The number of Candida colonies was not related to the severity of palatal inflammation according to Newton’s classification [ Table 2 ].…”

Lesões Orais Em Idosos Usuários De Prótese Dentária: Uma Revisão De Escopo

“…9 Outros estudos não encontraram associações entre o tipo de prótese e a prevalência de lesões na mucosa. [25][26] Os pacientes que faziam o uso noturno de próteses apresentaram mais chances de manifestar estomatite protética (OR = 26.16) 25 , em concordância com um estudo 22 25 Há uma associação entre a presença de lesões bucais e o sexo, na qual mulheres foram mais afetadas por lesões bucais que homens. 17,18,22,24,27,33 Nesse aspecto, houve discordância com os achados de um estudo 31 em que homens apresentaram maior número de lesões na mucosa.…”

“…(Sérvia, 2017) 25 Determinar a prevalência e os fatores de risco para o desenvolvimento de DS (Estomatite Sob Prótese).…”

“…Os trabalhos selecionados mostram diversos métodos, incluindo 16 estudos 9,[18][19][20][21][22][23][24][26][27][28][29][30][31][32][33] do tipo transversal e 2 estudos 17,25…”