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Prosthetic stomatitis

Prosthetic stomatitis

Prosthetic stomatitis is a disease that occurs in people with upper mobile prosthetic restorations. This disease is characterized by swelling and inflammation-inflammation of mucous membranes that is covered by prosthesis. In most cases the disease is asymptomatic, while the small number of patients have pain, itch and pricking.

Possible causes of this disease are fungi of the genus Candida, bacteria, inadequate hygiene dentures, continuous wearing dentures (night wearing dentures), age of dentures, saliva secretion disorder (hypo salivation), pH of saliva and mucous membranes. Based on clinical studies, we found that the most important factors that lead to diseases are continually (night) wearing dentures and denture age.

Continuous wearing dentures, as well as insufficient hygiene provide favorable conditions for the retention of nutrients and microorganisms on the surface of the denture base to create favorable conditions for the emergence of diseases. The negative impact of the night wearing manifests because the beneficial effects of saliva in these conditions are not present, sockets. In the space between the denture palate and mucous membranes, reduces the flow of saliva and appear dynamic changes in pH value, which leads to disruption of the mechanical cleaning tissue.

Age prosthesis is an important factor, because in a long borne prosthesis more difficult to maintain hygiene and there is a tendency towards porosity denture. Surface irregularities dentures lead to increased adherence of microorganisms and difficult removal after cleaning. Such a prosthesis is considered inappropriate drug and leads to traumatization of the tissues and the occurrence of inflammation.

In order to prevent the disease is necessary not wearing dentures at night, adequate denture hygiene, and replacement of old worn prosthesis every five years. Dentures should be washed at least twice a day and rinse after meals. Cleaning is done under running water with a soft toothbrush and toothpaste niskoabrazivnom.
Toothpastes with abrasives can damage the surface of the prosthesis. During the night, the prosthesis should be placed in a container with cold distilled water or they can use yourself special tablets for denture hygiene, according to the manufacturer's instructions.

About author

Spec. maxillofacial surgeon, manager at clinic Medikdent NS. Performs surgical procedures of the head and neck in the field of aesthetics, trauma, implant placement, oncology, bite correction and treatment of deformities. He finished Yugoslavian school for the application of ultrasound in the diagnosis of diseases of the head and neck as well as several CME courses in the country and abroad. He is a manager and owner of the team of doctors at clinic MEDIKDENT NS, maxillofacial surgeon at Clinical centre of Vojvodina, Assistant at Medical Faculty in Novi Sad, Associate at Site www.stetoskop.info

dr Bojan Pejakovic

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