denture stomatitis symptoms causes types and treatments

What Is Denture Stomatitis? 

Candida, a yeast or fungus, causes denture stomatitis. Because we all have some candida in our mouths, it is not an infection we get or spread to others. 

Thrush can arise in various places of the body, but when it affects the mouth, it is known as "denture stomatitis."

As the name implies, denture wearers are at risk of acquiring denture stomatitis. The disease can also have an impact on:

  • Diabetes patients.

  • Those who have inadequate oral hygiene.

  • Individuals who take steroids orally or via inhaler.

  • Individuals getting cancer treatment.

  • Those who are on specific drugs, such as broad-spectrum antibiotics and corticosteroids.

Candida is present in everyone's mouth and normally does not create any difficulties. However, it is the overpopulation of Candida in the mouth that causes denture stomatitis symptoms.

According to epidemiological research, the prevalence of denture stomatitis among denture users ranges from 15% to more than 70%, depending on the age of study participants. 

The problem is more common in elderly people and nursing care patients.

Symptoms of Denture Stomatitis 

Before you become concerned about acquiring denture stomatitis, keep in mind that it is often a moderate ailment that may be managed medically and by adopting healthy practices. It is only transient and is not cause for fear.

Early detection, on the other hand, is ideal for early treatment. More severe cases of DS include tongue sores, bleeding gums, chronic numbness, and halitosis

So, keep an eye out for the following DS symptoms:

  • Soreness in the area of the mouth where the dentures rest.

  • Gum swelling and abnormal redness

  • Lips with redness and oedema around the corners

  • Breath that stinks

  • Dentures or prosthetics that do not fit properly

  • Dryness and a change in palate texture

  • Atypical reduction in saliva production

  • Intense burning sensation in the mouth

  • Dysgeusia is a taste alteration.

Aside from the red border of the dental appliance, over 30% of denture stomatitis patients have no symptoms at all. 

In addition to the red outline, 20% to 70% of the remaining patients may experience poor breath, minor bleeding and swelling in the affected area, a burning feeling, dry mouth, or changed taste sensations.

The initial sign of denture stomatitis is typically tissue redness in the contour of the denture. 

Because most people do not examine the interior of their mouths on a daily basis, it usually stays undiscovered until a dental professional discusses it or actual symptoms appear.

What Causes Denture Stomatitis?

Denture stomatitis is an oral yeast infection. It is primarily caused by candida, a fungus (yeast) that dwells in the mouth and rarely causes difficulties. 

However, an imbalance can occur at times, and candida can develop out of control, resulting in a fungal infection. Candida overgrowth causes gum inflammation and affects other regions of the oral mucosa, causing redness and pain. 

Other extrinsic variables that can induce denture stomatitis include the type of denture used, brushing and eating habits, and so on. These can also promote the growth of candida microbes, resulting in inflammation. 

Other common causes of denture stomatitis include: 

  • Denture materials' composition and age
  • Incorrect denture positioning
  • Diabetes and other underlying conditions
  • Too much sweet food consumption
  • Inadequate dental hygiene
  • Allergic reactions to microbial accumulation
  • incorrect denture cleaning
  • Prolonged use of certain antibiotics may foster an environment conducive to denture stomatitis.

Types of Denture Stomatitis

Denture stomatitis is distinguished by irritation and redness of the oral mucosa (the mouth lining) beneath a denture. 

While wearing dentures is typically connected with denture stomatitis, there are several varieties of denture stomatitis that can arise, each with its unique set of characteristics. 

In this part, we'll look into the different types of denture stomatitis.

1. Erythematous Denture Stomatitis

The most prevalent type of denture stomatitis is erythematous denture stomatitis. 

It is distinguished by widespread inflammation of the mucosa beneath the denture, resulting in redness and discomfort. 

Small red dots or patches may be noticed in some circumstances. Erythematous denture stomatitis is a kind of stomatitis.

2. Papillary Denture Stomatitis: 

The inflammation in this type of stomatitis is more localised and usually occurs on the hard palate, notably the rugae (ridges) of the palate. 

Red, raised spots or papules may emerge in the affected area. Fungal overgrowth, particularly Candida species, is frequently to blame for this illness.

