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Sakr HM, AbdulSalam MR, Fayad MI, Moussa R, Alzahrani AAH. Microbial Adhesion to Different Thermoplastic Denture Base Materials in Kennedy Class I Partially Edentulous Patients. Cureus 2024; 16:e60421. [PMID: 38756717 PMCID: PMC11097705 DOI: 10.7759/cureus.60421] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/16/2024] [Indexed: 05/18/2024] Open
Abstract
Introduction Since the polished and fitting surface of the denture base may promote the colonization of microorganisms, it is essential to know how the different types of denture bases prevent or encourage the adhesion of microorganisms. This study aimed to compare the microbial adhesion to the polished and fitting surfaces of thermoplastic nylon, thermoplastic acetal, and thermoplastic acrylic denture bases in Kennedy Class Ⅰ, partially edentulous patients. Materials and methods Thirteen patients were included in the study. The group consisted of eight males (61.54%) and five females (38.46%), with an age range of 41-50 years (mean age 46.1 years). Three types (groups) of removable partial dentures will be made for each patient using different thermoplastic denture base materials: thermoplastic nylon; thermoplastic acetal; and thermoplastic acrylic. The polished and fitting surfaces of the denture bases were swabbed after a one-month follow-up period. Microbial adhesion was evaluated by counting the microorganisms' colony-forming units (CFU) in the collected specimens. The data were collected and statistically analyzed. Results The study revealed no statistically significant difference in microbial adhesion to both polished and fitting surfaces between all types of studied thermoplastic denture base materials. However, the results showed that for the polished surface, the microbial adhesion median of thermoplastic acrylic denture base (40.5 CC x 102/ml) was higher than that of thermoplastic acetal (29.0 CC x 102/ml) and thermoplastic nylon (16.0 CC x 102/ml). Regarding the fitting surface, the microbial adhesion median of thermoplastic acrylic (51.0 CC x 102/ml) is higher than that of thermoplastic acetal (41.0 CC x 102/ml) and thermoplastic nylon (23.0 CC x 102/ml). Conclusion The thermoplastic nylon denture base materials showed less microbial adhesion among the studied thermoplastic materials, so it may be recommended to be used as a denture base material for individuals at high risk of denture stomatitis.
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Affiliation(s)
- Hassan M Sakr
- Department of Prosthodontic Dental Science, College of Dentistry, Al-Baha University, Al-Baha, SAU
- Department of Removable Prosthodontics, Faculty of Dentistry, Al-Azhar University, Cairo, EGY
| | - Mahmoud R AbdulSalam
- Department of Prosthodontics, Faculty of Dentistry, Horus University, New Damietta, EGY
| | - Mostafa I Fayad
- Department of Substitutive Dental Science, College of Dentistry, Taibah University, Madinah, SAU
- Department of Removable Prosthodontics, Faculty of Dentistry, Al-Azhar University, Cairo, EGY
| | - Rania Moussa
- Department of Substitutive Dental Science, College of Dentistry, Taibah University, Madinah, SAU
| | - Abdullah Ali H Alzahrani
- Department of Dental Health, School of Applied Medical Sciences, Al-Baha University, Al-Baha, SAU
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Clemente LM, Ribeiro AB, Fortes CV, Ribeiro AB, Oliveira VDC, Macedo AP, Salgado HC, da Silva CHL. Risk factors and immunological biomarkers in denture stomatitis: An observational cross-sectional study. Arch Oral Biol 2023; 155:105799. [PMID: 37672969 DOI: 10.1016/j.archoralbio.2023.105799] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2023] [Revised: 08/15/2023] [Accepted: 08/27/2023] [Indexed: 09/08/2023]
Abstract
OBJECTIVE Assess risk factors, local and systemic immunological biomarkers in healthy individuals and with Denture Stomatitis (DS). DESIGN For this observational transversal study, 27 participants without DS (Group 0), 24 with moderate DS (Group 1), and 25 with severe DS (Group 2) were assessed for sociodemographic, behavioral, and clinical parameters, microbial load of Candida spp., Staphylococcus spp., Streptococcus mutans, Pseudomonas spp., and enterobacteria, and cytokine and C-reactive protein levels. ANOVA, Fisher's exact, Kruskal-Wallis, Mann-Whitney, Wilcoxon and Pearson's chi-square tests were used for data analysis (α = 0.05). RESULTS Group 1 had a significantly higher mean age compared to the other groups (P = 0.018), but no correlation was identified between age and DS (P = 0.830; r = 0.025). No significant differences were found among the groups for other sociodemographic and behavioral characteristics. Group 1 had significantly older upper and lower dentures; however, no correlation was identified between age of upper (P = 0.522; r = 0.075) and lower (P = 0.143; r = 0.195) dentures and DS. The microbial load of Candida albicans on the dentures (P = 0.035) and Candida spp. on the palate (P = 0.008) of the groups 1 and 2 was higher than group 0. Group 1 and 2 had higher Candida spp. counts on denture (P = 0.003) than group 0. There was no difference among groups for bacterial analyzed. Group 1 showed higher and Group 2 intermediate salivary levels of IL-6 compared to Group 0. There was no difference in the C-reactive protein levels among groups. CONCLUSIONS Microbial load of Candida spp. is the factor with the strongest relationship with DS, with capacity for local signaling through IL-6.
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Affiliation(s)
- Lorena Mosconi Clemente
- Department of Dental Materials and Prosthesis, School of Dentistry of Ribeirao Preto, University of São Paulo (USP), Ribeirão Preto, Brazil
| | - Adriana Barbosa Ribeiro
- Department of Dental Materials and Prosthesis, School of Dentistry of Ribeirão Preto, University of São Paulo (USP), Ribeirão Preto, Brazil
| | - Caroline Vieira Fortes
- Department of Dental Materials and Prosthesis, School of Dentistry of Ribeirao Preto, University of São Paulo (USP), Ribeirão Preto, Brazil
| | | | - Viviane de Cássia Oliveira
- Department of Dental Materials and Prosthesis, School of Dentistry of Ribeirão Preto, University of São Paulo (USP), Ribeirão Preto, Brazil
| | - Ana Paula Macedo
- Department of Dental Materials and Prosthesis, School of Dentistry of Ribeirão Preto, University of São Paulo (USP), Ribeirão Preto, Brazil
| | - Hélio César Salgado
- Department of Physiology, Ribeirão Preto Medical School, University of São Paulo (USP), Ribeirão Preto, Brazil
| | - Cláudia Helena Lovato da Silva
- Department of Dental Materials and Prosthesis, School of Dentistry of Ribeirão Preto, University of São Paulo (USP), Ribeirão Preto, Brazil.
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Panariello BHD, Klein MI, Dias LM, Bellini A, Costa VB, Barbugli PA, Pavarina AC. Lactobacillus casei reduces the extracellular matrix components of fluconazole-susceptible Candida albicans biofilms. BIOFOULING 2021; 37:1006-1021. [PMID: 34789040 DOI: 10.1080/08927014.2021.2001645] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/31/2021] [Revised: 09/27/2021] [Accepted: 10/27/2021] [Indexed: 06/13/2023]
Abstract
Fluconazole-sensitive (CaS) and -resistant (CaR) C. albicans were grown as single-species and dual-species biofilms with Lactobacillus casei (Lc) and Lactobacillus rhamnosus (Lr). Single-species Lc and Lr were also evaluated. Biofilm analysis included viable plate counts, the extracellular matrix components, biomass, and structural organization. Lc reduced the viability of CaS, water-soluble polysaccharides, and eDNA in CaS + Lc biofilm. Lc biofilm presented more eDNA than CaS. The total biomass of CaS + Lc biofilm was higher than the single-species biofilms. The viability of Lc and Lr was reduced by CaR dual-species biofilms. The total and insoluble biomass in CaS + Lr was higher than in single-species CaS biofilms. Lc hindered the growth of CaS, and their association hampered matrix components linked to the structural integrity of the biofilm. These findings allow understanding of how the implementation of probiotics influences the growth of C. albicans biofilms and thereby helps with the development of novel approaches to control these biofilms.
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Affiliation(s)
- Beatriz H D Panariello
- Department of Dental Materials and Prosthodontics, São Paulo State University (UNESP), School of Dentistry, Araraquara, Brazil
- Department of Cariology, Operative Dentistry & Dental Public Health, Indiana University School of Dentistry, Indianapolis, IN, USA
| | - Marlise Inez Klein
- Department of Dental Materials and Prosthodontics, São Paulo State University (UNESP), School of Dentistry, Araraquara, Brazil
| | - Luana Mendonça Dias
- Department of Dental Materials and Prosthodontics, São Paulo State University (UNESP), School of Dentistry, Araraquara, Brazil
| | - Amanda Bellini
- Department of Dental Materials and Prosthodontics, São Paulo State University (UNESP), School of Dentistry, Araraquara, Brazil
| | - Vitoria Bonan Costa
- Department of Dental Materials and Prosthodontics, São Paulo State University (UNESP), School of Dentistry, Araraquara, Brazil
- Department of Surgery and Diagnosis, São Paulo State University (Unesp), School of Dentistry, Araraquara, Brazil
| | - Paula Aboud Barbugli
- Department of Dental Materials and Prosthodontics, São Paulo State University (UNESP), School of Dentistry, Araraquara, Brazil
| | - Ana Claudia Pavarina
- Department of Dental Materials and Prosthodontics, São Paulo State University (UNESP), School of Dentistry, Araraquara, Brazil
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Taebunpakul P, Jirawechwongsakul P. Palatal Inflammation and the Presence of Candida in Denture-Wearing Patients. J Int Soc Prev Community Dent 2021; 11:272-280. [PMID: 34268189 PMCID: PMC8257012 DOI: 10.4103/jispcd.jispcd_368_20] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2020] [Accepted: 02/09/2021] [Indexed: 11/05/2022] Open
Abstract
Aim: Denture stomatitis (DS) is a common inflammatory reaction in denture wearers. The severity of palatal inflammation in DS is believed to be related to Candida colonization. The present study evaluated the presence of Candida at the palatal and the denture surface. The factors associated with DS were also investigated. Materials and Methods: Eighty-two denture wearers were evaluated for DS based on Newton’s classification. The samples were collected from palatal mucosa and the denture surface for Candida culture. The predisposing factors associated with DS were also assessed by questionnaire and by oral and dental prosthesis examination. Results: Thirty patients showed no signs of DS (36.59%), while 52 patients (63.41%) had DS. Candida was detected in 81.71% of all patients and specifically in 26.83% and 54.88% of non-DS and DS patients, respectively. The proportion of patients with a large amount of Candida at the palatal mucosa in the DS group (40.38%) was higher than in the non-DS group (26.67%) but not significantly different (P > 0.05). The amounts of Candida among the different Newton types also showed no statistically significant differences (P > 0.05). Candida was also detected on the denture surface of the non-DS (34.15%) and DS patients (57.32%). The amounts of Candida on the denture surface between the two groups showed no statistically significant difference (P > 0.05). The predisposing factors related to DS included the absence of occlusal rest and poor denture stability (P < 0.05). Conclusions: In this study, no association between the amount of Candida and DS was found. Mycological examination may be useful for the detection of Candida-induced DS and management. However, further study is required to establish a protocol for antifungal drugs prescription in the treatment of Candida-induced DS among the Newton type.
