Commercially available, non-toxic, soluble material that is applied to the tissue surface of the denture to enhance retention, stability and performance.
Leading transformational change: inner and outer skills
Denture adhesives and cleansers
1.
2. DENTURE ADHESIVES AND CLEANSERS
DR MUHAMMAD JUNAID AJMAL
KHAN
Bsc , BDS , RDS , FCPS (R)
PROSTHODONTIC DEPARTMENT
3. Commercially available, non-toxic, soluble material that is applied
to the tissue surface of the denture to enhance retention, stability
and performance.
Denture Adhesives
4. SUPPLIED AS :
CREAM
Supplied As
PASTE POWDER
P Ranjith Kumar, Denture Adhesives in Prosthodontics: An Overview: J Int Oral Health. 2015; 7(Suppl 1): 93–95.
5. Group 1 (Adhesive agents)
Tragacanth
Keraya gum
Sodium carboxyl-methyl cellulose
Polyethylene oxide
Cellulose
COMPOSITION
According to the American Dental Association (ADA), the common components of
adhesive systems are classified in three groups.
7. Group 3 (Other agents)
Plasticizing agents
Flavoring agents
Kumar PR et al; Denture Adhesives in Prosthodontics: An Overview. J Int Oral Health. 2015;
7(Suppl 1):93-95.
8. SOLUBLE INSOLUBLE
• Carboxy-methyl cellulose
• Methyl cellulose polyvinyl ether
o Méndez JE, Madrid CC, Tirado LR. Saliva and alternative adhesive systems for complete dentures; Rev Fac
Odontol Univ Antioq 2013; 25(1): 208-218.
Cellulose
Polypropylene
9. Keraya gum swells 50 to 150% and eliminates voids.
1
2 Free carboxyl groups formed by the hydration of
carboxyl-methyl cellulose form electrovalent bonds.
3 The increased viscosity results in lateral spread
excluding air thereby increasing the retention.
4 Anions formed are attracted towards cations
in mucous membrane.
10. 3
2
1
6
5
4
Biocompatible, nontoxic and
non-irritant.
It should have a neutral odor
and taste.
Easy application and removal from
the tissue surface of the denture.
Discourage microbial growth.
Adhesiveness should be
retained for 12-16 h.
Increase the comfort, retention
and stability of the denture.
REQUIREMENTS
11. MODE OF APPLICATION
Cleaning food debris
Wet before applying
Ridge, PPS and Centre
Entire sulcus
Close in centric occlusion
Seat and hold for 5 to 10s
14. IMMEDIATE DENTURE Gross Maxillofacial defect
• Adisman IK. The use of denture adhesives as an aid to denture treatment. J Prosthet Dent. 1989;62(6):711–5
Poor Neuromuscular Control
15. Contra-Indications
Allergy to any component
Vertical dimension loss
Inability to maintain
hygiene of the denture
Denture with lost flanges
Gross inadequacies in retention and
function
Fractured dentures
17. 1. With proper use, denture adhesives are beneficial to the patient in :
• increasing retention and stability
• enhanced comfort
• improved function
• providing psychological satisfaction
2. They should not be used as an aid to compensate for denture deficiencies even though
adhesives enhance denture performance.
3. Patients should not use denture adhesives inadvertently without proper guidance and
instructions from the dentists.
Conclusion
18.
19.
20. • Denture cleansers correspond to a variety of products designed to safely remove
stains, deposits, and debris from the surfaces of dental prostheses, by means of
various methods.
Denture cleansers
21. Non-toxic and easy to remove
Long shelf-life and cheap
REQUIREMENTS
Able to dissolve all the denture deposits such as calculus
Harmless to patient and denture base
23. Mechanical
technique
Light brushing with soft brush using soap
and water.
Rinse thoroughly after each meal
and before bed.
Gums Should be massaged daily with
soft tooth brush.