Denture Stomatitis

We’ve placed a lot of prosthetic teeth at the dental office of Dr. Martin Urban. Many of them were dentures, which may have been attached to implants or allowed to rest on the gum ridges. In either case, we always encourage our patients to maintain their oral hygiene, because if they don’t, they will be at risk of developing denture stomatitis.

Candida species of yeast are always in the mouth, but they are not usually able to cause harm. Saliva contains enzymes that combat them, and people are usually able to keep their teeth clear of debris. But when someone has an upper denture adhered to the roof of their mouth, saliva may not be able to reach the top of the denture. This would allow a yeast infection to develop, creating the red sores we call stomatitis.

A patient isn’t always able to feel when sores have developed, so they need to do frequent examinations of their mouth. An infection is likelier to occur when the dentures are the wrong size, which can also lead to saliva pooling at the corners of the mouth and causing chapping. People with diabetes or who use inhalers are also at increased risk for stomatitis. Patients with dentures should remember to brush the inside of their mouth before putting their dentures in each morning and to make sure that they’re clearing debris away from implant abutments. They should also stay hydrated and might want to consider mouthwash.

To schedule an appointment with Dr. Martin Urban, call 508-425-9640 or visit us at Martin Urban DDS.

 

Pregnancy and Gingivitis

Dr. Martin Urban is specially trained to treat patients suffering from gum disease. While it is important for everybody to maintain their oral hygiene, one group suffers from particularly high rates of gum inflammation: pregnant women. Since this population is especially vulnerable, we want them to understand what they should expect and how we are able to help.

Inflammation is how the body reacts to the threat of disease. When bacteria in the gum pockets secrete acid, the gums become inflamed, making cell membranes more permeable to antibodies and preventing the toxins from spreading. But inflammation also makes gums sore, discolored, and easily bruised, resulting in bleeding. When a woman is pregnant (or going through menopause), her body produces large amounts of a hormone called progesterone. This hormone triggers new blood vessel growth and increases blood flow to the gums. As a result, they are much more sensitive to oral bacteria and become inflamed more easily.

There is always a possibility that gingivitis will progress into periodontitis and threaten the integrity of gum tissue. However, this can usually be avoided through regular brushing and flossing. Pregnant women may want to stick to toothpaste for sensitive teeth, but they should be vigilant about removing food debris and acid. We can help them by providing deep cleanings to the gum pockets and using localized anti-bacterial medicines. We can also show them proper brushing and flossing techniques and examine bumps that sometimes develop in gum tissue during pregnancy

To schedule an appointment with Dr. Martin Urban, call 508-425-9640 or visit us at Martin Urban DDS.