A patient with yeast-related denture sore mouth can be managed by addressing the contributory factors.
Type of Denture
Decontamination
non-metalic
1 to 10 dilution of fresh bleach
metallic
chlorhexidine solution
where:
• Bleach will discolor and corrode metal, especially after prolonged exposure.
Most patients will respond to oral therapy with an antifungal agent effective against the isolate delivered as a lozenge, gel, pastille or similar preparation.
Resistant cases may require systemic therapy or oral fluconazole.
Risk Factors
Preventive Measure
wearing the dentures for long periods, including overnight
take out the dentures before retiring
poor oral hygiene
improve oral hygiene
poor denture care
clean dentures regularly
xerostomia
encourage hydration and address the cause of the dry mouth
high carbohydrate diet
reduce carbohydrates in the diet
ill-fitting dentures
adjust dentures for better fit
To read more or access our algorithms and calculators, please log in or register.
