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Denture Cleaners (Materi Kuliah)

This document discusses denture cleaning methods. Complete dentures made of heat cure acrylic resin commonly attract stains and odors. Patient education on denture hygiene is essential for satisfaction. Cleaning methods include brushing, abrasive pastes, ultrasonic cleaners, soaking in sodium hypochlorite or effervescent tablets. Soaking dentures overnight in dilute sodium hypochlorite or commercial effervescent cleaners for under an hour effectively removes stains and kills bacteria. Dentists should understand available cleaning techniques and materials to instruct patients.

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271 views13 pages

Denture Cleaners (Materi Kuliah)

This document discusses denture cleaning methods. Complete dentures made of heat cure acrylic resin commonly attract stains and odors. Patient education on denture hygiene is essential for satisfaction. Cleaning methods include brushing, abrasive pastes, ultrasonic cleaners, soaking in sodium hypochlorite or effervescent tablets. Soaking dentures overnight in dilute sodium hypochlorite or commercial effervescent cleaners for under an hour effectively removes stains and kills bacteria. Dentists should understand available cleaning techniques and materials to instruct patients.

Uploaded by

karinagitak
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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drg Martha Mozartha, M.

Si
 Complete dentures -> the most common
treatment for total loss of teeth in a dental arch

 Heat cure acrylic resin is most commonly used


material for denture base -> attract stains and odor
producing organic and inorganic deposits ->
halitosis and inflammation of oral mucosa in many
denture wearers
 Patient education about denture hygiene ->
essential component of complete denture
service to assure patient’s satisfaction
 Wide range of denture cleansers available
over the counter with various techniques
 Brushing techniques -> the most common
method but ineffective in elderly with lack of
motor coordination
 Mechanical action->
- Abrasive pastes used with brushes
- Ultrasonic cleaners -> expensive & technique sensitive.
 Chemical action
1. Sodium hypochlorite
2. Effervescent perioxides
3. Disinfectants
4. Acids
5. Enzymes
 Combination of mechanical & chemical
 Remove stains
 Bactericidal and fungicidal
 Dissolves plaque and inhibits calculus formation by
acting on plaque matrix by dissolution of the
polymer structure
 Overnight soaking of acrylic dentures in 0.02%
sodium hypochlorite -> effectively reduced plaque.
 Sodium hypochlorite 5.25% ) -> more effective than
effervescent tablets
 Disadvantage: excessive use -> bleached the acrylic
denture base
 Tablets dissolved in water

 Not effective to remove calculus

 Antibacterial action = minimal

 When contact with food debris and mucin on a


denture, the peroxide decomposes -> produces
small bubbles of oxygen which tend to exert a
mechanical loosening action between the denture
surface and theforeign material
Specific ingredients and their proportions
vary, but the dominant commercial
formulations include:
- compounds for oxidizing (usually an alkaline
perborate)
- effervescing (perborate and/or carbonate)
- chelating agent (EDTA)
- Detergent, color, and fragrance agents
Disadvantage:
The alkaline peroxide solutions may not be
compatible with certain permanent or
temporary resilient lining materials 
patients should be cautioned to minimize the
duration of soaking their soft-line dentures.
 Chlorhexidine gluconate : most commonly used
(commercially available not specific for denture
cleanser)
 Overnight immersion of dentures in 0.2 %
chlorhexidine-gluconate -> significant reduction in the
amount of denture plaque
 At lower concentrations -> bacteriostatic effect
 At higher concentrations -> bactericidal effect (by
precipitation or coagulation of bacteria cytoplasm)
 All studies have reported a heavy discoloration of the
dentures by chlorohexidine solutions -> unsuitable for
routine denture soaking
 Rarely used
 Acetic acid solution was evaluated by Basson et al. -
> effective at killing adherent microorganisms
although less effective than NaOCl.
 Cleansing agents containing proteolytic enzyme ->
designed to break down protective mucin deposits
on dentures
 Study by Nakamoto et al. concluded : the efficacy
against Candida of this agent was inferior to the
action of alkaline peroxide compounds
 It’s a component of commercial denture cleanser that has just recently
been introduced to the USA -> prevent oral bacteria to adhere

 The denture is soaked in the solution, and when the denture is removed
from the solution, a thin layer (constituting 0.1-0.8 mg) of the material
coats all surfaces of the prosthesis.

 The material will not rinse or rub off but is slowly lost over the day.
 Dentist need to have a working knowledge of the
range of techniques and materials that are available
for cleaning dentures -> instructions for patients
 Soaking prostheses in a dilute sodium hypochlorite
solution/commercial effervescent products < 1 hour
-> effective means for cleaning dentures
 Ultrasonication is effective but rarely used
 Microwave radiation and air drying to disinfect
denture acrylic resin effectively kill organisms but
may not eradicate antigenic irritants

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