The most common oral lesions in edentulous patients with total prostheses.

Abstract

A group of 210 patients with total maxillary and mandibular prostheses were examined to identify the main pathological alterations suffered by edentulous patients. The observed results determined that the average age at which the largest edentulous population is found is between 56 and 65 years with a higher prevalence of females. Of these more than 50% have used oral prostheses for more than 12 years with an adequate hygiene quality in 116 patients where the most frequent oral pathology associated with edentulism was fibrous hyperplasia (epulis), found in 19 patients, followed by stomatitis sub-prosthesis.Resumen: Se examinó a 210 pacientes portadores de prótesis total maxilar y mandibular para identificar las principales alteraciones patológicas que padecen los pacientes edentulos. Los resultados observados determinaron que el promedio de edad donde se encuentra la mayor población edéntula ocurre entre los 56 y 65 años con una prevalencia mayor en el género femenino, de estos más del 50% han empleado prótesis bucales por más de 12 años con una calidad en la higiene adecuada en 116 pacientes donde la patología bucal más frecuente asociada al edentulismo fue la hiperplasia fibrosa (épulis) en 19 de ellos seguida por la estomatitis subprotésica.

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

“…In contrast to other studies [ 9 , 12 , 13 ], the authors found no significant relationship with gender. However, age was an important risk factor.…”

“…Edentulous patients are also more likely to suffer from oral mucosal lesions related to the wearing of removable prosthesis [9][10][11][12][13][14]. The most commonly seen denture-related oral mucosal lesions (DOML) are stomatitis, hyperplasia, angular cheilitis and traumatic ulcers [9][10][11][12][13][14]. DOML was also seen more frequently in patients who wore complete dentures as opposed to removable partial dentures [9].…”

“…This could be explained by the presence of Candida, mechanical issues, long term wear and greater mucosal coverage by the denture base area [ 14 ]. Few studies reported on the duration of dentition wear and the relationship with the presence of DOML [ 9 , 10 , 12 , 14 ]. Patients who were denture wearers for longer were more likely to have DOML.…”