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Query: UMLS:C0038362 (stomatitis)
 8,852 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The barrier property of inflamed palatal mucosa to water has been studied in eight adult edentulous persons with a generalized denture stomatitis, by measuring the transmucosal water flow under varying osmotic gradients. Flow rates were registered gravimetrically in solute saturated filter paper discs after 10-min periods of mucosal contact, using solutions with an osmolarity of 0, 0.25, 0.30, 0.38, 0.50 and 0.75 osmol sucrose/l. The histology of the mucosal areas was evaluated from cytologic scrapings, and biopsy material from two persons. The inflow with use of pure water was 2.98 mg/cm2/10 min, being about three and a half times greater than through the intact mucosal surface. The point of isotony of the inflamed mucosa ranged between 0.30 and 0.36 with a mean value of 0.33 osmol/l, thus being of the same magnitude as in plasma and tissue fluid. The observations from the biopsy material were in accordance with earlier histological evidence from generalized denture stomatitis, indicating that the permeability properties of the inflamed mucosa belonged to epithelial cell layers located in the lower part of the spinous layer.
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PMID:Barrier properties of inflamed denture-loaded palatal mucosa to water. 28 59

Denture stomatitis is an erythematous disorder of the denture-bearing tissues, especially the maxillary hard palate. Frequently it mimics many oral lesions. Early diagnosis of the lesion is essential to assure rational therapy. A diagnostic procedure based upon the enumeration of Candida albicans appeared to be feasible. A control group of twenty fully dentate subjects with no clinical evidence of stomatitis was sampled to establish normal concentrations of C. albicans in the oral flora. Samples were taken from a triangular area of the hard palate, serially diluted in broth, and all dilutions were incubated aerobically. In the control population, C. albicans never exceeded 100 organisms per square centimeter per subject sample. A population of edentulous patients with denture stomatitis, prior to any therapy, was similarly sampled. In many of these patients the concentration of C. albicans always exceeded 10,000 organisms per square centimeter per patient. The patients received denture replacements and antimycotic antibiotic therapy. Follow-up cultures were taken 4 to 6 weeks after completion of therapy. All patients were found to be free of denture stomatitis.
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PMID:The role of C. albicans in denture stomatitis. 37 72

Any alteration in the balance of bacterial challenge versus the host's ability to resist and repair will result in oral lesions that are similar in appearance. The bacterial cause of gingivitis and periodontitis in humans and in all other animals in which it has been studied is firmly established, and specific species of predominantly gram-negative anaerobes have been implicated. Naturally occurring or acquired immunopathologies are likely to result in premature dental disease. When oral disease is associated with the accumulation of plaque, a positive response can be achieved by reducing the bacterial challenge to the host through the maintenance of oral hygiene by timely professional dental prophylaxis and home care. Disease that is the result of atypical immune responses, however, can be much more difficult to manage. Such oral disease can occur with either immune deficiencies or exaggerated immune responses, and it is likely that multiple mechanisms are active concurrently. In any case, gram-negative anaerobes present in plaque are likely to be a major contributing factor. Therefore patients with chronic refractory gingivitis-stomatitis must be considered to be plaque intolerant. Only with a frequent regimen of aggressive and thorough professional dental treatment plus meticulous oral home care on a daily basis can one expect to keep these cases in remission. Because this is often unrealistic, the only other way to keep these patients free of disease is by total dental extraction. The tissues that are colonized by the causative organisms must be eliminated. All root tips and bony sequestra must be removed and healing with intact epithelium accomplished before these cases will go into remission. Edentulous feline patients that continue to have signs of gingivostomatitis have been found to have an area of nonhealed bony sequestrum and chronic osteomyelitis. Once effective debridement has been accomplished and epithelial healing completed, nonresponsive cases can be expected to go into remission (Color Plate 2, Figure 7). It is hoped that as more is learned about this frustrating problem, the many factors influencing feline oral disease will be scientifically documented. In the future, actual diagnoses can be systematically made early on in disease, and treatment will be more than just symptomatic.
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PMID:Gingivitis/stomatitis in cats. 145 77

Two cases with exuberant papillary and nodular hyperplasia of the hard and soft palates are described. Both were elderly edentulous men with bilateral angular stomatitis. The papillary hyperplasia extended as far as the epiglottis and was associated with swelling and fissuring of the upper lip in patient 1. In patient 2, the palatal change extended to the maxillary gingiva and was associated with smooth plaques and fissuring of the dorsal tongue. Histology of both cases showed a dense polyclonal plasma-cell infiltrate with overlying epithelial hyperplasia, parakeratinization and neutrophil micro-abscesses suggesting Candida infection but fungal elements could not be demonstrated. Patient 1 also showed defective cellular immunity to Candida antigen which was reversed by treatment with ketoconazole and levamisole, antedating clinical improvement.
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PMID:Oral papillary plasmacytosis resembling candidosis without demonstrable fungus in lesional tissue. 151 34

