Denture stomatitis is a common condition that affects individuals who wear full or partial dentures. It’s characterized by inflammation and redness in the tissue beneath the dentures, often caused by poor hygiene, ill-fitting dentures, or a fungal infection like Candida albicans. While it may not always cause pain, denture stomatitis can lead to discomfort, infection, and difficulty wearing dentures comfortably.
At Lakefront Family Dentistry in Lake Elsinore, Dr. Derek Hauser and Dr. Mark Phillipe offer expert care to diagnose and treat denture stomatitis, ensuring patients achieve comfort and optimal oral health. With over 40 years of combined experience, they use advanced technology, including CEREC and digital imaging for the first step in making your custom-fitted dentures while providing effective solutions for denture-related issues.
What is Denture Stomatitis?
Denture stomatitis is an inflammatory condition that affects the soft tissue beneath dentures. It’s most often linked to poor hygiene, fungal infections, or improper denture fit. While the condition is common among full denture wearers, it can also affect individuals with partial dentures.
Types of Denture Stomatitis:
- Type I: Localized inflammation or pinpoint redness.
- Type II: Generalized inflammation under the denture.
- Type III: Granular inflammation or papillary hyperplasia (overgrowth of tissue).
Causes of Denture Stomatitis
Understanding the root causes of denture stomatitis is essential for effective treatment.
1. Poor Denture Hygiene
- Failing to clean dentures regularly allows plaque and bacteria to accumulate.
- Wearing dentures overnight increases bacterial growth and fungal infections.
- Improper cleaning techniques can damage denture material, creating surface roughness where bacteria can thrive.
2. Candida Infection (Oral Thrush)
- The fungus Candida albicans thrives in moist, warm environments under dentures.
- When Candida overgrows, it leads to inflammation and redness.
- Conditions that promote Candida overgrowth include:
- Dry mouth (xerostomia)
- Weakened immune system
- Diabetes
- Poor nutrition
3. Ill-Fitting Dentures
- Dentures that are too loose or too tight create pressure points and friction, leading to sore spots and inflammation.
- Over time, bone resorption (loss of jawbone mass) causes dentures to fit poorly, increasing tissue irritation.
- Ill-fitting dentures also increase the risk of TMJ issues and jaw pain.
4. Dry Mouth (Xerostomia)
- Reduced saliva production decreases the mouth’s ability to wash away bacteria and food debris.
- Saliva contains natural antibacterial agents that help prevent infections.
- Common causes of dry mouth include:
- Certain medications
- Dehydration
- Medical conditions like Sjögren’s syndrome
5. Poor Nutrition and Underlying Health Issues
- Vitamin deficiencies (especially vitamin B and iron) weaken oral tissues and increase inflammation.
- Diabetes, autoimmune diseases, and certain cancer treatments can make the mouth more susceptible to infections and inflammation.
Symptoms of Denture Stomatitis
Denture stomatitis often presents with the following symptoms:
- Redness and swelling beneath the denture.
- White or creamy patches on the gums or palate (indicating a fungal infection).
- Burning or soreness in the affected area.
- Minor bleeding when removing or inserting dentures.
- Persistent bad breath (halitosis).
- Mild discomfort when wearing dentures.
How Denture Stomatitis is Diagnosed
1. Clinical Examination
- Dr. Hauser and Dr. Phillipe will inspect the soft tissues beneath the dentures for signs of inflammation and redness.
- Pressure spots caused by ill-fitting dentures will be identified.
2. Digital X-Rays
- Advanced digital imaging is used to assess underlying bone health and check for signs of bone resorption or structural issues.
3. Oral Swab or Biopsy
- A swab of the affected tissue may be taken to confirm the presence of Candida or other infections.
Treatment Options for Denture Stomatitis at Lakefront Family Dentistry
At Lakefront Family Dentistry, Dr. Hauser and Dr. Phillipe offer a comprehensive approach to treating denture stomatitis.
1. Professional Denture Cleaning
- Specialized tools are used to remove plaque and tartar buildup.
- An ultrasonic cleaner may be used for deep cleaning.
2. Antifungal Medications
- Antifungal rinses or lozenges are prescribed to eliminate Candida infections.
