Abstract
Oral mucosal lesions can be uncomfortable and can result in a poorer oral health related quality of life. This can be seen especially in edentulous patients who are mostly elderly and have comorbid diseases such as Diabetes Mellitus, which can impair their ability to withstand oral infections. In South Africa, one of the most unequal countries in the world, almost 50% of the population is edentulous and this prevalence increases as age increases. The aim of this cross-sectional study was to determine the prevalence of denture-related stomatitis in subjects who presented to a tertiary institution in Cape Town, South Africa for new complete dentures and to determine the risk indicators associated with it. Three hundred and ninety-six folders of participants who received complete dentures during the period 2014–2019 were included in this study. Categorical data was displayed as frequencies and percentages and a multiple adjusted logistic regression was used to determine associations between Candida and certain risk indicators. The prevalence of denture-related stomatitis was 25.76% (n = 102). Almost 75% (n = 225) females and 72.63% (n = 69) males had no denture-related stomatitis. The most common site for candidiasis in this population was the palate and tonsillar area (40.2%, n = 41) and the least common site was the upper ridge (2.94%, n = 3). Candidiasis, in edentulous patients are highly prevalent in this population and more needs to be done to prevent it.
Highlights
IntroductionHealthcare improvements in the last century have led to an increasingly elderly population
The purpose of the study was to determine the prevalence of denture-related stomatitis (DRS) in complete denture wearers and the risk factors associated with it
The purpose of this research was to explore the prevalence of denture-related stomatitis and risk factors at a tertiary hospital in Cape Town, South Africa
Summary
Healthcare improvements in the last century have led to an increasingly elderly population. The World Health Organization (WHO) estimates that by 2050 the world’s population of 60 years and older will total 2 billion [1]. It is known that aging is coupled with the presence of disease which reduces the quality of life and impacts life expectancy. The Global Burden of Disease (GBD) 2015 study, calculates that around “3.5 billion people worldwide live with dental conditions, predominantly untreated dental caries in the deciduous and permanent dentitions, severe periodontal disease, edentulism (complete tooth loss), and severe tooth loss (having between 1 and 9 remaining teeth)” [2]. 80% of older people will be living in low- and middle-income countries by 2050
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