24
Denture cleansing
Box 24.1 Bacteria and fungi identified from dentures
Gram-positive organisms
Staphylococcus species
Streptococcus species
Gram-positive rods
Arcanobacterium haemolyticum
Actinomyces species
Gram-negative rods
Pseudomonas aeruginosa
Pseudomonas fluorescens
Burkholderia cepacia
Stenotrophonomonas maltophilia
Enterobacter cloacae
Klebsiella pneumoniae
Gram-negative cocci
Neisseria perfava
Fungi
Candida glabrata
Candida albicans
Candida paratropicalis
(Based on Glass RT, Bullard JW, Hadley CS, Mix EW, Conrad RS. Partial spectrum of microorganisms found in dentures and possible disease implications. J Am Osteopath Assoc (2001) 101:92-94.)
Denture cleanliness and bacterial colonization are strongly correlated. The prevalence of denture stomatitis, reportedly as high as 65%, emphasizes the importance of early prevention of binding and accumulation of denture plaque. Denture materials do not resist adherence and possible damage by oral bacteria, and soft liners, tissue conditioners, and denture adhesives are particularly susceptible to microbial growth. A typical dirty denture is shown in Figure 24.1; however, there is limited information />