 Hello everyone, welcome back to another session in dentistry and more today's topic in prosaeronics is denture stomatitis So it is a very simple topic The name itself gives the idea about Denture stomatitis that is a denture causing inflammation and oral cavity. Okay, so the inflammation cause is the denture So we have seen inflammation of people who Wears dentures for a chronic period So It has about some names such as denture induced stomatitis denture so mouth chronic atrophic canady asses So it commonly appear as a mild erythema or redness and It is commonly seen in old age people middle to old age people because we know Complete denger virus are Towards a 50 plus or 60 plus each category So most of the cases The denture stomatitis will be seen in maxilla because of more coverage area of this denture and Around 70 percentage of the denture virus has this problem that is denture stomatitis And what are the predisposing factors? So what factors are Making this to happen such as wearing dentures at night. So Some might not remove the dentures from the mouth for a Few days so in such patients those who wears continuously without removing or allowing the Maxilla or mandible to get back to its normal State because anyway this dentures will create irritation or compression on the maxilla and mandible So we need to hello the maxilla or mandible Identulous ways to be normal Without the dentures for a certain period of time. That's why we ask the patient to keep the dentures in water For the night period, but some patients might not do that in such patients The high chances of denture stomatitis and patients whose Celebrity flaw is impaired People with dry mouth And it is also seen commonly with Diabetes patient HIV patients So exactly what is the etiology because The etiology Is the changes in the oral environment because of the complete dentures or removable other dentures such as The poor oral hygiene So poor oral hygiene And there will be candida So candida species will be there in most of the cases And can also occur because of the mechanical irritation and bacterial infections Okay, so Neda infection Bacterial infection Mechanical irritation Okay, so these Could be the etiology of dentures stomatitis So it starts like Accumulation of plaque then what happens there will be Colonization of this candida Colonization of candida happens That is candida albicans spacious Then there will be increased And candida enzymatic activity. So ultimately it leads to Inflammation because There will be Low salivary flow And decreased pH Okay, so plaque accumulation Colonization of candida species Then Increased candida enzymatic activity due to the low salivary flow and low pH And it leads to inflammation So the clinical features are as I mentioned erythema Sometimes edema of the mucosa in contact with dentures So the denture bearing areas are often Face this problem if it has a sharp edge of the dentures. So chronic irritation Also cause this problem. So if you have any Sharp edges on the border, we need to trim it off So Patient might not have the problem of pain mostly And sometimes patient express Complications such as Anglia stomatitis Or papillar hyperplasia in the palatal vault So there is a classification for this denture stomatitis That is Newton's classification There are three progressive stages. The type one is numerous Pinpoint changes, okay Numerous pinpoint stages that is the presence of lesions Pinpoint lesion Then the type two is more diffused simple lesions involving Uh part of the Maxilla or all of the Maxilla that is the denture covering area. Okay. So more diffused So more diffused lesion And the type three is inflammatory papillary hyperplasia, okay So most commonly on the central part of heart palate and alveolar rich. So that is Inflammatory Papillary hyperplasia So these are the three classification type one two three and One one two and three that is pinpoint lesions more diffused lesion and inflammatory papillary hyperplasia So regarding diagnosis It depends on clinical findings and in presence of anglia stomatitis Or other systemic lesions Further investigations are required such as a blood picture Smears and culture or biopsy Or even HIV serology So in management first thing is patient education. We need to educate the patient About dentures stomatitis and what could be the course for dentures stomatitis and how it can be Uh managed and properly Uh give the instructions of denture how to massage the maxilla and mandibular ridges and ask the patient to Uh keep the denture in Water during the night period So such things we need to educate the patient then about the Hygiene instruction how to properly clean the denture and oral cavity And treatment of any underlying diseases such as diabetes or anemia should be addressed properly Because even if we properly educate the patient and patient is doing well, but still there is an underlying systemic problem Will not get the good result So we need to control the underlying disease And uh if there is any problems such as antifungal problem, we need to Use nest statin drops Or we can also use mechanosol So that's all about uh dentures stomatitis. It's a very simple topic, but It's commonly asked as a short note So we learned management diagnosis Uh classification etiology and predisposing factors So, hope you understood this very simple topic. I'll come up with a new topic in prosaeronics. Thank you