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Misuse of Removable Denture Adhesive to Cause Peri Implant Inflammation

In the past, Ms. He, 45, received implant supported fixed dentures due to the loss of anterior teeth. In the past half year, she began to feel that her mouth had peculiar smell and the dentures began to loosen. Last month, the fixed dentures in the area of anterior teeth of the upper jaw were loose and fell.

At that time, she suddenly thought that the TV advertisement had introduced that the movable denture adhesive could make the denture “stick to the whole group and be stable”, so she went to the drugstore and bought it to stick her fixed denture. After a week, it was found that the gums in the anterior teeth area began to have swelling, and the dentures began to loosen, so they decided to go back to the hospital.

After clinical examination, it was found that in addition to the patients’ poor oral hygiene habits, resulting in gingival redness and swelling around the implant and easy to have gingival bleeding, it was also found that the remaining active denture adhesive was located at the edge of the denture and abutment teeth, and the ceramics on the abutment teeth also appeared to crack. On the other hand, there was no obvious destruction of bone around the implant, so it was diagnosed as mucositis around the implant. After treatment and correct oral education, Ms. He’s gums are not only restored to health, but also the anterior maxillary area is restored to beauty and function.

Many people often mistakenly think that the adhesive on the advertisement can be used to stick fixed and movable dentures. However, dentists have the adhesive specially used for fixed dentures.

Therefore, in addition to seeing some patients treat the fallen dentures by themselves because they are greedy for the convenience of the moment, there have also been cases in the dental emergency department where a single crown has been dropped and treated with movable denture adhesive by themselves. The active denture adhesive sold on the market is an auxiliary substance used in active dentures. Before using it, patients should consult the dentist for professional advice. If the removable denture adhesive is placed in the fixed denture, it will not only make the fixed denture unable to be placed to the location, increase the chance of loosening, but also cause some complications of the implant or fixed denture.

If the patient’s oral cleaning and maintenance are not good, and the active denture adhesive itself is not easy to remove, it is easy to cause the growth of bacteria and molds under the condition that it is not completely removed, which may lead to redness and inflammation of the tooth bed or infection of Candida, or even damage the surrounding hard tissue, forming peri implant inflammation.

The main component of the active denture adhesive is a water-soluble compound with viscosity. When mixed with water or saliva, it will increase the viscosity of saliva, the volume of the material will also expand, and it will flow under pressure, so the space between the inner side of the active denture and the tooth bed will be eliminated, and the adsorption force of the active denture will be increased.

Although active denture adhesive can reduce the amount of lateral movement of active denture, increase the confidence and safety of patients, and provide better quality of life, if it is used in the wrong way or in the wrong place, it is easy to work twice and half.

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Which active denture patients are suitable to use denture adhesive?

1. Patients with poor neuromuscular coordination, such as Parkinson’s disease, myasthenia gravis, Alzheimer’s disease, etc.
2. Patients with poor saliva secretion who take medicine or have done radiotherapy.
3. Patients who have had jawbone surgery or resection.
4. Patients who are particularly prone to stress or occupational needs, and need to provide physical or psychological support with denture adhesive.
5. Patients with poor adaptation to active dentures.

The key to using denture adhesive is as follows:

1. Clean the active denture with warm water, and then clean the food residue and denture adhesive with toothbrush and water. Put water or towel in the sink first to prevent the denture from falling and damaging during cleaning.
2. When removing the adhesive, wipe it with towel or gauze with warm water.
3. Before applying the removable denture adhesive, dry the removable denture first, and then apply a small amount of it on the inner side of the denture. If saliva is insufficient or deficient, it is recommended to moisten the denture with water before it is brought in.
4. Do put the movable denture to the position, and press it stably with hand for 10-15 seconds.
5. Use gauze to remove the adhesive overflowing from the edge of removable denture.
6. Before going to bed every night, the removable dentures must be pulled out and cleaned to let the gums rest. Dental implant is not omnipotent, and there is still the possibility of complications in dental implant treatment. To use dental implant for a long time, in addition to establishing correct oral cleaning methods (toothbrush, floss and interdental brush) and habits, and regular back diagnosis and inspection (about half a year to a year), when encountering problems, it should be back diagnosis as soon as possible. Do not use movable denture adhesive without authorization, so as to avoid heartbreak, injury and financial loss.