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Affiliation(s)
- Patrayu Taebunpakul
- Department of Oral Surgery and Oral Medicine, Faculty of Dentistry, Srinakharinwirot University, Bangkok, Thailand
| | - Pimporn Jirawechwongsakul
- Department of Oral Surgery and Oral Medicine, Faculty of Dentistry, Srinakharinwirot University, Bangkok, Thailand
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Ogunrinde TJ, Olawale OF. The prevalence of denture related mucosa lesions among patients managed in a Nigerian teaching hospital. Pan Afr Med J 2020; 37:358. [PMID: 33796172 PMCID: PMC7992417 DOI: 10.11604/pamj.2020.37.358.22194] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2020] [Accepted: 10/09/2020] [Indexed: 11/14/2022] Open
Abstract
Introduction the prevalence of denture related mucosa lesions (DRML) varies across different countries and a recent study reported an increasing trend in its prevalence. The objective of this study was to determine the prevalence of DRML and factors related to the lesions among denture wearers seen in a Nigerian teaching hospital. Methods interviewer’s administered questionnaire was used to obtain information from consecutive patients that had used removable denture for at least six months and consented to participate. Data related to gender, age, types of denture and presence of denture induced oral lesions were obtained, entered into a computer and analyzed using IBM SPSS Version 20. Descriptive statistics were expressed as frequency and percentages. Fisher’s exact test was performed for discrete variables. A P-value less than 0.05 was regarded as statistically significant. Results a total of 104 respondents participated in the study and 14 had DRML giving a prevalence of 13.5%. The majority, 11 out of the 14 (78.57%) presented with mucosa ulceration, while 8 (57.14%) out of the 14 cases of DRML were caused by over extension of the denture flanges. There was no statistically significant relationship between daily removal of denture fore going to bed to sleep at night and DRML (p=0.776). Conclusion the prevalence of denture related mucosal lesion was 13.3% and the major cause was over extension of denture flange. There is need to emphasize adherence to review appointments for early detection and correction of denture instability and over extension of denture flange to prevent DRML.
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Affiliation(s)
- Tunde Joshua Ogunrinde
- Department of Restorative Dentistry, University of Ibadan and University College Hospital, Ibadan, Nigeria
| | - Olalekan Fatai Olawale
- Department of Restorative Dentistry, University of Ibadan and University College Hospital, Ibadan, Nigeria
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Liang YH, Chou C, Chen YJ, Chou YF, Lin CY, Chou C, Wang TF. Impact of periodontal disease and chewing ability on the quality of life of the elderly in an affluent community. J Formos Med Assoc 2020; 119:1693-1701. [PMID: 31982268 DOI: 10.1016/j.jfma.2020.01.002] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2019] [Revised: 01/02/2020] [Accepted: 01/07/2020] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND/PURPOSE Improvement of the medical and social environment is an important aspect of government policies in assuring the quality of life (QoL) of older adults. However, few studies have appraised the impact and relationship of QoL with clinical factors among elderly individuals in affluent residential areas. METHODS A total of 166 older adults from Chang Gung Health and Culture Village were enrolled. Oral health-related QoL was measured using the Geriatric Oral Health Assessment Index. Self-assessed chewing abilities and demographic characteristics were collected by questionnaire. Physical health was scored by activities of daily living (ADL) and instrumental ADL. Mini nutrition assessment questionnaire was used to evaluate the nutritional intake. Multiple linear regression was used to predict risk factors affecting QoL and to examine whether chewing ability was a mediator of oral health-related QoL. RESULTS Poor chewing ability was associated with older age (OR = 1.82 for 76-85 years and 3.58 for 86-95 years), sufficient economic status (OR = 5.55) and removable denture-wearing (OR = 7.52). On the other hand, poor chewing ability (OR = 0.11), removable denture-wearing (OR = 0.48), periodontal disease (OR = 0.38) had lower likelihood of good oral health-related QoL. Mediator analyses showed that chewing ability was a mediator for the association between oral health-related QoL and economic status or removable denture-wearing or having more than 20 teeth. Periodontal disease was an independent factor for oral health-related QoL. CONCLUSION Among older adults in an affluent community, periodontal disease is an independent risk factor directly related to oral health-related QoL, whereas chewing ability is a mediator between QoL and removable denture-wearing.
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Affiliation(s)
- Ya-Hong Liang
- School of Nursing, National Yang-Ming University, Taipei, 11221, Taiwan
| | - Chyuan Chou
- Excellent Dental Center, Taipei, 1110, Taiwan
| | - Ying-Jen Chen
- Division of General Internal Medicine and Geriatrics, Department of Internal Medicine, Linkou Chang Gung Memorial Hospital, Taoyuan, 33305, Taiwan
| | - Yen-Fang Chou
- Nursing Department, Taoyuan Chang Gung Memorial Hospital, Taoyuan, 33372, Taiwan
| | - Ching-Yi Lin
- Nutrition Department, Linkou Chang Gung Memorial Hospital, Taoyuan, 33305, Taiwan
| | - Caroline Chou
- Pre-Dental Advantage Program, University of the Pacific, Stockton, CA, 95211, USA
| | - Tze-Fang Wang
- School of Nursing, National Yang-Ming University, Taipei, 11221, Taiwan.
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Figuerôa RM, de Albuquerque KB, Borges CP, Sánchez-Ayala A, Bombarda NH, Arrais CA, Neppelenbroek KH, Urban VM. The effect of stainable drinks followed by simulated brushing on the roughness and stainability of acrylic resins polymerized with different cycles. J Prosthet Dent 2020; 123:173-180. [DOI: 10.1016/j.prosdent.2018.11.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2018] [Revised: 11/05/2018] [Accepted: 11/05/2018] [Indexed: 10/27/2022]
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Fonseca MFL, Kato CDNADO, Pereira MJDC, Gomes LTF, Abreu LG, Fonseca FP, Mesquita RA. Oral and maxillofacial lesions in older individuals and associated factors: A retrospective analysis of cases retrieved in two different services. J Clin Exp Dent 2019; 11:e921-e929. [PMID: 31636862 PMCID: PMC6797459 DOI: 10.4317/jced.56194] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2019] [Accepted: 09/09/2019] [Indexed: 01/21/2023] Open
Abstract
BACKGROUND Studies on the oral and maxillofacial lesions (OMLs) in older people usually assess data of laboratory services and data from oral medicine clinic have been poorly described. The aim of this study was to describe and to compare OMLs in older individuals considering two data sources, besides to assess associated factors with the three most frequent lesions. MATERIAL AND METHODS A retrospective study was conducted with individuals aged 60 years or older. Data of individuals and lesions reported in both services were collected. Univariate analysis was used to test the association between the occurrence of the lesion and the independent variables. The level of significance was set at 5%. RESULTS A total of 1,695 (37.3%) records were from the Oral Medicine clinic and 2,848 (62.7%) from the Laboratory service. Inflammatory/reactive lesion group was the most frequent in both services (40.4% in Oral Medicine Clinic and in 44.2% Laboratory). The second and third groups of lesions in the Oral Medicine clinic were infectious diseases (18.5%), and variations of normality (10.8%), while in the laboratorial service were the malignant neoplasms (17.6%) and potentially malignant disorders (13.3%). Differences between services regarding the frequency of lesion groups occurred (p<0.05), except for pigmented (p=0.054) and infectious (p=0.054) groups. Females (OR: 2.08; CI: 1.81-2.39) and individuals who wore a removable prosthesis (OR: 3.99; CI: 2.83-5.62) were also likely to have inflammatory fibrous hyperplasia. Old-old individuals (OR: 1.70; CI: 1.30-2.21), male (OR: 3.63; CI: 3.00-4.39), smoking (OR: 6.05; CI: 4.84-7.56) or alcohol use (OR: 3.95; CI: 3.12-5.01) were likely to have squamous cell carcinoma. CONCLUSIONS The results showed different frequencies of OMLs in older individuals according to the data sources and age group. The findings are important to direct public policies for this age group. Key words:Oral medicine, laboratory service, older adult, oral diagnosis, oral and maxillofacial pathology.
