Denture related stomatitis Flashcards
What is DRS
Inflammatory condition observed when chronic irritation of the mucosa due to contact with the denture base has occurred
What is DRS associated with
Primarily with poor denture hygiene
Where is DRS most common
Under denture bearing area of the UPPER ARCH (v rare in mandible)
Aetiology of DRS
Primarily plaque induced
What are predisposing factors to DRS
- immunological deficiencies - vit b, c and iron
- hormonal imbalances
- Denture related trauma - ill fitting, occlusal faults, poor retention, parafunction, wearing denture at night
Classification of DRS
Type 1 2 and 3
Type 1 DRS
Localised simple inflammation or pinpoint hyperaemia - often trauma induced
Type 2 DRS
Diffuse erythema confined to mucosa contacting denture
Type 3 DRS
Granular type (inflammatory papillary hyperplasia) commonly involving the centre of hard palate and alveolar ridges
Prevention of drs
Denture hygiene instructions - take denture out, brush denture with soft brush, soap and water and to use appropriate denture cleaning solutions
Management DRS
- reinforce good denture hygiene and OH
- Leave dentures out at night and use cleaning solutions
- Assess denture for remade or relining
- Refer to GP for assessment of nutrition/immunological
- Swab area for candida
Candida and DRS
If candida present, pt usually immunocompromised
How to manage candida drs
Antifungals
Leave dentures to soak in CHX
