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Denture Care

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					Denture Care




               April 08
Halton Region Health Department
        Mission Statement

Together with the Halton community, the Health
Department works to achieve the best possible
                 health for all.




                                                 2
Types of Dentures




           • Complete dentures
           • Partial dentures



                                 3
Plaque, Tartar, and Stain on Dentures




                     • Dental Plaque
                     • Stain
                     • Tartar



                                       4
         Unclean Dentures Can:




• Create an infection in the mouth
• Be associated with pneumonias
• Create halitosis (smells )
• Further compromise general health because
 of bacterial accumulation

                                              5
Removing a Complete Upper
        Denture




                            6
Removing a Partial Denture




                             7
Denture Brushes/ Denture Boxes

       Brushes
       • Should have pointed side
       • Should be discarded or
         sterilized following illness or
         infection
       • Replaced when frayed or dirty
       Boxes
       • Cleaned weekly
       • Sterilized following illness or
         infection or replace


                                           8
      Tips for Proper Denture Care
• Clean dentures daily
• Clean hard deposits on plastic dentures
 by using vinegar and water (1/2 cup
 vinegar and ½ cup water ) daily or
 monthly
• Use commercial denture cleaners with
 caution
• Store denture in a denture cup when not
 in the mouth use clean room
 temperature water
• Remove dentures daily for at least 3
 hours, overnight is best


                                            9
           Scrubbing a Denture
• Place paper towel or
 wash cloth in sink to
 prevent breakage if
 dropped

• Clean under cool water
 to prevent warping

• Scrub all areas with
 denture brush

                                 10
           Partial Denture Cautions


Do not soak in:

• Bleach
• Vinegar and water
• Denture cleaners that are not made for partial
 dentures


                                                   11
Implants



      • Stabilize dentures
      • Can replace missing
       teeth




                             12
                   Dry Mouth
                      (Xerostomia)

The tongue may appear glossy, and person will say
               their mouth is dry.

                    Caused by:
                   • Medications
                • Genetic disorder
                • Mouth breathing

                     Treatment:
             • Use a saliva substitute
               • Drinking extra water
                 • Suck on ice chips
              • Chew sugarless gum

                                                    13
                Denture Stomatitis
                    Generalized redness in
                        the upper palate
                          Caused by:
 • Dentures not being cleaned properly and/or remaining in the
                          mouth too long
                 • A fungal or bacterial infection
                            Treatment:
  • Eased by using an anti-fungal agent or antibacterial agent
                 (ordered by dentist or physician)
• Scrub dentures daily - then soak dentures daily in a solution of
                      ½ water to ½ vinegar.

                                                             14
          Angular Cheilosis
                 Red inflamed sores
                        at the
                corners of the mouth

                      Caused by:
• A fungal or bacterial infection most often associated
                 with denture stomatitis.
• It can also be an indication of a vitamin B deficiency

                     Treatment:
   • Use an antifungal agent or antibacterial agent
      • Have dentures that are clean and fit well



                                                       15
                Candida Infection
                       (Thrush/Yeast)

         Candida looks like creamy
               white patches or
          small red dots that can be
     painful or have a burning sensation

                   Caused by:
            • A weak immune system
        • Taking antibiotics for a long time
 • Leaving dentures in the mouth for a long time
        • Certain medications / Dry mouth
                   Treatment
• Antifungal agent prescribed by doctor or dentist



                                                     16
      Candida Infection (cont’d)
                    (Thrush/Yeast)

NOTE :

• Use a new toothbrush when
 starting and stopping anti-fungal
 treatment


• Disinfect denture box and brush
 or replace. Soak dentures in
 solution of ½ vinegar and ½ room
 temperature water daily



                                     17
              Sore/Dry Lip Care
              Lip tissues are flaking and
              rough, most often in winter
                        months
                        Caused by:
                  • Dehydration of the lips
                  • Blockage of the pores

                         Eased by:
                • Using water based lip balms

                           NOTE:
 • Avoid petroleum based products as they dry and block pores
• Petroleum based products sometimes can promote infection




                                                                18
   Denture Palliative Care


• Keep dentures clean


• Mouth tissues of a palliative care individual may be too
 sore to keep dentures in mouth

• Dry mouth product (Mucco, Biotene, KY gel) can be placed under
 dentures for comfort

• Weight loss can result in a loose denture, which can then
 become a swallowing risk or cause sores



                                                               19
 Palliative Care Oral Care Protocols
                 Do’s
• Minimum 2x to max. 6x per day- lips moisturized ( Non- petroleum
 products)
• Minimum 2x to max. 6x per day – use a dry mouth product
• Minimum 2x to max. 4x per day - rinse mouth before and after meals and at
 bedtime with:
    • saline solution , or
    • soda water or
    • non- alcohol fluoride rinse ( depending on severity )
• Minimum 2x daily – Use a soft-bristle (ultra – soft) toothbrush after meals
 and at bedtime. If you are assisting with the oral care use a patting motion
 vs. traditional brushing methods. Use mild gel products, water, or non-
 alcohol mouthwash as a cleaning agent
• For swallowing difficulties use a moist disposable cloth or gauze (4x4) to
 help remove debris

                                                                                20
              Denture Oral Care
              Products/Protocols
                         Don'ts
Avoid oral care products that irritate the mouth and
                      gums:

  –   No mouthwashes with alcohol
  –   No dental floss with platelet counts below 40,000
  –   No lemon or glycerine swabs,
  –   No hard/medium bristled toothbrushes
  –   No petroleum based products for lip care (can
      promote infection)



                                                          21
Broken or Loose Dentures

         • Broken dentures should be
           repaired
         • Dentures that are loose should be
           professionally relined
         • Do not place loose fitting dentures
          in a client’s mouth
         • Dentures that do not fit properly
          may be a swallowing risk and can
          cause choking or create sores


                                               22
            Denture Adhesives

• If dentures fit well, an individual should not have
  to use a denture adhesive – the only exceptions
  are when the lower ridge ( bone of the mandible)
  is extensively worn away
• Denture adhesives should be used as
  temporary help to hold a denture in place
• Dentures should be professionally relined by a
  denturist or dentist


                                                        23
    Commercial Denture Cleaners

Should be used with caution with individuals
 with dementia:

• Tablets can accidentally be eaten and make a
  person sick
• Liquid from dissolved tablets can be dangerous
  if swallowed it can make a person sick
• Best not to use in high risk home/hospital/Long
  Term Care Home

                                                    24
            Labeling a Denture

• Any individual that is in a long term care
 home, complex nursing floor /extended
 stay rehab floor or hospice should have
 their dentures labeled
• A denturist or dentists can put a name on
 dentures permanently
• Kits are available to label dentures similar
 to a clothing labeler (not permanent)


                                                 25
For more information please call Halton Region
                   905-825-6000
           Toll free: 1-866-4-HALTON
                      (1-866-442-5866)
                TTY 905-827-9833
                 www.halton.ca

                                                 26

				
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