Denture surfaces provide hard nonshedding niches for the adhesion and subsequent accumulation of oral microorganisms into denture plaque, which can harbor various potential pathogens linked with oral mucosal lesions and inhalation pneumonia. The initial adhesion is the prerequisite for subsequent biofilm growth, and surface roughness niches facilitate this process by trapping cells. Retained microorganisms are then able to proliferate when the denture is returned to the oral cavity.