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Affiliation(s)
- Mª Fernanda-Lopes Fonseca
- DDS, MSc, Department of Oral Pathology and Surgery, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | | | | | - Lucas-Tadeu-Ferreira Gomes
- Undergraduate Student, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Lucas-Guimarães Abreu
- DDS, MScPhD, Adjunt Professor, Department of Paediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Felipe-Paiva Fonseca
- DDS, MSc, PhD, Adjunt Professor, Department of Oral Pathology and Surgery, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Ricardo-Alves Mesquita
- DDS, MSc, PhD, Full Professor, Department of Oral Pathology and Surgery, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
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Brantes MF, Azevedo RS, Rozza-de-Menezes RE, Póvoa HC, Tucci R, Gouvêa AF, Takahama-Jr A. Analysis of risk factors for maxillary denture-related oral mucosal lesions: A cross-sectional study. Med Oral Patol Oral Cir Bucal 2019; 24:e305-e313. [PMID: 31011141 PMCID: PMC6530958 DOI: 10.4317/medoral.22826] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2018] [Accepted: 03/18/2019] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND To evaluate the frequency of maxillary dentures-related lesions and the possible associated risk factors. MATERIAL AND METHODS Ninety-seven participants were selected, and a complete anamnesis, physical examination and tests of occlusion vertical dimension (OVD), retention and stability of the denture, biofilm quantification, cytopathology, sialometry, pH analysis and buffer capacity of the saliva were performed. Statistical analyses were performed with the Pearson's chi-square, Mann-Whitney tests, and Pearson's coefficient (p<0.05). RESULTS In 78% of the participants at least one denture-related lesion was found. Denture-associated stomatitis (63%), inflammatory fibrous hyperplasia (19%) and traumatic ulceration (11%) were the 3 most frequent lesions. The habit of night use of the denture was considered an independent risk factor for the development of oral lesions [OR=3.0 (95% CI 1.09-8.56); p<0.05]. Furthermore, the longest period of use of the same denture and biofilm also had statistically significant relation to oral lesions. The biofilm seems to be more related to the prevalence of oral lesions according to the multiple logistic regression [OR=1.3 (95% CI: 1.01-1.83) p<0.05]. The lack of a dentures' cleaning solution and detrition of the prothesis were independent risk factors for denture-associated stomatitis. Male gender, loss of OVD and bad buffer capacity were risk factors for angular cheilitis. Fractures of the base and repair of broken dentures were risk factors for traumatic ulcers. CONCLUSIONS These results show a high frequency of denture-related lesions. Besides, participants hygiene habits and poor quality of the dentures were the main factors for the development of these lesions.
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Affiliation(s)
- M-F Brantes
- Departmento de Medicina Oral e Odontologia Infantil, Universidade Estadual de Londrina (UEL), Rua Pernambuco 540, Londrina, Paraná, Brazil, CEP: 86020-120,
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Bozdemir E, Yilmaz HH, Orhan H. Oral mucosal lesions and risk factors in elderly dental patients. J Dent Res Dent Clin Dent Prospects 2019; 13:24-30. [PMID: 31217915 PMCID: PMC6571520 DOI: 10.15171/joddd.2019.004] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2018] [Accepted: 02/05/2019] [Indexed: 11/13/2022] Open
Abstract
Background. The aim of this study was to determine the prevalence of oral lesions in terms of sex, age, educational status, medication use, systemic diseases, the duration of denture use and tobacco or alcohol use.
Methods. A total of 709 voluntary patients (375 males and 334 females), aged ≥60 years, were interviewed by one investigator for demographic data, systemic diseases, tobacco or alcohol use, denture use and the duration of denture use.
Results. The majority of the participants (87.6%) had one or more oral mucosal lesions. The prevalence of oral mucosal lesions was 46.3% in males and 41.3% in females (P=0.76). The most common oral mucosal lesion was a sublingual varicosity in both males and females. A statistically significant difference was observed between the three age groups (60–64, 65–69, and ≥70 years) with regard to the prevalence of oral mucosal lesions (P=0.02). There was a significant relationship between the presence of systemic diseases and oral mucosal lesions (P=0.01). There was also a significant relationship between denture use and oral mucosal lesions (P=0.001). Smoking and a history of smoking were also significant predictive factors for oral mucosal lesions (OR: 3.385, P=0.045).
Conclusion. Although the majority of oral mucosal lesions detected in the present study were benign, there were some patients with premalignant and malignant lesions. Therefore, periodic oral examinations for detection of precancerous and cancerous lesions are important, especially in the elderly, smokers and denture users.
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Affiliation(s)
- Esin Bozdemir
- Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Suleyman Demirel University, Isparta, Turkey
| | | | - Hikmet Orhan
- Department of Biostatistics and Medical Informatics, Faculty of Medicine, Suleyman Demirel University, Isparta, Turkey
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Kostic M, Igic M, Jevtovic Stoimenov T, Pejcic A, Pesic Stankovic J. Determination of Salivary Myeloperoxidase, Immunoglobulin E, and Tumor Necrosis Factor-α after Complete Denture Insertion. Med Princ Pract 2019; 28:347-351. [PMID: 30844800 PMCID: PMC6639651 DOI: 10.1159/000499429] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/30/2018] [Accepted: 03/07/2019] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVE To detect activities of salivary myeloperoxidase (MPO) and concentrations of salivary tumor necrosis factor (TNF)-α as indicators of inflammatory reaction and salivary immunoglobulin E as an indicator of allergic reaction after complete insertion of acrylic dentures. SUBJECTS AND METHODS Complete dentures were made for a uniform group of elderly patients, and saliva samples were taken immediately before they were given to the patients, as well as 2, 3, 7, and 30 days after insertion of the dentures, with simultaneous monitoring of changes in the oral mucosa. RESULTS After 7 and 30 days of wearing upper and lower complete dentures, nonsignificant increases in salivary MPO and TNF-α were proven to be indicators of inflammation. No changes were observed in the values of salivary immunoglobulin E during a 30-day observational period, which excluded the appearance of allergic reactions to acrylic materials in the tested group of patients. CONCLUSION A nonsignificant increase in the levels of MPO was observed on day 7; it decreased after 30 days. TNF-α also tended to increase in a nonsignificant manner.
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Affiliation(s)
- Milena Kostic
- Department of Prosthodontics, Faculty of Medicine, University of Nis, Nis, Serbia,
| | - Marko Igic
- Department of Prosthodontics, Faculty of Medicine, University of Nis, Nis, Serbia
| | | | - Ana Pejcic
- Department of Oral Medicine and Periodontology, Faculty of Medicine, University of Nis, Nis, Serbia
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12
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Resistance to Oral Pathogens Among Dentures Wearers. JOURNAL OF PURE AND APPLIED MICROBIOLOGY 2018. [DOI: 10.22207/jpam.12.2.59] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Abstract
Objectives: To assess the denture hygiene habits in a population of Lebanese denture wearers. Materials and Methods: One hundred and thirty-two (132) patients [71 women (53.8%) and 61 men (46.2%)] wearing their acrylic dentures for more than two years were included in this study. The hygiene methods related to their dentures were evaluated and the data obtained were analyzed statistically using the IBM® SPSS® statistics 20.0 (USA) statistical package. Results: Regardless of the cleaning technique, the big majority of our participants [123 out of 132 (93.1%)] cleaned their dentures daily. The two mostly used denture cleaning techniques were rinsing with tap water (34.1%) and brushing with toothpaste (31.8%). Nearly half of our patients (45.5%) soaked their dentures during the night; most of them with cleansing tablets dissolved in water (28.8%). Conclusions: Within the limitations of our study, it was concluded that in a sample of Lebanese population surveyed about denture hygiene habits, the daily frequency of denture cleaning is satisfactory, but the techniques and products used were self-estimated and, consequently, not sufficient.
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Affiliation(s)
- Georges Aoun
- Department of Oral Pathology and Diagnosis, Faculty of Dental Medicine, Lebanese University, Beirut, Lebanon
| | - Elie Gerges
- Department of Prosthodontics, Faculty of Dental Medicine, Lebanese University, Beirut, Lebanon
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Barcellos ASDP, Kimpara ET, De Faria JCB, Monteiro JB, Carvalho RLDA. Avaliação dos hábitos de higiene bucal em portadores de prótese total associados à prevalência de lesões bucais. HU REVISTA 2017. [DOI: 10.34019/1982-8047.2017.v43.2603] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
A reabilitação oral com prótese total removível (PTR) visa à devolução de estética e função aos pacientes desdentados, apesar de ser considerada facilitadora de várias patologias bucais. Assim, o objetivo deste estudo foi conhecer os hábitos de higiene bucal dos usuários de PTR, o estado de conservação associado à presença de lesões bucais e o recebimento de orientação profissional. Sessenta usuários de PTR foram entrevistados e suas próteses avaliadas quanto à higiene, conservação e saúde bucal. Observou-se que 96,7% dos pesquisados não receberam orientação profissional, o método mecânico foi o mais utilizado para higienização e realizado três vezes ao dia (36,7%). A higiene das PTR apresentou-se moderada e as características funcionais estavam insatisfatórias. A queilite angular não teve significância estatística, quando associada ao nível de higiene. A ausência de retenção e estabilidade estática associou com as lesões no maxilar inferior (p=0,02). As características deficientes das PTR representam uma tendência para a ocorrência de lesões bucais e os participantes, apesar da higiene frequente, não conheciam a forma correta de higienização e não receberam orientação que a PTR poderia causar lesões bucais.
