Przybyłowska D, Rubinsztajn R, Chazan R, Swoboda-Kopeć E, Kostrzewa-Janicka J, Mierzwińska-Nastalska E
Department of Prosthodontics, Warsaw Medical University, 59 Nowogrodzka St., 02-005, Warsaw, Poland,
Adv Exp Med Biol. 2015;858:87-91. doi: 10.1007/5584_2015_128.
Oral inflammation is an important contributor to the etiology of chronic obstructive pulmonary disease, which can impact patient's health status. Previous studies indicate that people with poor oral health are at higher risk for nosocomial pneumonia. Denture wearing is one promoting factor in the development of mucosal infections. Colonization of the denture plaque by Gram-negative bacteria, Candida spp., or other respiratory pathogens, occurring locally, may be aspirated to the lungs. The studies showed that chronic obstructive pulmonary disease (COPD) patients treated with combinations of medicines with corticosteroids more frequently suffer from Candida-associated denture stomatitis. Treatment of oral candidiasis in patients with COPD constitutes a therapeutic problem. Therefore, it is essential to pay attention to the condition of oral mucosal membrane and denture hygiene habits. The guidelines for care and maintenance of dentures for COPD patients are presented in this paper. The majority of patients required improvement of their prosthetic and oral hygiene. Standard oral hygiene procedures in relation to dentures, conducted for prophylaxis of stomatitis complicated by mucosal infection among immunocompromised patients, are essential to maintain healthy oral tissues. The elimination of traumatic denture action in dental office, compliance with oral and denture hygiene, proper use and storage of prosthetic appliances in a dry environment outside the oral cavity can reduce susceptibility to infection. Proper attention to hygiene, including brushing and rinsing the mouth, may also help prevent denture stomatitis in these patients.
口腔炎症是慢性阻塞性肺疾病病因的一个重要因素，它会影响患者的健康状况。先前的研究表明，口腔健康状况差的人患医院获得性肺炎的风险更高。佩戴假牙是黏膜感染发生发展的一个促进因素。假牙菌斑被革兰氏阴性菌、念珠菌属或其他呼吸道病原体局部定植后，可能会被吸入肺部。研究表明，接受皮质类固醇药物联合治疗的慢性阻塞性肺疾病（COPD）患者更常患念珠菌相关性假牙性口炎。COPD患者口腔念珠菌病的治疗是一个治疗难题。因此，关注口腔黏膜状况和假牙卫生习惯至关重要。本文介绍了COPD患者假牙护理和维护的指南。大多数患者需要改善其假牙和口腔卫生状况。针对免疫功能低下患者预防因黏膜感染并发口炎而进行的与假牙相关的标准口腔卫生程序，对于维持健康的口腔组织至关重要。在牙科诊所消除假牙的创伤性作用、遵守口腔和假牙卫生要求、在口腔外干燥环境中正确使用和存放假牙器具，可以降低感染易感性。对卫生的适当关注，包括刷牙和漱口，也可能有助于预防这些患者的假牙性口炎。
