Denture Management

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Maintaining the performance of dentures

There are numerous individual factors influencing how patients maintain their dentures. These could be physical, clinical or behavioral, including:

  • Oral anatomy – Restrictions in oral anatomy can limit denture retention and stability; such as gradual bone resorption, or available surface area relating to small lower jaw, flat absorbed ridges, or prominent tori1,2
  • Xerostomia (dry mouth) – Disrupting normal denture retention due to reduced saliva1,3
  • Immediate full dentures – where fit may change over time as bone resorption occurs after tooth extraction4
  • Preservation of natural teeth – where excessive functional forces may cause additional tooth mobility or loss5-8
  • Patient psychology – how patients adapt to their denture4,9
  • Denture hygiene – where the cleaning method or frequency results in poor denture hygiene and risks oral health6,10,11
  • Denture stomatitis* – caused by long-term inadequate denture cleaning or wearing dentures overnight12

*Polident not indicated for treatment of stomatitis

Movement in lower and upper partial dentures

Denture adhesives – helping maintain denture performance[SE1] 13,14

When patients experience individual medical, physical, or psychological factors affecting denture performance, denture adhesives can help by improving retention, stability, and patient perceptions of fit and comfort.1,15

For patients with limited oral anatomy, denture adhesives:

  • Improved retention in well-fitting dentures*1,15
  • Improved stability in well-fitting dentures*15
  • Helped manage gradual soft and hard tissue changes over time15

*Patients with small jaws or very flat alveolar ridges (small basal seats) cannot expect retention to be as great as can patients with large jaws or prominent alveoli.1 If increasing amounts of adhesives are required to achieve the same level of denture retention, the patient should see a dentist or dental professional to evaluate the fit and stability of the dentures.
For patient with xerostomia, denture adhesives* were reported by patients:

  • To increase retention in well-fitting dentures16
  • To increase ability to chew in well-fitting dentures16

*Referenced testing not done on current Poligrip formulation

For patients with immediate full dentures, denture adhesives:

  • Improved retention1,15
  • Improved stability15
  • Provided a cushioning effect17

For patient with partial dentures, a denture adhesive can stabilize and secure dentures.13,14

For some patients who need help adapting to their denture, denture adhesives can improve denture retention1,15 and seal out food particles,18 helping patients adapt to their denture and improving their experience.

Chart annotation: Patients experienced less movement using denture adhesive, for both upper and lower partial dentures14

Chart key:

[Dark green] Lower partial denture. No adhesive n=32, with adhesive n=31, (p=0.0187)

[Grey] Upper partial denture. No adhesive n=55, with adhesive n=57, (p=0.0007)

ACP guidelines

“…patient ratings showed that denture adhesives may improve the denture wearer’s perceptions in retention, stability, and quality of life…”15

Denture cleanser vs. antimicrobial toothpaste after 5 minutes: candida albicans

Denture cleansers – helping maintain dentures’ hygienic performance

When patients present with individual medical, physical or psychological factors that affect dentures’ hygienic performance, denture cleansers can help improve denture hygiene.

Patients with poor denture hygiene achieved more effective cleaning when daily brushing was combined with a denture cleanser:

  • Significantly larger reduction in plaque21
  • Significantly larger reduction in odor causing bacteria,21

Denture cleansers can kill significantly more of the bacteria associated with denture stomatitis* compared with other cleaning agents, such as antimicrobial toothpaste.19,20

*Polident not indicated for treatment of stomatitis

ACP guidelines

“Dentures should be cleaned daily by soaking and brushing with an effective, nonabrasive denture cleanser.”15

Continuing denture care

Daily denture care at home

In addition to daily denture care at home, patients need regular professional contact to ensure that their oral health is maintained.22

3 month infographic

3 monthly recall during the first year of denture use to reveal the frequency of follow-up needed thereafter.23

6-12 month infographic

6–12-monthly check-ups to detect the presence of early caries or periodontal diseases.24

Help your patients on their journey to optimal denture care

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Denture care

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Causes and mechanisms

Find out more about the factors that can limit denture performance and compromise hygiene.

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Impact on patient quality of life

Find out about the impact that dentures have on patients’ daily lives.

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Oral Health Management

Explore an overview of diagnosing issues with denture performance.

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The Denture Care range

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Patient resources

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