Prevalence of Denture-Related Stomatitis in Edentulous Patients at a Tertiary Dental Teaching Hospital

Abstract

Oral mucosal lesions can be uncomfortable and can result in a poorer oral health related quality of life. This can be seen especially in edentulous patients who are mostly elderly and have comorbid diseases such as Diabetes Mellitus, which can impair their ability to withstand oral infections. In South Africa, one of the most unequal countries in the world, almost 50% of the population is edentulous and this prevalence increases as age increases. The aim of this cross-sectional study was to determine the prevalence of denture-related stomatitis in subjects who presented to a tertiary institution in Cape Town, South Africa for new complete dentures and to determine the risk indicators associated with it. Three hundred and ninety-six folders of participants who received complete dentures during the period 2014–2019 were included in this study. Categorical data was displayed as frequencies and percentages and a multiple adjusted logistic regression was used to determine associations between Candida and certain risk indicators. The prevalence of denture-related stomatitis was 25.76% (n = 102). Almost 75% (n = 225) females and 72.63% (n = 69) males had no denture-related stomatitis. The most common site for candidiasis in this population was the palate and tonsillar area (40.2%, n = 41) and the least common site was the upper ridge (2.94%, n = 3). Candidiasis, in edentulous patients are highly prevalent in this population and more needs to be done to prevent it.

Influence of Five Different Commercially Available Mouthwashes on the Growth of Candida albicans Adhered to Customized Prefabricated Heat-Cured Denture Base Acrylic Resin Sheets: An In Vitro Study

“…This indicates that there is a growing need for oral health care for the elderly. Elderly people who wear dentures frequently worry about denture stomatitis [ 16 ]. The disorder is closely linked to Candida colonization as a result of inadequate denture hygiene management [ 17 , 18 ].…”

Denture Base Polymer Biodegradation: In Vitro Study

“…22 With time, poor hygiene of the prosthesis will affect the stability of the color of acrylic resins, and due to microporosity, a permanent microbial infiltrate will appear, which will lead to stomatitis and inflammation accompanied by discomfort. 23 The toxicity of methyl methacrylate can be attributed to free radicals released during the polymerization reaction, due to oxidative stress; moreover, residual methyl meth-acrylate can also exhibit toxicity. 18 In a study in which glutathione was used to analyze the effect of methyl methacrylate regarding the expression of oxidizing enzymes, cell cultures have highlighted the toxicity of residual methyl methacrylate from resin-based materials, causing genotoxicity and changes in cellular cytokine factor expression.…”

Hubungan Tingkat Kebersihan Gigi Tiruan Penuh dengan Kejadian Denture Stomatitis

“…Hasil penelitiannya menyimpulkan bahwa terdapat pengaruh tingkat kebersihan gigi tiruan terhadap terjadinya denture stomatitis pada mukosa pendukung rahang atas dari pasien gigi tiruan lepasan di Poliklinik Gigi RSMH Palembang. Hasil penelitian Gaur et al 6 menunjukkan bahwa denture stomatitis merupakan lesi yang paling umum ditemukan (59,25%) pada pengguna gigi tiruan penuh.…”