3. Angular Cheilitis: 

While not a subtype of denture stomatitis in and of itself, it is strongly related to it and can develop concurrently. It is distinguished by painful, red, and frequently cracked corners of the mouth. 

Candida overgrowth or other causes, such as ill-fitting dentures that cause saliva to build around the corners of the mouth, can cause angular cheilitis.

How To Prevent Denture Stomatitis?

  • The easiest strategy to avoid denture stomatitis is to make it a habit to remove your dentures before going to bed. 
  • Your oral mucosa requires exposure to air and saliva, which helps wash away germs and reduces the number of typical fungi in your mouth.
  • Dentures are a breeding habitat for bacteria and should be cleaned on a daily basis. 
  • The easiest way to do this is to use a soft-bristle denture brush with liquid soap or a denture cleaning product to mechanically remove plaque and film that might cause stomatitis.
  • Soaking dentures in a cleaning solution alone does not provide the agitation required to break up and wash out all debris.
  • Overall, whether you have dentures or not, maintaining adequate dental hygiene is important for preventing denture stomatitis. 
  • You should be aware of the best denture tips and tactics to reduce your chances of developing denture stomatitis. 
  • It is also advised that you have frequent dental examinations to ensure that any symptoms of the problems are treated before they worsen.

Best Treatments for Denture Stomatitis 

People suffering from oral stomatitis have several therapy options:

1. Antifungal Treatment: 

Antifungal medicine, such as nystatin or miconazole, is usually the first line of defence. 

These drugs are frequently administered as lozenges. In rare circumstances, anti-fungal ointments may be administered to alleviate your symptoms.

2. Laser Therapy: 

If antifungal drugs do not work, your dentist may utilize low-energy laser therapy to treat oral stomatitis.

3. Surgical Removal: 

Some people acquire tiny nodules on the roof of their mouth that require excision. This can interfere with your denture and cause it to fit incorrectly. 

Your dentist may do little surgery to remove the nodules in certain circumstances. Furthermore, your dentist will clean, polish, and shine your denture to prevent microorganisms from infecting it. They will also

They'll also examine your bite and make any required changes. In some cases, a new denture may be required.

How To Get Rid Of Denture Stomatitis at Home? 

Denture stomatitis can be painful but, in many instances can be adequately treated at home. 

Here are some home cures and self-care advice for treating denture stomatitis:

1. Denture Hygiene: 

Ensure that your dentures are cleaned on a regular basis to avoid the accumulation of Candida and bacteria. Soak your dentures in a denture cleaning solution that your dentist has prescribed.

2. Oral Hygiene: 

Thoroughly clean your mouth, including your gums, tongue, and palate. Brushing your teeth with a soft toothbrush or using an antibacterial mouthwash will help minimise your risk of illness.

3. Gargle with Warm Salt Water: 

Gargling with warm salt water can help reduce inflammation and relieve pain.

4. Probiotic Yoghurt

Consumption of live probiotic yoghurt can promote healthy oral flora and potentially help avoid fungal overgrowth.

5. Remove Dentures at Night: 

Remove your dentures at night to give your mouth tissues a rest. This can aid in reducing inflammation and promoting healing.

Consult Your Dentist If your symptoms persist or worsen, see your dentist.


The easiest strategy to avoid oral stomatitis is to maintain good oral hygiene. Brush your teeth and gums at least twice daily, and swish an antibacterial mouthwash around. 

You should also avoid smoking, as it increases your chances of getting an oral infection. Finally, wear your dentures for at least eight hours per day (for example, when sleeping). 

This will allow your tissues to rest and avoid the formation of denture sores. More information regarding teeth and gum care can be obtained from your healthcare provider.


Q1: How dangerous is denture stomatitis?

Denture stomatitis is normally not considered dangerous, although it can be painful and have an impact on your quality of life. If neglected, it might lead to more serious oral health problems.

Q2: Can I cure denture stomatitis with over-the-counter antifungal creams?

Before using any antifungal drugs, consult your dentist. Based on the severity of your problem, they can offer the most appropriate treatment.

Q3: How can I avoid getting denture stomatitis?

Denture stomatitis can be avoided with proper denture cleanliness, appropriate oral care, and frequent dental check-ups. Furthermore, limiting excessive sugar consumption and maintaining a healthy diet can lower the chance of fungal overgrowth.