Module 9 common older adult oral concerns

Question 1

Ulcerated mucosa from dentures

Answer 1

ill-fitting
poor hygiene
dentures left in too long

Question 2

Angular chelitis

Answer 2

common when dentures have insufficient vertical height

• tx with antifungals
• biopsy if not healing

Question 3

denture stomatitis s/s

Answer 3

erythema of palate with cobblestoning

- often no s/s

Question 4

denture stomatitis patho

Answer 4

multifactorial
- candida plays role
continuous denture wearing 
other factors
- xerostomia
- DM, immunosuppression
- nutritional deficiencies

Question 5

denture stomatitis tx

Answer 5

topic antifungals

• soak dentures in CHG or nystatin
• dentures should be out of mouth for at least 8 hours nightly

Question 6

Leuoplakia and erythroplakia s/s

Answer 6

premalignant

• subtle white or red patch
• may progress to elevated plaques that ulcerate

Question 7

oral cancer patho

Answer 7

ETOH
tobacco
HPV 
sunlight
syphilis

Question 8

oral cancer s/s

Answer 8

red or white patches persisting beyond 2 weeks
ulcer that are non-healing and bleed
masses