Denture Induced Stomatitis, also known as denture sore mouth, is a common condition affecting up to 70% of denture wearers, characterized by erythema and swelling of the palate mucosa in contact with the dentures. It is caused mainly by Candida albicans accumulating on dentures due to poor oral and denture hygiene. Treatment involves improving hygiene, removing dental plaque from dentures and mucosa, and using antifungal medications like nystatin drops or miconazole gel.

1. Denture Induced
Stomatitis

2. Denture Induced Stomatitis
 Also known as
 Denture stomatits
 Denture sore mouth
 Chronic atrophic candidiasis

3. Introduction
 Mild erythema or redness of the mucosa
under the denture.
 Usually occurs in the maxilla
 Common in complete denture wearers
 Incidence
 Age: middle to old age
 More common in females
 Has been found in up to 70% of denture wearers

4. Predisposing Factors
 Wearing dentures at night
 Dry mouth
 Diabetes
 Increased carbohydrate diet
 HIV

5. Etiology
 Changes in the oral environment related to
presence of dentures or removable
orthodontic appliance
 Poor oral and denture hygiene
 Candida is the main cause (70%)
 Can also occur because of mechanical
irritation and bacterial infections

6. Pathogenesis
Accumulation of plaque colonization
by candida albicans increased
candidal enzymatic activity due to
salivary flow and Ph
inflammation

7. Clinical features
 Marked redness or erythema and odema of
the mucosa in contact with dentures
 Restricted to the denture bearing area often
with a sharply defined edge
 Patient has no complaints of pain
 Uncommon complications
 Angular stomatits
 Papillary hyperplasia in palatal vault

9. Classification
 Newton’s classification
 There are three progressive stages
 Type 1
 Numerous pinpoint lesions
 Type 2
 More diffused simple lesions involving part of or all the
denture covered area
 Type 3
 Granular (inflamatory papillary hyperplasia) common on
central part of hard palate and alveolar ridge

10. Diagnosis
 Depends on clinical findings
 In presence of angular stomatitis or other
systemic lesions further investigations are
required
 Blood picture
 Smears and culture
 Biopsy in persistent or atypical lesions and
 HIV serology

11. Management
 Patient education
 Oral and denture hygiene instructions
 Treatment of any underlying disease such
as diabetes or anemia
 Remove dental plaque
 Antifungal therapy
 Nystatin drops
 Dakatrin gel (miconazole)