Denture related stomatitis

Question 1

What is DRS

Answer 1

Inflammatory condition observed when chronic irritation of the mucosa due to contact with the denture base has occurred

Question 2

What is DRS associated with

Answer 2

Primarily with poor denture hygiene

Question 3

Where is DRS most common

Answer 3

Under denture bearing area of the UPPER ARCH (v rare in mandible)

Question 4

Aetiology of DRS

Answer 4

Primarily plaque induced

Question 5

What are predisposing factors to DRS

Answer 5

• immunological deficiencies - vit b, c and iron
• hormonal imbalances
• Denture related trauma - ill fitting, occlusal faults, poor retention, parafunction, wearing denture at night

Question 6

Classification of DRS

Answer 6

Type 1 2 and 3

Question 7

Type 1 DRS

Answer 7

Localised simple inflammation or pinpoint hyperaemia - often trauma induced

Question 8

Type 2 DRS

Answer 8

Diffuse erythema confined to mucosa contacting denture

Question 9

Type 3 DRS

Answer 9

Granular type (inflammatory papillary hyperplasia) commonly involving the centre of hard palate and alveolar ridges

Question 10

Prevention of drs

Answer 10

Denture hygiene instructions - take denture out, brush denture with soft brush, soap and water and to use appropriate denture cleaning solutions

Question 11

Management DRS

Answer 11

• reinforce good denture hygiene and OH
• Leave dentures out at night and use cleaning solutions
• Assess denture for remade or relining
• Refer to GP for assessment of nutrition/immunological
• Swab area for candida

Question 12

Candida and DRS

Answer 12

If candida present, pt usually immunocompromised

Question 13

How to manage candida drs

Answer 13

Antifungals

Leave dentures to soak in CHX