Prosthodontics & Occlusion · patient case question
A patient with a maxillary complete denture presents with diffuse erythema of the denture-bearing palate that conforms exactly to the denture outline. What is the treatment?
Patient case: Ceramic Crown Delivery
demo: 38-year-old male
chief: Delivery of a lithium disilicate crown on tooth #30.
history: Bruxism. Existing crown on #6 has become discolored at the margin.
meds: None
findings: Lithium disilicate crown returned from the laboratory. Adjacent tooth #6 shows a grey marginal discoloration beneath a ceramo-metal crown.
Show answer and explanation
Correct answer: B. Antifungal therapy — fluconazole or nystatin — combined with denture hygiene and nighttime removal
- A. The lesion is diagnosed clinically by its conformity to the denture outline; biopsy is unnecessary.
- B. Correct. This is denture stomatitis — chronic atrophic candidiasis. Treatment combines an antifungal with disinfection of the prosthesis and removal at night, since the fitting surface is the reservoir.
- C. A new denture placed into an untreated infected mouth will simply be recolonized.
- D. Antibacterial therapy has no effect on a fungal infection and may worsen it.
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