Prevalence of risk factors for denture stomatitis in complete denture wearers

Abstract

Aim: The prevalence of denture stomatitis and the relationship with its risk factors was evaluated via secondary data from 62 complete denture (CD) wearers, between 2015 and 2017. Methods: The data was stored in an Excel database and was analyzed using the statistics software STATA/SE 12.0. A descriptive analysis was performed taking into account a categorization of the clinical variables according to risk factor in 4 domains: CD usage, systemic health, hygiene habits, and usage habits. The association amongst the denture stomatitis and risk factors variables was tested by the Chi-square test and the results were statistically significant at p-values <0.05. Results: The CD wearers participants were composed by a majority of elderly (80.64%) and women (72.78%); with 45.16% having been using the current denture for more than 10 years and another 74.19% related a continuous usage. Diabetes and hypertension were related by 83.87% and 67.74%, respectively, with 87.10% using medication. Although 75.80% reported cleaning their dentures 3 times per day or more, and 59.68% considered their oral hygiene very good, 50% of the complete dentures showed dirtiness and clinical signs of Denture Stomatitis were present in 30.64% of the patients. Despite of the evaluated sample shows many risk factors for the development of the disease, an association between the variables was not observed. Conclusion: Considering the high prevalence of the disease in the studied sample, preventive and educational measures on denture usage and hygiene must be reinforced in order to maintain the oral health of the edentulous patients.

Patients’ perception about the outcomes of prosthetic treatment in Southern Brazil

“…Our results agree with Lemos et al 22 (2013), as their findings suggested that being completely edentulous or wearing non-fixed complete dentures, and regular, poor or extremely bad oral health were important features for negative self-perception of oral health with impact on the volunteer's quality of life 22 . Moreover, the oral health appreciation can be affected by general conditions such as rheumatoid arthritis 23 or local commodities, such as stomatitis 24 .…”

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

“…Local risk factors associated with denture stomatitis are dry mouth, denture age, local trauma induced by an ill-fitting or poorly fabricated dentures, poor denture hygiene, microorganisms, continuous and nocturnal denture wearing, smoking, carbohydrate-rich diets, acidic salivary pH, and sensitivity to denture materials [ 7 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 ].…”

“…Systemic risk factors include debilitating physiological aging, poorly controlled diabetes mellitus, xerostomia, radiation therapy, neoplasm, nutritional deficiency, immunocompromised conditions (immunosuppression, immunodeficiency, as with HIV infection, and radiation therapy for the head and neck region), the long-term use of corticosteroids and antibiotics, and hematological disorders. These factors might contribute by compromising an individual’s resistance to combat the disease [ 7 , 9 , 14 , 15 , 21 , 22 ]. 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.…”

Microbial Analysis of Obturators During Maxillofacial Prosthodontic Treatment Over an 8-Year Period

“…Denture soft-lining materials, and other silicone materials used to make maxillofacial and voice prostheses are also susceptible to microbial colonisation, reducing the lifetime of these prostheses (Nikawa et al, 2001a;Nikawa et al, 2001b;Holmes et al, 2006;Nevzatoglu et al, 2007;Chladek et al, 2014;. Candida colonisation of dentures is associated with an increased incidence of denture stomatitis, the most common iatrogenic disorder affecting denture wearers (Budtz-Jorgensen, 1974;Arendorf and Walker, 1987;Ramage et al, 2004;Figueiral et al, 2007;Pereira-Cenci et al, 2008;Skupien et al, 2013;Yarborough et al, 2016;Morel et al, 2019). The aetiology of denture stomatitis is multifactorial.…”

“…21,35,43,[47][48][49] Candida colonization of dentures is associated with an increased incidence of denture stomatitis, the most common iatrogenic disorder affecting denture wearers. 10,[50][51][52][53][54][55][56] The etiology of denture stomatitis is multifactorial. These factors include tissue coverage from a close-fitting denture base, denture-induced trauma, continuous denture wearing, reduced salivary flow, lack of denture cleaning, age of the denture, smoking, dietary factors, pH of the denture pellicle, and the type of denture base material such as polymethyl methacrylate (PMMA), silicone and self-cure acrylic.…”