Denture Plaque Management of Denture-Related Stomatitis

Abstract

The regular use of a removable prosthesis, in particular in fully edentulous aging subjects, constitutes, within the oral cavity, support for Denture Plaque (DP), promoting the growth of a candidosic population that often leads to Denture Stomatitis (DS). This pathology is an infectious disease of multifactorial etiology. The purpose of this article is to review management approaches for DS at different levels: (1) lifestyle, (2) drug addiction, and (3) several general diseases such as diabetes mellitus, cardiovascular, respiratory and digestive diseases, and immune deficiencies that favor the development of DS. Moreover, caries, periodontal diseases, a removable prosthesis that is poorly adapted or worn continuously, poor oral hygiene, and reduced salivary flow can promote Candida ’s ability to colonize removable dentures. In the presence of a removable prosthesis, these parameters can influence homeostasis between the host and yeast, promoting the transition of Candida spp. from commensal to pathogenic. The objectives of this review are, therefore, to analyze the influence of these different parameters on the balance of DP in oral ecology, and to explore the mechanisms and means for limiting its drift toward dysbiosis.