denture hygiene Flashcards
1
Q
What might cause poor denture hygiene?
A
caries denture stomatitis halitosis pain exacerbates any periodontal condition
2
Q
What is the importance of good denture hygiene
A
contributes to oral health
aesthetics
social factors
3
Q
What is in the debris?
A
- salivary proteins and bacterial products = pellicle layer
- oral debris (mucin, food, desquamated epithelial cells) and microorganisms (bacteria and fungi) adhere
- plaque turns to calculus as on natural teeth
4
Q
what type of fungi have an affinity to PMMA
A
candida
5
Q
what is the main fungal cause of denture stomatitis ?
A
candida
6
Q
why do we have so much debris?
A
- fit surface of a denture not exposed to cleansing effects of saliva
- increased problem with decreased salivary flow in patients
- denture surface not smooth
7
Q
mechanical means of cleaning the dentures ?
A
- soap and soft brush
- microwave (10 secs for an acrylic)
- ultrasonics
8
Q
ideal properties of dentures cleaners?
A
- cheap
- easy to use
- effective removal of deposits
- bactericidal and fungicidal
- harmless to denture materials
- non toxic
9
Q
types of denture cleaners
A
- alkaline peroxides
- alkaline hypochlorites
- acids
- enzymes
- abrasive cleaners
10
Q
alkaline peroxides
A
- tablet or powder form when combined with water - bubbles
- full lower dentures may have a soft lining material which will harden with alkaline peroxides
11
Q
when can you not use alkaline peroxides?
A
- lower dentures with a soft lining material
12
Q
alkaline hypochlorites
A
- very effective anti fungal and antibacterial
- may corrode metal
- short soak (10mins) if metal component
13
Q
acids
A
- good at dissolving calculus and stains
- now discontinued
14
Q
enzyme
A
- expensive
15
Q
what 6 things should you tell a patient with regards to how to look after their denture?
A
- rinse mouth/denture after every meal
- remove denture at night
- brush with soap and water over a towel or a sink filled with water
- chemical cleaners should be used with cold cosy water at the most
- after chemical cleaners should be stored in cold water overnight
- stress cleaning of remaining natural teeth - especially use of tepes/single tufted brushed
