Clinical evaluation of some plaque control modalities among denture wearers

Twenty-four complete denture wearers were selected in this investigation. All subjects were divided into 3 groups. Group I used chlorhexidine hydrochloride; group II used Cidex 57, and group III used placebo solution. All subjects in each group were instructed to soack their denture twice per day for one hour with 15 ml of the treated solution. All subjects were placed on a weekly recall schedule for 8 weeks. The results showed that both experimental groups showed a more or less good improvements in debris index scores as compared to group III during the different follow up periods. No obvious change could be detected as regards change in debris index scores of control group. It could be concluded that antiplaque efficacy of chlorhexidine solution is proved to be first material of choice for control of dental plaque

new treatment modality proposed for the management of denture sore mouth

A study on chronic denture stomatitis was presented and two current methods of management were evaluated. The concept of use of hygenic regimen for dentures was discussed and proved to be helpful among 15 patients representing the control group. Bis-triazole, a new oral antifungal drug was used in the treatment of 15 patients suffering from denture sore mouth. Drug syrup used intra-orally under dentures was found to be effective in the treatment of denture stomatitis [50 mg on a divided dose of 5 mg/ml, 150 ml/bottle]; the daily dose for a fortnight was suggested as an adequate course of treatment. The achieved clinical improvement during the follow-up periods was proved to be statistically highly significant. For quantifying this improvement, st and ard subjective criteria were developed; namely, lesions, pain, duration and inflammation. C and ida albicans was isolated from all cases of denture sore mouth [30 patients]. Although mycological assessment showed a high rate of negativism at the 7th day of therapy, recolonization was observed in 2 patients at the end of 14th day of therapy, giving a satisfactory mycological cure. The drug therapy did not induce changes in blood picture as well as renal and liver function tests. The drug was well tolerated in almost all cases, mild and transient nausea and diarrhea were reported in only one patient. Finally, the disorders which may result from a persistent oral infection by C and ida should be considered the main target of management and underline the necessity for adequate treatment of this disease entity