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      A survey assessing modes of maintaining denture hygiene among elderly patients

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          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 (χ 2) 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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          Most cited references17

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          Oral mucosal lesions associated with the wearing of removable dentures.

          Marit E. Jørgensen (1981)
          Lesions of the oral mucosa associated with wearing of removable dentures may represent acute or chronic reactions to microbial denture plaque, a reaction to constituents of the denture base material, or a mechanical denture injury. The lesions constitute a heterogeneous group with regard to pathogenesis. They include denture stomatitis, angular cheilitis, traumatic ulcers, denture irritation hyperplasia, flabby ridges, and oral carcinomas. Denture stomatitis is the most common condition which affects the palatal mucosa in about 50% of wearers of complete or partial removable dentures. Most of the lesions caused by chronic infection (Candida albicans) or mechanical injury whereas allergic reactions to the denture base materials are uncommon. Angular cheilitis (lesions of the angles of the mouth) is characterized by maceration, erythema and crust formation. The prevalence is about 15% among wearers of complete dentures. The lesions have an infectious origin but several local, including prosthetic, or systemic predisposing conditions are usually present. Traumatic ulcers caused by dentures with overextended or unbalanced occlusion are seen in about 5% of denture wearers. Denture irritation hyperplasia, which is caused by chronic injury of the tissue in contact with the denture border, is present in about 12% of denture wearers. Flabby ridge, which is replacement of alveolar bone by fibrous tissue, is present in 10-20%. Finally, there is evidence that chronic injury of the oral mucosa by dentures in rare instances may predispose to development of carcinomas. Most types of lesions are benign and quite symptomless. However, diagnosis may be difficult and the more severe and dramatic tissue reactions to dentures may indicate underlying systemic diseases. In order to prevent or minimize the extent of the lesions, denture wearers should be recalled regularly for an examination of the oral cavity and the dentures. It is important that the examination is carried out by a person who has adequate medical knowledge.
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            Materials and methods for cleaning dentures.

            Ejvind Budtz-Jørgensen (1979)
            Proper hygienic care of removable dentures is an important means of maintaining a healthy oral mucosa in denture wearers. Denture cleanliness is often poor due to improper mechanical cleansing and the relative inefficiency of most commercial products for chemical cleansing of dentures. Dentists and patients should realize that microbial plaque on dentures may be harmful to both the oral mucosa and the patient's general health. It is the responsibility of the patient to maintain oral hygiene through a daily home care routine. It is the obligation of the dentist to motivate and instruct the patient and provide the means and methods for plaque control. Future research should be directed to developing solution cleansers which can maintain plaque-free dentures with a daily soaking period of 15 to 30 minutes and not affect the color and surface luster of the denture acrylic resin.
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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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                Author and article information

                Journal
                Journal ID (nlm-ta): J Int Soc Prev Community Dent
                Journal ID (iso-abbrev): J Int Soc Prev Community Dent
                Journal ID (publisher-id): JISPCD
                Title: Journal of International Society of Preventive & Community Dentistry
                Publisher: Medknow Publications & Media Pvt Ltd (India )
                ISSN (Print): 2231-0762
                ISSN (Electronic): 2250-1002
                Publication date (Print): Sep-Dec 2014
                Volume: 4
                Issue: 3
                Pages: 145-148
                Affiliations
                [1]Department of Prosthodontic and Crown and Bridge, New Horizon Dental College, Sakri, India
                [1 ]Department of Oral Medicine and Radiology, Triveni Institute of Dental Sciences, Bodri, Bilaspur, Chattisgarh, India
                [2 ]Department of Conservative Dentistry and Endodontics, New Horizon Dental College, Sakri, India
                [3 ]Department of Oral and Maxillofacial Surgery, New Horizon Dental College, Sakri, India
                [4 ]Department of Public Health Dentistry, New Horizon Dental College, Sakri, India
                Author notes
                Corresponding author (email: < bapi_saha@ 123456hotmail.com >) Dr. Ashishtaru Saha, Department of Prosthodontic and Crown and Bridge, New Horizon Dental College, Sakri, Bilaspur, Chattisgarh, India.
                Article
                Publisher ID: JISPCD-4-145
                DOI: 10.4103/2231-0762.142007
                PMC ID: 4209611
                PubMed ID: 25374830
                SO-VID: 6ae21148-3853-4e71-825d-709b263988bc
                Copyright © Copyright: © Journal of International Society of Preventive and Community Dentistry
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Categories
                Subject: Original Article

                Keywords: cleansing habits,denture,denture hygiene,elder patients,elderly,hygiene
                Data availability:
                Keywords: cleansing habits, denture, denture hygiene, elder patients, elderly, hygiene

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