To ascertain the role of Candida in denture stomatitis, the practitioner must conduct a mycologic examination of the acrylic resin denture surface, because it acts as a reservoir for continuous reinfection of the palate. Twenty-two patients were examined to compare the sensitivity of the standard technique of swabbing the denture to that of a newly developed cast agar replica technique for detecting Candida albicans. The dentures were swabbed and cast replicas of the tissue-fitting surface of the dentures were made of both study populations. The majority of cultures obtained by swabbing failed to detect the presence of Candida albicans, while all cast agar replicas grew Candida albicans. The replica method for the detection of Candida albicans in edentulous patients seemed to be a more sensitive method than currently available mycologic methods.
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PMID:Sensitivity of the replica method in the detection of candidal infection among denture wearers with clinically healthy oral mucosa. 194 53

A study was carried out of 121 elderly edentulous individuals living in institutionalised homes in the Lothian Region, Scotland to determine the prevalence of yeasts and associated oral disease. Clinical examinations found that 65(54%) of the individuals suffered from denture stomatitis, and yeasts were recovered from 51(78%) of these individuals. The main yeasts isolated were Torulopsis glabrata and Candida albicans. Culture of saliva samples produced a slightly higher recovery rate of yeasts compared with swabbing of the floor of mouth and palate. The number of cigarettes smoked per day had a significant positive effect on the presence of denture stomatitis. No difference in disease state was shown between secretors and non-secretors of blood group antigens in saliva. This study demonstrates a significant level of oral mucosal infection in an institutionalised elderly population.
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PMID:Denture stomatitis in the elderly. 208 53

Biopsy specimens of palatal mucosa from 10 edentulous female subjects exhibiting the signs of chronic atrophic denture-induced stomatitis were fixed and processed to produce sections which were quantitatively analysed by light microscopy. The type and degree of surface keratinization, the epithelial thickness and basement membrane morphology were assessed. Microbiological and haematological evaluations were related to the histological findings. It was found that within this clinical entity of palatal inflammation there was considerable variation in tissue response at a cellular level, and that the numbers of organisms associated with the inflammatory reaction appeared to be fewer in patients with abnormal haematological status.
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PMID:Histological, microbiological and haematological investigations in denture-induced stomatitis. 218 14

During a survey of 233 elderly people of whom 89.9% were edentulous, attitudes toward denture cleaning were investigated. Questioning revealed the frequency of cleaning and methods used. Examination showed which dentures were clean, types and amounts of stain present, and comparison of clean dentures directly with dirty ones. Comparison of different residential groups highlighted problems particular to a group, so that recommendations for improvements could be made. Only 40% of dentures were properly clean. Subjects resident in the long-stay hospitals had the cleanest dentures and those in the elderly persons' homes the dirtiest. One quarter of the dentures examined were over 30 years old. They tended to be dirtier than the newer ones and related to a higher incidence of denture stomatitis. Wearers of cleaner dentures were more satisfied with their cleansing methods and more likely to use a proprietary cleanser regularly than those with dirty dentures.
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PMID:Investigation into the cleanliness of dentures in an elderly population. 238 98

The buccal mucosa recouvring the edentulous ridges is composed with two tissues limited by a basal membrane: a stratified squamous keratinized epithelium overlying the connective tissue. After insertion of complete denture, the most common pathology is the inflammation of the mucosa in front dentures from several causes (infection, trauma, allergy). The bacterial deposit control and effective hygiene are able to treat prosthetic stomatitis. Nevertheless it must be emphasize that prosthetic treatment must be correctly conducted and often controlled.
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PMID:[The problem of maxillary and mandibular mucosal condition before, during and after insertion of complete dentures]. 261 62

The saliva plays a profound role in a removable prosthodontic treatment in edentulous patients. Indeed the presence of a thin salivary film is essential to the comfort of the mucosa. The saliva also plays pivotal role for the stomatitis of prothesic etiology, found in significant numbers of complete and partial denture wearers. Additionally, saliva in cause in calcolus deposition and in anomalous hue of removable denture.
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PMID:[Saliva: an important factor in retention of complete dentures]. 270 Aug 85


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