Denture Hygiene - Foundations of Clinical Skills and Practice PDF

Denture Hygiene Foundations of Clinical Skills and Practice Intended Learning Outcomes By the end of this session, students should be able to: Describe different types of dentures and obturators Recognise the importance of denture hygiene Discuss assessing of denture cleanliness and the...

Denture Hygiene Foundations of Clinical Skills and Practice Intended Learning Outcomes By the end of this session, students should be able to: Describe different types of dentures and obturators Recognise the importance of denture hygiene Discuss assessing of denture cleanliness and the Denture Cleanliness Index Identify methods of cleaning dentures GDC Learning outcomes (Preparing for Practice 2015): 1.1.2, 1.2.3, 1.2.7, 1.5.2, 1.8.3, 1.10.2, 1.10.3, 1.10. 5, 3.1, 3.4, 5.1 Types of Dentures and Obturators Complete/full denture Obturator Partial Denture Importance of Denture Hygiene Importance of denture hygiene Denture stomatitis Assessing Denture Cleanliness Using the Denture Cleanliness Index (DCI) Explain to the patient that you will be checking the denture to see if you can support them in their cleaning of it. Obtain verbal consent and ensure to remain non-judgemental and reassuring throughout Fill the sink with water, then gently wash the denture under cold water to remove loose debris Apply plaque disclosing solution onto the fit surface of the denture Rinse off after 30 seconds and visually inspect the surface Assign a DCI score For patients with both upper and lower dentures, ensure to record a DCI score for each. The worst score is then the overall score The Denture Cleanliness Index Score The Denture Cleanliness Index 0 Clean denture. No plaque is visibly seen, no staining, no plaque detectable 1 Denture is visibly clean. Little staining (50% fit surface stained) 4 Denture has visible calculus deposit on any surface * Visible defects in denture, in addition to any of the above score (defects defined as those which are potentially plaque retentive or require repair or remake of denture) Denture hygiene instructions provided according to DCI score Score Strategy 0 No intervention required, reinforce current denture hygiene 1 Denture hygiene reinforcement 2 Denture hygiene reinforcement, patient information leaflet 3 Denture hygiene reinforcement, patient information leaflet and denture hygiene kit 4 Denture hygiene reinforcement, patient information leaflet, denture hygiene kit Intervention by clinician to clean dentures * Consider denture reline or remake (depending on severity of defect)-refer to GDP Methods of Cleaning Dentures Manual cleaning Fill sink/bowl with water Denture brush/soft toothbrush (softer filaments to minimise scratching the denture) Denture cleansing adjuncts- important that it is formulated specifically for dentures: Denture toothpaste/Gel/Foam/Powder Ensure all surfaces are cleaned- clinician can demonstrate on half the denture and patient can then demonstrate back Chemical cleaning Bleach based-may Effervescent type- may contain: contain: -Peroxide -Sodium hypochlorite -Bicarbonate -Percarbonate -Sodium hydroxide -Persulphate Mineral Enzyme acid based based Flexible Oral denture cleaners rinses Compatibility of denture cleaning methods with different denture materials Maintaining optimum oral health for denture wearers Provide meticulous oral hygiene coaching as well as denture hygiene coaching at appropriate recall intervals Incorporate the Denture Cleansing Index into routine visits to assess denture hygiene Ensure that the patient is cleaning the denture extra orally and over a filled sink/bowl Consensus amongst literature suggests that cleaning with both mechanical (brushing) as well as the appropriate chemical cleanser offers the optimum plaque biofilm control References/Links Denture care guidelines - Oral Health Foundation (dentalhealth.org) Mylonas, P. Milward, P. and McAndrew, R. (2022) ‘Denture cleanliness and hygiene: an overview’, British Dental Journal, 233 (1), pp. 20-26. Available at: https://www.nature.com/articles/s41415-022-4397-1 (Accessed 24th June 2024). Ali, Z. Al-Taie, A. Hamid, A and Strian, K. (2023) ‘Hints and tips on looking after your Obturator, Information for patients’ The Leeds Teaching Hospitals NHS Trust, 1 (1). Available at: https://flipbooks.leedsth.nhs.uk/LN004866.pdf (Accessed 13th August 2024).