- Topical antifungal creams may be applied directly to the affected tissue.
3. Adjusting or Replacing Ill-Fitting Dentures
- Dentures are adjusted or relined to create a better fit.
- If dentures are worn out or poorly fitted, new ones are created using CEREC technology for improved comfort and durability.
4. Oral Hygiene Education
- Proper denture cleaning techniques are demonstrated.
- Patients are advised to remove dentures at night and store them in a cleansing solution.
5. Addressing Underlying Health Issues and See the Dentist for Help
- Managing dry mouth with oral rinses and saliva substitutes.
- Treating diabetes and other contributing health conditions.
Preventing Denture Stomatitis
✅ Remove Dentures at Night: Letting the gums rest prevents pressure sores.
✅ Clean Dentures Daily: Use non-abrasive cleaners and a soft-bristle brush.
✅ Maintain Oral Hygiene: Brush gums and tongue to remove bacteria and plaque.
✅ Avoid Sugary and Acidic Foods: These promote Candida growth and plaque buildup.
✅ Stay Hydrated: Drink plenty of water to support saliva production.
✅ Schedule Regular Dental Visits: Early adjustments can prevent complications.
Who is Most Affected by Denture Stomatitis?
Denture stomatitis tends to affect certain groups of people more than others due to health, lifestyle, and oral care factors.
- Older adults – More prone to this condition due to long-term denture use, bone loss, and reduced immune response.
- People with poor oral hygiene – Plaque and bacteria buildup increases the risk of infection.
- Individuals with weakened immune systems – Conditions like diabetes, HIV/AIDS, and chemotherapy can compromise the immune response, making it easier for fungal infections to develop.
- Smokers – Tobacco use reduces blood flow and weakens gum tissue, increasing susceptibility to infections.
- Patients with ill-fitting dentures – Dentures that don’t fit properly create friction and pressure, leading to inflammation and sores.
- Those taking certain medications – Antihistamines, antidepressants, and blood pressure medications can cause dry mouth, creating an environment where Candida thrives.
- Diabetics – High blood sugar promotes bacterial and fungal growth in the mouth.
- Individuals with nutritional deficiencies – Lack of vitamin B, iron, or folic acid weakens oral tissues and increases vulnerability to infection.
- People with frequent Candida infections – A history of oral thrush or fungal infections increases the chances of developing denture stomatitis.
How Lakefront Family Dentistry’s Technology Helps
CEREC Technology for Denture Adjustments
- Digital impressions for precise fitting.
- Same-day adjustments and repairs.
- Real-time evaluation of bone structure.
- Early detection of bone resorption and gum changes.
How Botox for TMJ Can Help Denture Stomatitis
- Botox relaxes overactive jaw muscles, reducing strain on ill-fitting dentures.
- Eases tension and discomfort caused by muscle tightness.
- Improves overall comfort while wearing dentures.
Porcelain Crowns and Veneers for Restoring Oral Health
- Worn, cracked, or damaged teeth can be repaired with CEREC porcelain crowns.
- Custom-fit veneers improve the appearance of teeth adjacent to dentures.
- Restorations improve bite alignment and overall comfort.
Frequently Asked Questions (FAQs) About Denture Stomatitis
Q: Can denture stomatitis go away on its own?
A: Mild cases may improve with better hygiene, but professional treatment is recommended for lasting relief.
Q: How can I prevent fungal infections under my dentures?
A: Clean your dentures daily, remove them at night, and use antifungal rinses.
Q: When should I replace my dentures?
A: Every 5–7 years, or when you notice poor fit or discomfort.
This is Why Patients Choose Lakefront Family Dentistry
✅ Over 40 years of combined experience in restorative and cosmetic dentistry.
✅ Expert use of CEREC technology for precision and comfort.
✅ Compassionate, patient-centered care with therapy dogs for added comfort.
✅ Tailored solutions for lasting oral health and comfort.
Take the First Step Toward Relief
If you’re experiencing discomfort or irritation from your dentures, Lakefront Family Dentistry is here to help. Call (951) 244-9495 today to schedule a consultation with Dr. Derek Hauser or Dr. Mark Phillipe at our Lake Elsinore dental office. Let us help you restore comfort, function, and confidence in your smile!
