9 - Sequelae of Denture Wearing Flashcards
Complete denture therapy is not…
a definitive treatment
Major etiologic factor =
Presence of the denture
What is residual ridge resorption?
Process after teeth extracted
Variable process, dependent upon individual factors
What are solutions to residual ridge resorption?
Overdenture- tooth and implant prostheses
What are traumatic ulcers common with?
New dentures
What does it mean if a ulcer is on ridge crest?
Occlusal issues
What does it mean if a ulcer is in vestibule?
Overextended or sharp borders
What is the solution to traumatic ulcers?
Clinical remount
What is inflammatory papillary hyperplasia (IPH)?
A reactive tissue growth usually under a denture
- asymptomatic red or pink nodules
Where does IPH occur?
Hard palate beneath denture base
What is the solution to IPH?
Remove dentures 8hrs/day, clean dentures well, tissue massage. Reline/rebase/remake if needed, nystatin rinse
What should you do if IPH nodules too large to allow good oral hygeine or present for many years?
May need surgical removal
What treatment is necessary for most patients with IPH?
Conservative treatment and avoiding surgery
Tissue massage, tissue conditioners, nystatin oral rinse 4x/day will decrease inflammation and decrease height of papillary projections
What occurs in about 15% of denture wearers?
Angular chelitis/perleche
What is angular chelitis?
Redness and cracking in corner of mouth
What is angular chelitis associated with?
OVD issues
candida albicans
S. anurous
Vitamin deficiencies
Poor fitting denture, abused tissue
What is treatment for angular chelitis?
antifungal (nystatin), better denture
What do you often see with angular chelitis?
Abused tissue and poor fitting prosthesis
What is denture stomatitis?
“Denture sore mouth”
Chronic inflammation of denture bearing mucosa
What are causes of denture stomatitis?
Uncertain: poor oral hygeine? 24 hr wear without removing? Clenching? xerostomia? medications?
What are signs of denture stomatitis?
Visual clinical signs often absent. Bizarre symptoms occur: may be itching, may be burning, may be pain
What are the causes of denture stomatitis?
May be metabolic, may be neutritional, may be psychologic
What is tx for denture stomatitis?
Symptomatic… refer to systemic evaluation
What should you consider with denture stomatitis?
lack of interocclusal space or clenching
What is Fibrous hyperplasia/Epulis fissuratum/Inflammatory Fibrous Hyperplasia?
Single or multiple folds of hyperplastic tissue in vestibule
What is Fibrous hyperplasia/Epulis fissuratum/Inflammatory Fibrous Hyperplasia associated with?
the flange of an ill-fitting denture
Where is Fibrous hyperplasia/Epulis fissuratum/Inflammatory Fibrous Hyperplasia seen on?
facial/buccal anterior areas and more common in females
What is treatment for Fibrous hyperplasia/Epulis fissuratum/Inflammatory Fibrous Hyperplasia?
shorter denture border, often require surgical correction, reline/rebase/remake if needed
What is candida?
Common oral microbe due to a yeast-like fungus. More common in the maxillary arch
What are the 3 presentations of candida with HIV?
1.Psuedomembranous candidiasis
2. Erythematous candidiasis
3. Angular Chelitis
What are comorbidities of complete edentulism?
malnutrition and obesity
Increased COPD events
Increased pneumonia related hospitaliations
Increased risk of head/neck cancer
Decline in cognitive function
Predictor of cardiovascular disease mortality
Reduced, but nonreplaced dentition associated with increased risk of mortality
