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      The knowledge, attitude and practice of edentulous patients attending a dental institute in India regarding care of their dental prostheses

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          Abstract

          AIM: The role of a dentist does not end with the placement of the prosthesis, for the care of the denture is equally important. This study aimed to assess knowledge, attitude and practice regarding care of complete dentures METHODS: The sample comprised 192 complete denture patients visiting the Department of Prosthodontics. A questionnaire assessed their socio-demographic status (Kuppuswamy's socio-economic classification), denture use, denture cleaning and knowledge of denture care. Data was subjected to descriptive statistical analysis RESULTS: 69.8% patients had only one set of complete dentures; 77.1% and 25.5% patients removed their dentures at night and during the day respectively. All reported cleaning their prostheses daily; 94.7% patients employed a tooth brush, 5.3% used denture brush and 3.6% used denture cleansers. 35.9% patients did not know about the estimated life expectancy of complete dentures and only 10.9% patients had knowledge of items to be avoided to prevent staining of dentures CONCLUSION: Instruction on how to care for complete dentures should be given special attention by the dentists during insertion. Follow up and reinforcement of denture home care should be done periodically to ensure durable performance of dentures as well as maintenance of good oral health

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          Effects of mechanical and chemical methods on denture biofilm accumulation.

          The aim of this study was to quantify biofilm on the internal surface of upper complete dentures following six possible cleansing methods. Thirty-six edentulous subjects were submitted to a time-series trial and dentures were cleansed according to six methods: (i) rinsing with water; (ii) soaking in an alkaline peroxide solution (Bonyplus); (iii) brushing with dentifrice (Dentu-Creme) and soft Johnson and Johnson's toothbrush; (iv) combination between soaking and brushing according to methods 2 and 3; (v) brushing with dentifrice (Dentu-Creme) and soft Oral B toothbrush; (vi) combination between soaking and brushing according to methods 2 and 5. Each method was randomly used throughout 21 days. Denture biofilm was disclosed by 1% neutral red solution and quantified by means of digital photos taken from the internal surface. The six methods presented significant differences in percentage of biofilm coverage (repeated measures anova, P < 0.0001). Method 1 showed the highest values, 2 was intermediate and other results were the lowest. The most efficacious approach was 6. Biofilm tended to accumulate predominantly over specific zones of the denture base, but this pattern did not change regardless of the method employed. It can be concluded that brushing alone was more effective than the chemical method employed. The best results were obtained by a combination of methods.
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            Denture hygiene: a review and update.

            K. Shay (2000)
            Growth in the aging population has resulted in an increasing number of older persons requiring dentures. The microporous surfaces of an acrylic denture provide a wide range of environments to support microorganisms that can threaten the health of a physically vulnerable patient. The maintenance of denture prostheses is important for the health of patients and to maintain an esthetic, odor-free appliance. Mechanical, chemical, and a combination of mechanical and chemical strategies are available to patients to facilitate denture hygiene. Brushing is an ineffective method of denture disinfection. Household bleach or vinegar are effective as are the commercial, effervescent products sold for denture soaking. A new denture cleaner contains silicone polymer that provides a protective coating for dentures as a final step in the cleaning process. The coating helps to minimize the adhesion of accretions to the denture throughout the day until the next cleaning. Dental professionals must have a current knowledge of denture cleansing strategies in order to maximize the service offered to denture patients.
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              Denture cleansing--the best approach.

              Denture cleanliness is essential to prevent malodour, poor aesthetics and the accumulation of plaque/calculus with its deleterious effects on the mucosa. There are a large number of solutions, pastes and powders available for cleaning dentures with a variety of claims for their relative efficacies. Denture cleansers in common use can broadly be divided into those having mechanical or chemical effects. Surveys show that some denture wearers experience difficulty in cleaning their dentures satisfactorily and many wear dirty dentures. Replacement dentures are sometimes necessary due to general deterioration of the denture base material because of the misuse or abuse of a range of approved denture cleaning methods or do-it-yourself cleaning methods such as the use of household bleach. Current popular cleaning methods used among complete and partial denture wearers are discussed and advice is given on recommended methods of cleaning dentures. The results of a survey conducted to assess patients' knowledge of cleaning procedures and methods and materials used are also presented. Respondents used a variety of combinations of cleaning methods. The findings of this survey that a large number of people do not know how to clean their dentures satisfactorily are in agreement with those of previous surveys. Recommendations are given on suitable methods of cleaning both metal and acrylic resin dentures.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                sadj
                South African Dental Journal
                S. Afr. dent. j.
                The South African Dental Association (SADA) (Johannesburg )
                0375-1562
                2015
                : 70
                : 7
                : 294-299
                Affiliations
                [1 ] Bharati Vidyapeeth Deemed University Dental College
                [2 ] K.L.E.V.K. Institute of Dental Sciences
                [3 ] Department of Prosthodontics
                [4 ] Department of Periodontics and Community Dentistry
                Article
                S0011-85162015000700005
                3853b26a-649b-45f4-8c2d-17a15a3d6f9a

                http://creativecommons.org/licenses/by/4.0/

                History
                Product

                SciELO South Africa

                Self URI (journal page): http://www.scielo.org.za/scielo.php?script=sci_serial&pid=0011-8516&lng=en
                Categories
                Biology
                Dentistry, Oral Surgery & Medicine
                Health Care Sciences & Services
                Health Policy & Services
                Medicine, General & Internal
                Medicine, Research & Experimental

                Medicine,General life sciences,Dentistry,Internal medicine,Health & Social care,Public health
                Knowledge,Attitude,Complete Denture,Denture maintenance

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