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Shankar T, Gowd S, Suresan V, Mantri S, Saxena S, Mishra P, Panday P. Denture Hygiene Knowledge and Practices among Complete Denture Wearers attending a Postgraduate Dental Institute. J Contemp Dent Pract 2017; 18:714-721. [PMID: 28816196 DOI: 10.5005/jp-journals-10024-2113] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
AIMS The aim of this study was to assess the denture hygiene knowledge and practices among patients using complete dentures attending a postgraduate dental hospital in Jabalpur city. The objective of this study was to assess the relationship between hygiene knowledge and practices to the denture wearer's gender, education, and income. MATERIALS AND METHODS A descriptive, cross-sectional survey was conducted using a self-administered questionnaire involving the complete denture patients attending the Department of Prosthodontics. The study subjects were randomly selected by recruiting old dentures wearers visiting the Department of Prosthodontics for a recall visit or for new dentures on the odd dates of the month. All subjects signed an informed consent before filling the questionnaire. The institutional review committee approved the study. Descriptive statistics included computation of frequencies and percentages. Nonparametric test, namely, chi-square test, was used for further data analysis; p-value <0.05 was considered statistically significant. RESULTS A total of 530 individuals were approached for participation in our survey, 30 (5.66%) subjects declined to participate. The results showed that 195 (39%) subjects were wearing the same dentures for more than 5 years. In this study, 51 (10.2%) subjects reported never having been advised by their dentists as to how to clean their dentures. Among all the subjects interviewed, 264 (52.8%) reported to clean the oral tissues daily. This study disclosed that 66 (13.2%) of the subjects usually slept with their dentures. Maximum subjects in illiterate group had experienced bad breath sometimes when compared with subjects in postgraduate group (χ2 = 47.452, p < 0.001). There was a significant difference for method of denture cleaning according to gender (χ2 = 101.076, p < 0.001). CONCLUSION The majority of the denture wearers have limited knowledge of denture cleansing and oral hygiene practices. Hygiene habits and practices may not always present a positive correlation with the gender, educational level, and income of the subjects. CLINICAL SIGNIFICANCE Periodic recall for evaluation of denture and mucosal surfaces along with reinforcement of denture hygiene instructions will go a long way in helping the patients reap maximum benefits out of their prostheses.
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Affiliation(s)
- Thatapudi Shankar
- Department of Prosthodontics, Kalinga Institute of Dental Sciences, KIIT University, Bhubaneswar, Odisha, India
| | - Snigdha Gowd
- Department of Dento-facial Orthopaedics and Orthodontics Kalinga Institute of Dental Sciences, KIIT University, Bhubaneswar Odisha, India
| | - Vinay Suresan
- Department of Public Health Dentistry, Kalinga Institute of Dental Sciences, KIIT University, Bhubaneswar, Odisha, India, Phone: +918763799695 e-mail:
| | - Sneha Mantri
- Department of Prosthodontics, Hitkarini Dental College & Hospital, Jabalpur, Madhya Prades, India
| | - Sudhanshu Saxena
- Department of Public Health Dentistry, Hazaribagh Dental College & Hospital, Hazaribagh, Jharkhand, India
| | - Prateek Mishra
- Department of Prosthodontics, Hitkarini Dental College & Hospital, Jabalpur, Madhya Prades, India
| | - Pragya Panday
- Department of Prosthodontics, Guru Gobind Singh College & Hospital, Bhuranpur, Madhya Pradesh, India
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de Carvalho Dias K, Barbugli PA, de Patto F, Lordello VB, de Aquino Penteado L, Medeiros AI, Vergani CE. Soluble factors from biofilm of Candida albicans and Staphylococcus aureus promote cell death and inflammatory response. BMC Microbiol 2017; 17:146. [PMID: 28666415 PMCID: PMC5493077 DOI: 10.1186/s12866-017-1031-5] [Citation(s) in RCA: 30] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2017] [Accepted: 05/15/2017] [Indexed: 11/19/2022] Open
Abstract
Background The objective of this study was to better understand the effects of soluble factors from biofilm of single- and mixed-species Candida albicans (C. albicans) and methicillin-sensitive Staphylococcus aureus (MSSA) cultures after 36 h in culture on keratinocytes (NOK-si and HaCaT) and macrophages (J774A.1). Soluble factors from biofilms of C. albicans and MSSA were collected and incubated with keratinocytes and macrophages, which were subsequently evaluated by cell viability assays (MTT). Lactate dehydrogenase (LDH) enzyme release was measured to assess cell membrane damage to keratinocytes. Cells were analysed by brightfield microscopy after 2 and 24 h of exposure to the soluble factors from biofilm. Cell death was detected by labelling apoptotic cells with annexin V and necrotic cells with propidium iodide (PI) and was visualized via fluorescence microscopy. Soluble factors from biofilm were incubated with J774A.1 cells for 24 h; the subsequent production of NO and the cytokines IL-6 and TNF-α was measured by ELISA. Results The cell viability assays showed that the soluble factors of single-species C. albicans cultures were as toxic as the soluble factors from biofilm of mixed cultures, whereas the soluble factors of MSSA cultures were less toxic than those of C. albicans or mixed cultures. The soluble factors from biofilm of mixed cultures were the most toxic to the NOK-si and HaCaT cells, as confirmed by analyses of PI labelling and cell morphology. Soluble factors from biofilm of single-species MSSA and mixed-species cultures induced the production of IL-6, NO and TNF-α by J744A.1 macrophages. The production of IL-6 and NO induced by the soluble factors from biofilm of mixed cultures was lower than that induced by the soluble factors from biofilm of single-species MSSA cultures, whereas the soluble factors from biofilm of C. albicans cultures induced only low levels of NO. Conclusions Soluble factors from 36-h-old biofilm of C. albicans and MSSA cultures promoted cell death and inflammatory responses.
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Affiliation(s)
- Kassia de Carvalho Dias
- Department of Dental Materials and Prosthodontics, Oral Rehabilitation Program-Araraquara School of Dentistry UNESP-Univ. Estadual Paulista, Centro, Araraquara, SP, 14801903, Brazil
| | - Paula Aboud Barbugli
- Department of Dental Materials and Prosthodontics, Oral Rehabilitation Program-Araraquara School of Dentistry UNESP-Univ. Estadual Paulista, Centro, Araraquara, SP, 14801903, Brazil
| | - Fernanda de Patto
- Department of Dental Materials and Prosthodontics, Oral Rehabilitation Program-Araraquara School of Dentistry UNESP-Univ. Estadual Paulista, Centro, Araraquara, SP, 14801903, Brazil
| | - Virginia Barreto Lordello
- Department of Biological Sciences, School of Pharmaceutical Sciences, UNESP-Univ Estadual Paulista, Araraquara, São Paulo, Brazil
| | - Letícia de Aquino Penteado
- Department of Biological Sciences, School of Pharmaceutical Sciences, UNESP-Univ Estadual Paulista, Araraquara, São Paulo, Brazil
| | - Alexandra Ivo Medeiros
- Department of Biological Sciences, School of Pharmaceutical Sciences, UNESP-Univ Estadual Paulista, Araraquara, São Paulo, Brazil
| | - Carlos Eduardo Vergani
- Department of Dental Materials and Prosthodontics, Oral Rehabilitation Program-Araraquara School of Dentistry UNESP-Univ. Estadual Paulista, Centro, Araraquara, SP, 14801903, Brazil.
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Gual-Vaqués P, Jané-Salas E, Egido-Moreno S, Ayuso-Montero R, Marí-Roig A, López-López J. Inflammatory papillary hyperplasia: A systematic review. Med Oral Patol Oral Cir Bucal 2017; 22:e36-e42. [PMID: 27918740 PMCID: PMC5217495 DOI: 10.4317/medoral.21405] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2016] [Accepted: 11/03/2016] [Indexed: 12/14/2022] Open
Abstract
INTRODUCTION Inflammatory papillary hyperplasia (IPH) is a benign lesion of the palatal mucosa. It is usually found in denture-wearers but also has been reported in patients without a history of use of a maxillary prosthesis use. OBJECTIVES The aim of this study is to review the literature to assess the prevalence of denture stomatitis and inflammatory papillary hyperplasia and the etiological factors associated. MATERIAL AND METHODS A search was carried out in PubMed (January 2005 to October 2015) with the key words "inflammatory papillary hyperplasia", "denture stomatitis", "granular stomatitis" and "Newton's type III" The inclusion criteria were studies including at least a sample of 50 apparently healthy patients, articles published from 2005 to 2015 written in English. The exclusion criteria were reviews and non-human studies. RESULTS Out of the 190 studies obtained initially from the search 16 articles were selected to be included in our systematic review. The prevalence of denture stomatitis was 29.56% and 4.44% for IPH. We found 5 cases of denture stomatitis among non-denture-wearer individuals. All IPH cases were associated with the use of prosthesis. Smoking and continued use of ill-fitting dentures turned out to be the most frequent risk factors for developing IPH. CONCLUSIONS IPH is a rare oral lesion and its pathogenesis still remains unclear. Its presentation among non-denture-wearers is extremely unusual.
