Hannah Victoria Elizabeth, O'Donnell Lindsay, Robertson Douglas, Ramage Gordon
Prim Dent J. 2017 Dec 1;6(4):46-51. doi: 10.1308/205016817822230175.
Removable dentures are worn by 20% of the UK population and two thirds of these individuals have denture stomatitis. Poor oral hygiene is commonplace among this group, as is smoking and xerostomia, which also contribute to the development of denture stomatitis. A complex polymicrobial biofilm is able to proliferate on the surface of denture materials and matures to form visible denture plaque. This denture plaque biofilm stimulates a local inflammatory process that is detectable clinically as erythema, and hyperplasia. Systemically, denture plaque represents a potential risk factor for systemic disease, in particular aspiration pneumonia. Respiratory pathogens have been detected in the denture plaque and overnight denture wear has been linked to an increased risk of aspiration pneumonia. There is a general lack of evidence on the adequate management of denture stomatitis and we present a protocol for use in the primary care setting.
英国20%的人口佩戴可摘义齿，其中三分之二的人患有义齿性口炎。在这一群体中，口腔卫生差很常见，吸烟和口干也是如此，它们也会导致义齿性口炎的发生。一种复杂的多微生物生物膜能够在义齿材料表面增殖，并成熟形成可见的义齿菌斑。这种义齿菌斑生物膜会刺激局部炎症过程，临床上可检测到红斑和增生。在全身方面，义齿菌斑是全身性疾病的潜在危险因素，尤其是吸入性肺炎。在义齿菌斑中已检测到呼吸道病原体，夜间佩戴义齿与吸入性肺炎风险增加有关。目前普遍缺乏关于义齿性口炎适当管理的证据，我们在此提出一项适用于初级保健环境的方案。
