Sequelae of Denture Wearing Flashcards
What is residual ridge resorption?
- A physiologic process after teeth extracted
- A variable process, dependent upon individual factors
What is a solution for residual ridge resorption?
overdenture - tooth and implant prostheses
What are the intra-oral sequelae to dentures?
- alveolar bone (resorbs and decreases)
- mucosal reactions (many varieties)
What are the different types of mucosal lesions?
- Traumatic ulcers
- Inflammatory papillary hyperplasia
- Angular cheilitis
- Denture stomatitis / Denture sore mouth
- Fibrous hyperplasia / Epulis fissuratum
- Candida
What are traumatic ulcers? Where are they located?
- ulcers common with new dentures
- crest of ridge (occlusal discrepancies)
- vestibule (overextended or sharp border)
What is the solution to begin to fix issues with traumatic ulcers?
clincial remount
What is inflammatory papillary hyperplasia (IPH)?
- A reactive tissue growth usually developing under a denture
- Occurs on hard palate beneath denture base
What does the IPH (inflammatory papillary hyperplasia) look like?
- Asymptomatic red or pink nodules on mucosa of hard palate and occasionally the residual ridge
What causes IPH (inflammatory papillary hyperplasia)?
Directly related to constant wearing of ill-fitting denture and poor oral hygiene
What is usually seen at the same time (comination syndrome) as IPH?
candida
What is the treatment for IPH (inflammatory papillary hyperplasia)?
- Remove dentures at least 8 hrs/day, clean dentures well. Tissue massage.
- Reline, rebase or remake dentures for better fit.
- Possible Nystatin or other antifungals
Angular cheilitis is in about ____ percent of denture wearers?
15%
What is angular cheilitis (perleche)?
- Inflammation of lip/lips with redness and fissures radiating from angles of mouth
- Candida albicans fungal infection
What contributes to angular cheilitis?
- poor-fitting denture and abused tissue
- Decreased OVD and vitamin deficiencies may contribute
What is angular cheilitis associated with?
- loss of occlusal vertical dimension and Candida albicans and S. aureus
What is denture stomatitis?
- Chronic inflammation of denture-bearing mucosa
- May or may not be painful
- Redness; possible burning sensation
What is the cause of denture stomatitis?
Cause uncertain: poor oral hygiene? 24-hr wear without removing?
Clenching? Xerostomia? Medications?
What is the treatment for denture stomatitis?
- tissue rest
- improve oral hygiene
- resilient liner in denture
What are the symptoms of denture sore mouth?
- itching
- burning
- pain
- Visual clinical signs often absent
What are the causes of denture sore mouth?
- could be metabolic, nutritional, or psychologic
What is the treatment for denture sore mouth?
symptomatic (refer to physician)
- consider lack of interocclusal space or clenching
What are other names for epulis fissuratum?
- denture hyperplasia
- inflammatory fibrous hyperplasia
What is epulis fissuratum?
- Single or multiple fold(s) of hyperplastic tissue in vestibule
What can cause epulis fissuratum?
Associated with the flange of an ill-fitting denture or flange is sharp/unpolished
Where is epulis fissuratum usually seen?
- Usually seen on facial / buccal in the anterior area of the mouth
- Pronounced female predeliction
What is the treatment for epulis fissuratum?
- shorten denture border
- often require surgical correction
- reline, rebase, or remake dentures
What is candida?
- common oral microbe.
- predisposing conditions: HIV, diabetes
What arch is candida more common on?
maxillary arch
What are the 3 presentations of candida with HIV?
- Angular cheilitis
- Erythematous candidiasis
- Pseudomembranous candidiasis
Poor oral and prosthetic care can
contribute to…
systemic challenges!
What are the comorbidities of complete edentulism?
- Malnutrition and obesity
- Increased COPD events
- Increased pneumonia related hospitalizations
- 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
Complete denture therapy is not a ________ treatment.
“definitive”
What is the major etiological factor of denture sequelae?
presence of the dentures