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Affiliation(s)
- P Gual-Vaqués
- University Campus of Bellvitge, Pabellón de Gobierno, 2nd floor, office 2:29, Feixa Llarga, s/n 08907, L'Hospitalet de Llobregat, Barcelona, España,
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Akçiçek G, Akkaya N, Boyacıoğlu Doğru H. Removable denture-related oral mucosal lesions: descriptive clinical study. ACTA ODONTOLOGICA TURCICA 2016. [DOI: 10.17214/gaziaot.267234] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Sánchez-Aliaga A, Pellissari CVG, Arrais CAG, Michél MD, Neppelenbroek KH, Urban VM. Peel bond strength of soft lining materials with antifungal to a denture base acrylic resin. Dent Mater J 2016; 35:194-203. [PMID: 27041008 DOI: 10.4012/dmj.2014-269] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
The effect of the addition of nystatin, miconazole, ketoconazole, chlorhexidine, and itraconazole into the soft lining materials Softone and Trusoft on their peel bond strength to a denture base acrylic resin was evaluated. Specimens of soft lining materials (n=7) were made without (control) or with the incorporation of antifungals at their minimum inhibitory concentrations to the biofilm of C. albicans and bonded to the acrylic resin. Peel testing was performed after immersion in distilled water at 37ºC for 24 h, 7 and 14 days. Data (MPa) were analyzed by 3-way ANOVA/Tukey-Kramer test (α=0.05) and the failure modes were classified. The addition of nystatin and ketoconazole did not affect the peel bond strength for up to 14 days. Most failures were predominantly cohesive within soft lining materials. With the exception of itraconazole, incorporating the antifungals into the soft lining materials did not result in values below those recommended for peel bond strength after 7 and 14 days of analysis.
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Mubarak S, Hmud A, Chandrasekharan S, Ali AA. Prevalence of denture-related oral lesions among patients attending College of Dentistry, University of Dammam: A clinico-pathological study. J Int Soc Prev Community Dent 2016; 5:506-12. [PMID: 26759806 PMCID: PMC4697237 DOI: 10.4103/2231-0762.170525] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Background: Heterogeneous groups of oral lesions are likely to develop among denture wearers. The objectives of this study were to determine the exact prevalence of oral lesions among denture wearers attending the clinics of the College of Dentistry, University of Dammam. Materials and Methods: All denture wearers attending the dental clinics in the period between January 2012 and April 2013 were included in this study. Of the total 210 patients, 166 (79%) were males and 44 (21%) were females. Comprehensive oral examination was performed for all patients. Any denture-induced lesion was biopsied. Data collected were analyzed using SPSS program. Results: Oral lesions were found in 20.5% of the cases under study (43 out of the total 210 denture wearers). Denture-induced fibrous hyperplasia was the most common type of lesion detected (41.9%). A significant correlation (P = 0.004) was found between the type of denture and oral lesions in this study. Conclusion: The prevalence of denture-induced oral lesions was found to differ significantly from that reported in other studies. The diversity of these lesions among different studies depends on the quality and materials of dentures delivered, the techniques used, and the methods of patients’ instructions adopted.
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Affiliation(s)
- Suhayla Mubarak
- Unit of Oral Radiology, College of Dentistry, University of Dammam, Dammam, Saudi Arabia
| | - Ali Hmud
- Department of Substitutive Dental Sciences, College of Dentistry, University of Dammam, Dammam, Saudi Arabia
| | - Suresh Chandrasekharan
- Unit of Oral Radiology, College of Dentistry, University of Dammam, Dammam, Saudi Arabia
| | - Aiman A Ali
- Oral Pathology and Medicine Unit, Department of Biomedical Dental Sciences, College of Dentistry, University of Dammam, Dammam, Saudi Arabia
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Nair VV, Karibasappa GN, Dodamani A, Prashanth VK. Microbial contamination of removable dental prosthesis at different interval of usage: An in vitro study. J Indian Prosthodont Soc 2016; 16:346-351. [PMID: 27746598 PMCID: PMC5062147 DOI: 10.4103/0972-4052.176536] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Background: Loss of teeth affects the individual's health. Many factors determine the need to wear a removable dental prosthesis. Due to nature of design, age and lack of awareness, prosthesis often are neglected to maintain in an aseptic condition leading to microbial contamination. This provided an impetus for the present study with the aim of determining the microbial contamination of removable dental prosthesis. Methodology: Total, 45 patients wearing removable dental prosthesis were randomly selected. Patients were divided into three groups as per duration of usage since 1 month, 6 month and ≥1 year. Sterile cotton swab moistened with phosphate buffer saline (PBS) was used to collect swab from the fitting areas of prosthesis. Swab samples was inserted immediately into the sterile tube containing 1 ml of PBS solution, 10 μl PBS is inoculated on the blood agar and MacConkey agar plates using spread plate technique. Samples were cultured and incubated at 37°C for 48 h. Calibrated microbiologist isolated, identified and counted microorganisms using colony counter. Depending on the nature of data, statistical analysis was done applying Kruskal–Wallis test, Mann–Whitney U-test and Chi-square test. Result: Streptococcus species and Staphylococcus aureus were the common microorganisms isolated in all three groups and was statistically significant at P <0.05. Candida albicans, Diptheroid, Escherichia coli, Micrococcus species were isolated from Group II and Group III. Conclusion: There is a linear increase in microbial contamination of removable dental prosthesis as the duration of usage increases and might increase the susceptibility of individuals' to many diseases.
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Affiliation(s)
- Vijita Vijay Nair
- Department of Public Health Dentistry, ACPM Dental College and Hospital, Dhule, Maharashtra, India
| | - G N Karibasappa
- Department of Public Health Dentistry, ACPM Dental College and Hospital, Dhule, Maharashtra, India
| | - Arun Dodamani
- Department of Public Health Dentistry, ACPM Dental College and Hospital, Dhule, Maharashtra, India
| | - V K Prashanth
- Department of Public Health Dentistry, ACPM Dental College and Hospital, Dhule, Maharashtra, India
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Andjelkovic M, Sojic LT, Lemic AM, Nikolic N, Kannosh IY, Milasin J. Does the Prevalence of Periodontal Pathogens Change in Elderly Edentulous Patients after Complete Denture Treatment? J Prosthodont 2015; 26:364-369. [DOI: 10.1111/jopr.12402] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/16/2015] [Indexed: 11/29/2022] Open
Affiliation(s)
- Marko Andjelkovic
- Department of Prosthodontics, School of Dental Medicine; University of Belgrade; Serbia
| | | | | | - Nadja Nikolic
- Department of Human Genetics, School of Dental Medicine; University of Belgrade; Serbia
| | | | - Jelena Milasin
- Department of Human Genetics, School of Dental Medicine; University of Belgrade; Serbia
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Diode laser surgery versus scalpel surgery in the treatment of fibrous hyperplasia: a randomized clinical trial. Int J Oral Maxillofac Surg 2015; 44:1383-9. [DOI: 10.1016/j.ijom.2015.05.015] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2014] [Revised: 03/12/2015] [Accepted: 05/18/2015] [Indexed: 11/20/2022]
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Kurtulmus-Yilmaz S, Yilmaz HG, Tumer H, Sadettinoglu K. Clinical Evaluation of the Er,Cr:YSGG Laser Therapy in the Treatment of Denture-Related Traumatic Ulcerations: A Randomized Controlled Clinical Study. Photomed Laser Surg 2015; 33:224-9. [DOI: 10.1089/pho.2014.3846] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
| | - Hasan Guney Yilmaz
- Department of Periodontology, Faculty of Dentistry, Near East University, Mersin, Turkey
| | - Hayriye Tumer
- Department of Periodontology, Faculty of Dentistry, Near East University, Mersin, Turkey
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Yen YY, Lee HE, Wu YM, Lan SJ, Wang WC, Du JK, Huang ST, Hsu KJ. Impact of removable dentures on oral health-related quality of life among elderly adults in Taiwan. BMC Oral Health 2015; 15:1. [PMID: 25559722 PMCID: PMC4298049 DOI: 10.1186/1472-6831-15-1] [Citation(s) in RCA: 50] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2014] [Accepted: 12/22/2014] [Indexed: 11/10/2022] Open
Abstract
Background Although the use of removable dentures can improve oral function and esthetics for elderly people, compared to those who do not wear removable dentures, those wearing removable dentures could have worse oral health related-quality of life (OHRQoL). Additional information is required to assess which factors related to denture wearing influence the OHRQoL of elderly individuals. The purpose of this study is to evaluate the association between denture wearing and OHRQoL in a sample of elderly individuals in Taiwan. Methods The study population included 277 elderly people wearing removable dentures (mean age = 76.0 years). Using face-to-face interviews, we collected data on the participants’ socio-demographic characteristics, dental care service usage (regular dental checkups, treatment during toothache, dental visits in the last year), and factors related to denture wearing (perceived oral pain, perceived loose denture, perceived oral ulcer, perceived halitosis, perceived dry mouth, and perceived total denture satisfaction scores). OHRQoL was measured using the Taiwanese version of the Geriatric Oral Health Assessment Index (GOHAI-T). The location and number of remaining natural teeth and the type of denture were also recorded. Hierarchical multiple regression analysis was performed using GOHAI-T scores as the dependent variable. Results All the predictors together accounted for 50% of the variance in GOHAI-T scores. Further, education level, number of natural teeth, denture status, perceived loose denture, perceived oral ulcer, and perceived total denture satisfaction scores had statistically significant influences on OHRQoL. When compared with other variables, factors related to denture wearing, especially perceived total denture satisfaction scores, had the greatest impact on GOHAI-T scores. Conclusions Of the factors analyzed in this study, denture satisfaction was the strongest predictor of OHRQoL. This suggests that denture satisfaction is useful for assessing the effect of denture treatment on the OHRQoL of elderly individuals wearing removable dentures.
