Denture-related oral mucosal lesions among removable denture wearers ‎referred to clinics of Kerman, Iran

Shahrzad Taheri, Molook Torabi-Parizi, Marzieh Karimi-Afshar, Jahangir Haghani, Ali Taheri


BACKGROUND AND AIM: Since increasing the proportion of elderly in the world, so oral lesions related to removable denture-wearing are an important issue. The aim of this study was to evaluate the prevalence of denture-related oral mucosal lesions (DMLs) in removable denture wearers referred to clinics of Kerman, Iran.

METHODS: This cross-sectional study was conducted on 350 removable denture wearer, with mean age 58.52 ± 10.78 years old, that had been selected by multistage clustering sample from individuals who referred to Kerman clinics. The data were obtained by a checklist consist of demographic characteristics (sex, age, and educational level) self-reported daily denture hygiene frequency, age of prosthesis and clinical examination. Data were analyzed in SPSS using
chi-square and t-tests. P value was considered at 5% significant level.

RESULTS: The results showed 71.8% of the denture wearers had denture related mucosal lesions. The most common lesion was denture stomatitis 36.6% followed by traumatic ulcer 26.5% and angular cheilitis 8.7%. There were significant differences between night wearing denture and age of prosthesis and denture-related mucosal lesions (P < 0.001).

CONCLUSION: The finding of this study showed the prevalence of denture-related mucosal lesions is common. Dentists should be instruct the patients for removing the denture at night and routine follow-up visits.


Removable Denture; Oral; Denture-related Lesion; Stomatitis; Traumatic Ulcer; Angular Cheilitis

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Baran I, Nalcaci R. Self-reported denture hygiene habits and oral tissue conditions of complete denture wearers. Arch Gerontol Geriatr 2009; 49(2): 237-41.

Mir AP. Need for geriatric dentistry training programs in Iran. J Dent Educ 2013; 77(1): 113-7.

Berkey D, Berg R. Geriatric oral health issues in the United States. Int Dent J 2001; 51(3 Suppl): 254-64.

Montero J, Lopez JF, Galindo MP, Vicente P, Bravo M. Impact of prosthodontic status on oral wellbeing: a cross-sectional cohort study. J Oral Rehabil 2009; 36(8): 592-600.

Preshaw PM, Walls AW, Jakubovics NS, Moynihan PJ, Jepson NJ, Loewy Z. Association of removable partial denture use with oral and systemic health. J Dent 2011; 39(11): 711-9.

Martori E, Ayuso-Montero R, Martinez-Gomis J, Vinas M, Peraire M. Risk factors for denture-related oral mucosal lesions in a geriatric population. J Prosthet Dent 2014; 111(4): 273-9.

Maciag J, Osmenda G, Nowakowski D, Wilk G, Maciag A, Mikolajczyk T, et al. Denture-related stomatitis is associated with endothelial dysfunction. BioMed Research International 2014; 2014: 9.

Shulman JD, Rivera-Hidalgo F, Beach MM. Risk factors associated with denture stomatitis in the United States. J Oral Pathol Med 2005; 34(6): 340-6.

da Silva HF, Martins-Filho PR, Piva MR. Denture-related oral mucosal lesions among farmers in a semi-arid Northeastern Region of Brazil. Med Oral Patol Oral Cir Bucal 2011; 16(6): e740-e744.

Pentenero M, Broccoletti R, Carbone M, Conrotto D, Gandolfo S. The prevalence of oral mucosal lesions in adults from the Turin area. Oral Dis 2008; 14(4): 356-66.

Mujica V, Rivera H, Carrero M. Prevalence of oral soft tissue lesions in an elderly Venezuelan population. Med Oral Patol Oral Cir Bucal 2008; 13(5): E270-E274.

Dundar N, Ilhan KB. Oral mucosal conditions and risk factors among elderly in a Turkish school of dentistry. Gerontology 2007; 53(3): 165-72.

Singh H, Sharma S, Singh S, Wazir N, Raina R. Problems faced by complete denture-wearing elderly people living in Jammu district. J Clin Diagn Res 2014; 8(12): ZC25-ZC27.

Jainkittivong A, Aneksuk V, Langlais RP. Oral mucosal lesions in denture wearers. Gerodontology 2010; 27(1): 26-32.

Kossioni AE. The prevalence of denture stomatitis and its predisposing conditions in an older Greek population. Gerodontology 2011; 28(2): 85-90.

Jafarian M, Taheri D, Sarkarat F, Shahrokhi M. Prevalence and e iology of soft tissue damages caused by removable denture. J Dent Sch Shahid Beheshti Univ Med Sci 2002; 20(2): 177-84. [In Persian].

Navabi N, Gholamhoseinian A, Baghaei B, Hashemipour MA. Risk factors associated with denture stomatitis in healthy subjects attending a dental school in southeast Iran. Sultan Qaboos Univ Med J 2013; 13(4): 574-80.

Peltola P, Vehkalahti MM, Wuolijoki-Saaristo K. Oral health and treatment needs of the long-term hospitalised elderly. Gerodontology 2004; 21(2): 93-9.

Evren BA, Uludamar A, Iseri U, Ozkan YK. The association between socioeconomic status, oral hygiene practice, denture stomatitis and oral status in elderly people living different residential homes. Arch Gerontol Geriatr 2011; 53(3): 252-7.

Marchini L, Tamashiro E, Nascimento DF, Cunha VP. Self-reported denture hygiene of a sample of edentulous attendees at a University dental clinic and the relationship to the condition of the oral tissues. Gerodontology 2004; 21(4): 226-8.

Coelho CM, Sousa YT, Dare AM. Denture-related oral mucosal lesions in a Brazilian school of dentistry. J Oral Rehabil 2004; 31(2): 135-9.

Puri G, Berzins DW, Dhuru VB, Raj PA, Rambhia SK, Dhir G, et al. Effect of phosphate group addition on the properties of denture base resins. J Prosthet Dent 2008; 100(4): 302-8.

Gendreau L, Loewy ZG. Epidemiology and etiology of denture stomatitis. J Prosthodont 2011; 20(4): 251-60.

Macedo FL, Dias Almeida J, Guimaraes Cabral LA. Study of denture-induced fibrous hyperplasia cases diagnosed from 1979 to 2001. Quintessence Int 2005; 36(10): 825-9.

de Castellucci Barbosa L, Ferreira MR, de Carvalho Calabrich CF, Viana AC, de Lemos MC, Lauria RA. Edentulous patients' knowledge of dental hygiene and care of prostheses. Gerodontology 2008; 25(2): 99-106.

Ercalik-Yalcinkaya S, Ozcan M. Association between oral mucosal lesions and hygiene habits in a population of removable prosthesis wearers. J Prosthodont 2015; 24(4): 271-8.

Mandali G, Sener ID, Turker SB, Ulgen H. Factors affecting the distribution and prevalence of oral mucosal lesions in complete denture wearers. Gerodontology 2011; 28(2): 97-103.

Emami E, de Grandmont P, Rompre PH, Barbeau J, Pan S, Feine JS. Favoring trauma as an etiological factor in denture stomatitis. J Dent Res 2008; 87(5): 440-4.


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