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Affiliation(s)
| | | | | | | | | | | | | | - Kun-Jung Hsu
- Division of Family Dentistry, Department of Dentistry, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
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Neppelenbroek KH, Kurokawa LA, Procópio ALF, Pegoraro TA, Hotta J, Mello Lima JF, Urban VM. Hardness and surface roughness of enamel and base layers of resin denture teeth after long-term repeated chemical disinfection. J Contemp Dent Pract 2015; 16:54-60. [PMID: 25876951 DOI: 10.5005/jp-journals-10024-1635] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
AIM To evaluate the effect of successive cycles of disinfection in different denture cleansers on the surface roughness and the Vickers hardness of two layers of acrylic resin (base-BL and enamel-EL) of two commercial cross-linked artificial teeth. MATERIALS AND METHODS The occlusal surfaces of 60 acrylic resin denture posterior teeth (Trilux-TLX and SR Orthosit PE-SRO) embedded in autopolymerizing acrylic resin were ground fat with 1200-grit silicon carbide paper. Specimens were stored in distilled water at 37°C and then submitted to the microhardness (VHN) and roughness (μm) tests. Specimens were stored in distilled water at 37°C for 90 days and submitted to 720 disinfection cycles in sodium hypochlorite at 0.5%, 30% vinegar solution or distilled water (control). Afterward, micro-hardness and roughness tests were again performed. Data were analyzed using two-way ANOVA and Tukey's test (α=0.05). RESULTS Hypochlorite immersion decreased the hardness of BL and EL of SRO teeth, with an average reduction of 10.11% (p<0.008). TLX teeth demonstrated a hardness reduction of 28.96% of both layers for all solutions including water (p<0.0000). The roughness of both teeth was not affected by denture cleansers (p>0.37). CONCLUSION Hypochlorite promoted deleterious effects on the hardness of both layers of the artificial teeth tested. Immersion in vinegar and water also resulted in reduction of hardness of TLX teeth. CLINICAL SIGNIFICANCE The surface hardness of the different layers of cross-linked artificial teeth can be altered by daily disinfection in denture cleansers commonly indicated for removable dentures.
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Affiliation(s)
- Karin Hermana Neppelenbroek
- Assistant Professor, Department of Prosthodontics, Bauru School of Dentistry, University of São Paulo, São Paulo, Brazil, Phone: 551432358245, e-mail:
| | - Luciana Ayumi Kurokawa
- Department of Prosthodontics, Bauru School of Dentistry, University of São Paulo, São Paulo, Brazil
| | | | | | - Juliana Hotta
- Department of Prosthodontics, Bauru School of Dentistry, University of São Paulo, São Paulo, Brazil
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Resende CMBMD, Ribeiro JAM, Dias KDC, Carreiro ADFP, Rego MPPD, Queiroz JWND, Barbosa GAS, Oliveira ÂGRDC. Signs of Combination Syndrome and removable partial denture wearing. REVISTA DE ODONTOLOGIA DA UNESP 2014. [DOI: 10.1590/1807-2577.1041] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Introduction: Combination Syndrome (CS) is a pathological condition observed in maxillary complete denture (CD) and mandibular removable partial denture (RPD) wearers. Purpose: The aim of this study was to observe and measure the prevalence of CS signs in treatment-seeking wearers of maxillary CD associated or not with RPD (mandibular Kennedy Class I). The association between RPD wearing and the number of CS clinical signs was also evaluated. Material and method: The sample included 62 patients seen at the Department of Dentistry, Federal University of Rio Grande do Norte (UFRN). A clinical oral examination was conducted to assess the presence of specific clinical signs of CS as described by Kelly (1972): bone resorption in the maxillary anterior region, tuberosity overgrowth, palatal papillary hyperplasia, extrusion of mandibular anterior teeth and bone resorption in the mandibular posterior region. The chi-square test at the 95% level of significance was used to test the association between dependent and independent variables. Result: Mandibular resorption was the most frequent complication (93.5%). There was a statistically significant difference between RPD wearers and non-wearers with regard to extrusion of mandibular anterior teeth (p = 0.045). Conclusion: Within the limitations of the present study, a high prevalence of CS clinical signs was observed, but no association between RPD wearing and syndrome characteristics was found.
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Saha A, Dutta S, Varghese RK, Kharsan V, Agrawal A. A survey assessing modes of maintaining denture hygiene among elderly patients. J Int Soc Prev Community Dent 2014; 4:145-8. [PMID: 25374830 PMCID: PMC4209611 DOI: 10.4103/2231-0762.142007] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
Objective: To determine the denture hygiene habits in complete denture wearers. Materials and Methods: In this study, a self-administered structured questionnaire was developed to know the attitude of the patients from the Department of Prosthodontics regarding denture hygiene. The study sample consisted of totally 500 subjects, which included 284 (56.8%) males and 216 (43.2%) females. Data were analyzed using SPSS version 15.0 with Chi-square (χ2) test at P < 0.05. Results: Nearly half of the subjects cleaned their dentures daily once. Participants from the younger age group and who had been wearing dentures since 2 years maintained better frequency of cleaning. The majority of these subjects used water and brush for denture cleansing. After seeing the condition, more than half of the dentures were rated as poor (60%). There was significant difference between all the groups on comparison (P = 0.001). Conclusion: Poor condition of complete dentures seen in the population is mainly due to irregular cleansing habits and also less usage of cleansing solutions. Dentists should give proper instructions regarding maintenance of denture hygiene.
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Affiliation(s)
- Ashishtaru Saha
- Department of Prosthodontic and Crown and Bridge, New Horizon Dental College, Sakri, India
| | - Sudipto Dutta
- Department of Oral Medicine and Radiology, Triveni Institute of Dental Sciences, Bodri, Bilaspur, Chattisgarh, India
| | - Rana K Varghese
- Department of Conservative Dentistry and Endodontics, New Horizon Dental College, Sakri, India
| | - Vinay Kharsan
- Department of Oral and Maxillofacial Surgery, New Horizon Dental College, Sakri, India
| | - Anil Agrawal
- Department of Public Health Dentistry, New Horizon Dental College, Sakri, India
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Ercalik-Yalcinkaya S, Özcan M. Association between Oral Mucosal Lesions and Hygiene Habits in a Population of Removable Prosthesis Wearers. J Prosthodont 2014; 24:271-8. [DOI: 10.1111/jopr.12208] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/04/2014] [Indexed: 11/30/2022] Open
Affiliation(s)
- Sebnem Ercalik-Yalcinkaya
- Associate Professor; Marmara University; Faculty of Dentistry; Department of Dentomaxillofacial Radiology; Istanbul Turkey
| | - Mutlu Özcan
- Professor; University of Zürich; Center for Dental and Oral Medicine; Dental Materials Unit; Clinic for Fixed and Removable Prosthodontics and Dental Materials Science; Zürich Switzerland
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Jivanescu A, Borgnakke WS, Goguta L, Erimescu R, Shapira L, Bratu E. Effects of a Hydrogel Patch on Denture-Related Traumatic Ulcers; an Exploratory Study. J Prosthodont 2014; 24:109-14. [DOI: 10.1111/jopr.12186] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/11/2014] [Indexed: 11/30/2022] Open
Affiliation(s)
- Anca Jivanescu
- Assistant Professor; Department of Prosthodontics; Faculty of Dentistry; University of Medicine and Pharmacy “Victor Babes,”; Timisoara Romania
| | - Wenche Sylling Borgnakke
- Adjunct Clinical Assistant Professor; Department of Periodontics and Oral Medicine; School of Dentistry; University of Michigan; Ann Arbor MI
| | - Luciana Goguta
- Assistant Professor; Department of Prosthodontics; Faculty of Dentistry; University of Medicine and Pharmacy “Victor Babes,”; Timisoara Romania
| | - Raluca Erimescu
- Assistant Professor; Department of Prosthodontics; Faculty of Dentistry; University of Medicine and Pharmacy “Victor Babes,”; Timisoara Romania
| | - Lior Shapira
- Professor and Chair; Department of Periodontology; Hebrew University-Hadassah Faculty of Dental Medicine; Jerusalem Israel
| | - Emanuel Bratu
- Professor, Department of Implant Supported Restorations; Faculty of Dentistry; University of Medicine and Pharmacy “Victor Babes,”; Timisoara Romania
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Apratim A, Shah SS, Sinha M, Agrawal M, Chhaparia N, Abubakkar A. Denture hygiene habits among elderly patients wearing complete dentures. J Contemp Dent Pract 2013; 14:1161-4. [PMID: 24858768 DOI: 10.5005/jp-journals-10024-1468] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
OBJECTIVE To determine the denture hygiene habits in complete denture patients according to their age and time of dentures. METHODS In this study a self administered structured was developed to know the attitude of the patients regarding denture hygiene in the department of Prosthodontics. The total study sample consisted of 230 subjects including 124 (53.9%) males and 106 (46.1%) females. Data was analyzed using SPSS version 15.0 with chi-square test at p-value <0.05. RESULTS Nearly half of the subjects clean their dentures daily once. Participants from the younger age group and who had been wearing dentures since 2 years maintain better frequency of cleaning. The majority of these subjects used water and brush for denture cleansing. After seeing the condition, half of the dentures were rated as good 50.3%, followed by fair and poor as 29.5 and 20.2% respectively. CLINICAL SIGNIFICANCE Poor condition of complete dentures seen in the population is mainly due to irregularly cleansing habits and also less usage of cleansing solutions. Dentists should give proper instructions regarding maintenance of denture hygiene.
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Affiliation(s)
- Abhishek Apratim
- Reader, Department of Prosthodontics, Dr BR Ambedkar Institute of Dental Sciences and Hospital, Patna, Bihar, India
| | - Sanket S Shah
- Reader, Department of Prosthodontics, Vaidik Dental College and Research Centre, Daman, UT, India
| | - Manish Sinha
- Professor and Head, Department of Prosthodontics, Vaidik Dental College and Research Centre, Daman, UT, India, Phone: 9825222015 e-mail:
| | - Manisha Agrawal
- Reader, Department of Prosthodontics, Vaidik Dental College and Research Centre, Daman, UT, India
| | - Nidhi Chhaparia
- Senior Lecturer, Department of Prosthodontics, Vaidik Dental College and Research Centre, Daman, UT, India
| | - Abu Abubakkar
- Reader, Department of Prosthodontics, Yenepoya Dental College Yenepoya University, Mangalore, Karnataka, India
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Shet R, Shetty SR, M K, Kumar MN, Yadav RD, S S. A study to evaluate the frequency and association of various mucosal conditions among geriatric patients. J Contemp Dent Pract 2013; 14:904-910. [PMID: 24685796 DOI: 10.5005/jp-journals-10024-1424] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
UNLABELLED Geriatric dentistry or gerodontics is the delivery of dental care to older adults involving the diagnosis, prevention and treatment of problems associated with normal aging and age-related diseases as part of an interdisciplinary team with other health care professionals. AIM To evaluate the oral mucosal status in the elderly population of different age group and fnd out the association of age, gender and denture with oral mucosal disorders. MATERIALS AND METHODS The study sample consisted of 570 geriatric persons concentrating mainly on the oral mucosal changes or lesions occurring in the geriatric population. Individuals those are aged above 60 years were selected, and all the examined geriatric persons were categorized into 3 age groups to fnd out the association of oral mucosal lesions in each group. Group I-60 to 65 years, Group II-66 to 70 years, Group III-71 and above years. RESULTS The sample of 570 elderly patients included 279 (48.95%) men and 291 (51.05%) women in three age groups: 61 to 65 years (40.35%), 66 to 70 years (31.05%), and 71 years and older (28.60%). The sample included 254 (44.56%) dentate patients, 205 (35.96%) denture wearers (partial and complete denture wearers) and 111 (19.47%) edentulous persons who lacked dentures in both the jaws. Almost half of the patients examined (48%) had one or more oral mucosal lesions. The 48% of the patients who presented with oral mucosal lesions, twenty fve different oral mucosal conditions were identifed and the three most common fndings were lingual varices (13.68%), denture induced infammatory fbrous hyperplasia (4.21%), squamous cell carcinoma (4.21%). There was some differences in the distribution of oral mucosal condition among the sexes. Leukoplakia and dysplasia were signifcantly associated with men (p < 0.001) whereas the association of fbroma and lichen planus with women were signifcant (p < 0.001). CONCLUSION In our study it was found that patients in groups II and III had more prevalence of oral mucosal disorders. Lingual varices, oral squamous cell carcinoma, fbroma and denture induced infammatory fbrous hyperplasia were more commonly associated with the geriatric patients. The oral lesions (fbroma and lichen planus) were strongly associated with women while leukoplakia was strongly associated with men. Ageing is an important factor that can infuence the occurrence of mucosal lesions and with age the oral mucosa becomes more permeable to noxious substances and more vulnerable to external carcinogens.
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Affiliation(s)
- Rgk Shet
- Professor, Department of Prosthodontics, College of Medical Sciences and Teaching Hospital, Bharatpur-10, Chitwan, Nepal
| | - Shobith R Shetty
- Senior Lecturer, Department of Oral Pathology, The Oxford Dental College and Hospital, Bengaluru, Karnataka, India e-mail:
| | - Kalavathi M
- Assistant Professor, Government Dental College and Hospital Bengaluru, Karnataka, India
| | - M Naveen Kumar
- Readear, Department of Oral Pathology, Kamineni Institute of Dental Sciences, Narketpally, Nalgonda, Andhra Pradesh, India
| | - Rishi Dev Yadav
- Senior Lecturer, Department of Conservative Dentistry, Eklavya Dental College and Hospital, Jaipur, Rajasthan, India
| | - Soumya S
- Senior Lecturer, Department of Prosthodontics, JSS Dental College and Hospital, Mysore, Karnataka, India
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Distribution Profile of Candida Species Involved in Angular Cheilitis Lesions Before and After Denture Replacement. Jundishapur J Microbiol 2013. [DOI: 10.5812/jjm.10884] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Wakabayashi N, Suzuki T. Patient-specific finite element analysis of viscoelastic masticatory mucosa. JOURNAL OF DENTAL BIOMECHANICS 2013; 4:1758736013483298. [PMID: 23580171 PMCID: PMC3619231 DOI: 10.1177/1758736013483298] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
Abstract
The purpose of this study was to analyze the stress and strain inside of the oral mucosa in partially-edentulous patients. The patient-specific finite element models of the mucosa and the bone were constructed using the CT images and in-vivo surface measurement during a continuous load. The mean initial shear modulus of 8.3 × 10–5 (GPa) and the mean relaxation time of 503 (s) were determined as the viscoelastic properties of the mucosa. The increase of the highest maximum compressive strain during the continuous loading was observed in all the patients, however; the intensity of strain was not in accordance with the thickness of the mucosa. It is suggested that the variations of the morphology and the initial modulus of the mucosa should be considered in the mathematical approaches to detect the mechanical responses of the oral mucosa.
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Affiliation(s)
- Noriyuki Wakabayashi
- Department of Removable Partial Prosthodontics, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan
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Sakar O, Sulun T, Bilhan H, Ispirgil E. Does the presence of anterior mandibular teeth increase the incidence of denture stomatitis? J Prosthodont 2012; 22:174-8. [PMID: 22984815 DOI: 10.1111/j.1532-849x.2012.00924.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
PURPOSE To compare the frequency of denture stomatitis (DS) under maxillary complete dentures (CDs) in patients with opposing mandibular distal extension removable partial dentures (RPDs) and CDs. MATERIALS AND METHODS Participants included 365 maxillary CD wearers (241 women, mean age 70.5 ± 13.2 years; 124 men, mean age 71.5 ± 10.4 years) from 7 rest homes in Istanbul. A total of 268 had mandibular CDs; 97 had mandibular distal extension RPDs. Two independent, calibrated examiners performed oral examinations. Presence of maxillary denture-related stomatitis and the effect of risk factors on DS were evaluated and recorded. RESULTS The frequency of palatal DS (Newton I-III) was 45.1% (n = 121) in the mandibular CD group and 49.5% (n = 48) in the mandibular distal extension RPD group, a statistically insignificant difference (p= 0.4). Factors significantly associated with palatal DS were maxillary denture age (p= 0.02), reduced occlusal vertical dimension (p= 0.04), and nocturnal denture wear (p= 0.03). CONCLUSION In this study, DS beneath maxillary CDs did not differ between mandibular distal extension RPD and CD wearers. The presence of mandibular anterior teeth did not influence the occurrence of palatal DS.
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Affiliation(s)
- Olcay Sakar
- Department of Prosthodontics, Istanbul University Faculty of Dentistry, Istanbul, Turkey
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Cueto A, Martínez R, Niklander S, Deichler J, Barraza A, Esguep A. Prevalence of oral mucosal lesions in an elderly population in the city of Valparaiso, Chile. Gerodontology 2012; 30:201-6. [DOI: 10.1111/j.1741-2358.2012.00663.x] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Senna PM, Sotto-Maior BS, Silva WJD, Del Bel Cury AA. Adding denture cleanser to microwave disinfection regimen to reduce the irradiation time and the exposure of dentures to high temperatures. Gerodontology 2012; 30:26-31. [DOI: 10.1111/j.1741-2358.2012.00641.x] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Wakami M, Kuyama K, Sun Y, Morikawa M, Aida M, Yamamoto H. So-called ^|^ldquo;Denture Fibroma^|^rdquo;: A Histopathological and Immunohistochemical Study. J HARD TISSUE BIOL 2012. [DOI: 10.2485/jhtb.21.279] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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39
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Wakami M, Kuyama K, Sun Y, Taguchi C, Morikawa M, Aida M, Yamamoto H. So-Called ^|^ldquo;Denture Fibroma^|^rdquo;: A Retrospective Clinico-Pathological Study and Review of Literatures. J HARD TISSUE BIOL 2012. [DOI: 10.2485/jhtb.21.367] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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40
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Machado de Andrade I, Cruz PC, Silva-Lovato CH, de Souza RF, Cristina Monteiro Souza-Gugelmin M, de Freitas Oliveira Paranhos H. Effect of Chlorhexidine on Denture Biofilm Accumulation. J Prosthodont 2011; 21:2-6. [DOI: 10.1111/j.1532-849x.2011.00774.x] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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Mima EGDO, Pavarina AC, Silva MM, Ribeiro DG, Vergani CE, Kurachi C, Bagnato VS. Denture stomatitis treated with photodynamic therapy: five cases. ACTA ACUST UNITED AC 2011; 112:602-8. [PMID: 21862363 DOI: 10.1016/j.tripleo.2011.05.019] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2011] [Revised: 04/19/2011] [Accepted: 05/06/2011] [Indexed: 10/17/2022]
Abstract
OBJECTIVE Photodynamic therapy (PDT) is an effective method for Candida spp. inactivation in vitro and in vivo, but as yet, no clinical trial has been conducted. This report describes 5 cases of denture stomatitis (DS) treated with PDT. STUDY DESIGN Five subjects with clinical and microbiologic diagnosis of DS were submitted to 6 sessions of PDT 3 times a week for 15 days. In each session, patients' dentures and palates were sprayed with 500 mg/L Photogem, and, after 30 minutes of incubation, irradiated by light-emitting diode light source at 455 nm (37.5 and 122 J/cm(2), respectively). Cultures of Candida spp. from dentures and palates and standard photographs of the palates were taken at baseline (day 0), at the end of the treatment (day 15), and at follow-up time intervals (days 30 and 60). RESULTS Four patients showed clinical resolution of DS (no inflammation) after PDT sessions, and only 1 subject demonstrated reduction in palatal inflammation. Recurrence of DS was observed in 2 patients during the follow-up period. CONCLUSIONS PDT appears to be an alternative treatment for DS.
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Geckili O, Bektas-Kayhan K, Eren P, Bilgin T, Unur M. The efficacy of a topical gel with triester glycerol oxide in denture-related mucosal injuries. Gerodontology 2011; 29:e715-20. [PMID: 21883424 DOI: 10.1111/j.1741-2358.2011.00549.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
OBJECTIVE The efficacy of a topical gel with triester glycerol oxide for treating ulcerations related to new complete dentures was studied and compared with a placebo gel. MATERIALS AND METHODS Fifty edentulous patients were enrolled in this double-blind clinical study. All subjects received new maxillary and mandibular complete dentures and were recalled 1, 3 and 7 days after denture placement. Twenty-five subjects received topical gel with triester glycerol oxide (TGO), and 25 subjects received topical gel without TGO. At each visit, pain and discomfort with the new dentures was assessed, and at the last visit, healing of ulcerations was also graded by a clinician. Subjects also graded the gel's taste, smell and ease of use. RESULTS Specifically, there was no statistically significant difference in ulcer healing (p > 0.05), ratings of smell, taste and ease of use (p > 0.05) or pain and discomfort scores (p > 0.05). However, within-group differences were observed in pain and discomfort scores between follow-up sessions (p = 0.01 for all comparisons). CONCLUSION Clinically, TGO gel is not effective in the treatment of mucosal injuries occurring following placement of complete dentures.
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Affiliation(s)
- Onur Geckili
- Department of Prosthodontics, Faculty of Dentistry, Istanbul University, Istanbul, Turkey.
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Sawada A, Wakabayashi N, Ona M, Suzuki T. Viscoelasticity of Human Oral Mucosa. J Dent Res 2011; 90:590-5. [DOI: 10.1177/0022034510396881] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
- A. Sawada
- Department of Removable Prosthodontics, School of Dentistry, Iwate Medical University, Iwate, Japan
| | - N. Wakabayashi
- Department of Removable Partial Prosthodontics, Graduate School, Tokyo Medical and Dental University, 1-5-45, Yushima, Bunkyo, Tokyo 113-8549, Japan
| | - M. Ona
- Department of Removable Partial Prosthodontics, Graduate School, Tokyo Medical and Dental University, 1-5-45, Yushima, Bunkyo, Tokyo 113-8549, Japan
| | - T. Suzuki
- Department of Removable Prosthodontics, School of Dentistry, Iwate Medical University, Iwate, Japan
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Ferreira RC, Magalhães CSD, Moreira AN. Oral mucosal alterations among the institutionalized elderly in Brazil. Braz Oral Res 2010; 24:296-302. [DOI: 10.1590/s1806-83242010000300007] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2010] [Accepted: 05/24/2010] [Indexed: 11/22/2022] Open
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Abstract
OBJECTIVE To determine the prevalence of oral mucosal lesions (OMLs) and denture-related mucosal lesions (DMLs) in denture wearers and to co-relate the prevalence with age, gender, type of denture and any systemic conditions. MATERIALS AND METHODS Dental records of 380 denture wearers were retrospectively reviewed for OMLs and DMLs. RESULTS We found 45% of the denture wearers had DMLs and 60.8% had OMLs not related to denture wearing. Although the prevalence of DMLs was higher in complete denture wearers than in partial denture wearers (49% vs. 42.2%), this difference was not significant. The most common DMLs were traumatic ulcer (19.5%) and denture-induced stomatitis (18.1%). When analysed by type, traumatic ulcer, denture hyperplasia, frictional keratosis and candidiasis were more common in complete denture wearers, whereas denture-induced stomatitis was more common in partial denture wearers. Frictional keratosis was more common in men than in women. The prevalence of OMLs not related to denture wearing was higher in complete denture wearers than in partial denture wearers, and the most common OML was fissured tongue (27.6%). No association between DMLs and systemic conditions or xerostomic drugs was noted. CONCLUSION No differences in the prevalence of DMLs in association with denture type were found. The prevalence of OMLs not related to denture wearing was higher in complete denture wearers than in partial denture wearers. This difference was affected by age, and the data were similar to the findings observed in the elderly.
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Affiliation(s)
- Aree Jainkittivong
- Department of Oral Medicine, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.
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46
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Mandali G, Sener ID, Turker SB, Ülgen H. Factors affecting the distribution and prevalence of oral mucosal lesions in complete denture wearers. Gerodontology 2010; 28:97-103. [DOI: 10.1111/j.1741-2358.2009.00351.x] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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47
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GLAZAR I, UREK MM, BRUMINI G, PEZELJ-RIBARIC S. Oral sensorial complaints, salivary flow rate and mucosal lesions in the institutionalized elderly. J Oral Rehabil 2010; 37:93-9. [DOI: 10.1111/j.1365-2842.2009.02027.x] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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48
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Peracini A, Andrade IMD, Paranhos HDFO, Silva CHLD, Souza RFD. Behaviors and hygiene habits of complete denture wearers. Braz Dent J 2010; 21:247-52. [PMID: 21203709 DOI: 10.1590/s0103-64402010000300013] [Citation(s) in RCA: 52] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2010] [Accepted: 06/22/2010] [Indexed: 11/22/2022] Open
Abstract
In this study, a questionnaire was applied to patients from Ribeirão Preto Dental School, University of São Paulo, Brazil, to evaluate the hygiene methods and habits concerning the use of complete dentures, the age of dentures, and whether patients have been instructed on how to clean their dentures. The mean age of patients was 63.35 years, and most of them were females (82.08%). The results showed that 62.26% of the respondents had been using the same maxillary complete denture for more than 5 years, and 49.06% used the same mandible complete denture for more than 5 years. Of the patients interviewed, 58.49% slept with the dentures. Mechanical brushing was the most used cleaning method by the patients (100%), using water, dentifrice and toothbrush (84.91%). Most patients (51.89%) reported never having been instructed by their dentists as to how to clean their dentures. Based on the limitations of this study, it was concluded that the patients interviewed had limited knowledge about prosthetic hygiene and oral care. The method more used by patients was the mechanical method of brushing, most patients used the same complete dentures for more than 5 years and slept with the dentures.
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Turker SB, Sener ID, Koçak A, Yilmaz S, Ozkan YK. Factors triggering the oral mucosal lesions by complete dentures. Arch Gerontol Geriatr 2009; 51:100-4. [PMID: 19819567 DOI: 10.1016/j.archger.2009.09.001] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2009] [Revised: 08/29/2009] [Accepted: 09/01/2009] [Indexed: 11/26/2022]
Abstract
Oral mucosal lesions may represent acute or chronic reactions to factors related with dentures. The aim of this study was to determine the frequency of the oral lesions related to gender, age, the length of time of denture usage, the balance of denture and cleaning methods and frequency. The 106 patients who have old complete dentures came to the Dental Faculty of Marmara University, Istanbul (Turkey) to have new complete dentures were asked to participate in the investigation. The subjects (51 men and 55 women) were 37-80 years of age with a mean age of 60.28+/-10.52 years. All main factors were estimated in subgroups: cleaning methods and frequency were divided into 3 subgroups respectively as toothbrush and toothpaste/soap, denture cleansing tablets and sodium carbonate, and 3 times a day, everyday, every 3 day and once a week. The data obtained was evaluated by One-way ANOVA, Mann-Whitney U-test, Kruskal-Wallis-test, Student t-test and chi(2)-test. The level of statistical significance was set at p<0.05. The patients displayed statistically significant differences in the topics of the length of time of denture usage and the balance of denture in terms of retention. The complete denture wearers should be educated in the importance of periodic examination due to the changing of supporting tissues for detection early mucosal lesions to maintain their oral and dentures hygiene in optimum level.
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Affiliation(s)
- Sebnem Begum Turker
- Marmara University, Department of Prosthodontics, Faculty of Dentistry, Istanbul, Turkey.
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50
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Freitas-Pontes KM, Silva-Lovato CH, Paranhos HFO. Mass loss of four commercially available heat-polymerized acrylic resins after toothbrushing with three different dentifrices. J Appl Oral Sci 2009; 17:116-21. [PMID: 19274397 PMCID: PMC4327588 DOI: 10.1590/s1678-77572009000200009] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2008] [Accepted: 09/16/2008] [Indexed: 12/03/2022] Open
Abstract
The association between a toothbrush and a dentifrice is the most used denture cleaning method. The purpose of this study was to evaluate the abrasiveness of specific and non-specific denture cleaning dentifrices on different heat-polymerized acrylic resins. Sixteen specimens (90x30x3mm) of each acrylic resin (QC-20, Lucitone 550, Clássico, Vipi-Cril) were prepared and randomly assigned to 4 groups: 1: control (distilled water), 2: Colgate, 3: Bonyplus and 4: Dentu-Creme. The specimens were subjected to simulated toothbrushing in an automatic brushing machine using 35,600 brush strokes for each specimen. Brushing abrasion run at a 200-g load with the specimens immersed in 2:1 dentifrice/water slurry. Specimens were reconditioned to constant mass and the mass loss (mg) was evaluated. Data were analyzed by 2-way ANOVA and Tukey's test (α=0.05). Analysis of dentifrices' abrasive particles was made by scanning electron microscopy. Colgate produced the greatest mass reduction (42.44 mg, p<0.05), followed by Dentu-Creme (33.60 mg). Bonyplus was the less abrasive (19.91 mg), similar to the control group (19.69 mg) (p>0.05). The mass loss values indicated that QC-20 (33.13 mg) and Lucitone 550 (33.05 mg) resins were less (p<0.05) resistant to abrasion than Clássico (26.04 mg) and Vipi-Cril (23.43 mg). In conclusion, Colgate produced the greatest abrasion. Specific dentifrices for dentures tend to cause less damage to acrylic resins.
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Affiliation(s)
- Karina M Freitas-Pontes
- Department of Dental Materials and Prosthodontics, Dental School of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil.
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