Candida-related denture stomatitis is an annoying chronic concern. Comparison of “topical application of miconazole three times per day for 30 days” versus “upper denture microwaved IN WATER (650 W per 6 min) three times per week for 30 days”. The microwave group was effective treatment – the other not
WARNING:
Obviously not meant for the faint of heart – dentures are not cheap and a melted plate would probably not be insured…Obviously could not be done if there was metal in the denture. I take no responsibility for anyone trying this…
I have one lady microwave her dentures without water with disastrous consequences and have wondered about just taking this blog note down
Effectiveness of microwave disinfection of complete dentures
on the treatment of Candida-related denture stomatitis
K. H. NEPPELENBROEK*, A. C. PAVARINA†, D. M. PALOMARI SPOLIDORIO‡ ,
E. M. SGAVIOLI MASSUCATO§, L. C. SPOLIDORIO‡ & C. E. VERGANI†
Journal of Oral Rehabilitation 2008 – in press
- “each patient had its maxillary denture individually immersed in a 600-mL beaker containing 200 mL of sterile distilled water. Each beaker was placed on the rotational plate in a domestic microwave oven (Model Sensor Crisp 38) and irradiated at 650 W for 6 min (21, 22) three times per week for 30 days.”
- “Smears and cultures of palates and dentures of the groups Mw [microwave] and MwMz [microwave plus miconazole] exhibited absence of Candida at day 15 and 30 of treatment.”
- “Miconazole (group Mz) neither caused significant reduction of palatal
inflammation nor eradicated Candida from the dentures and palates.” - “Microwaving dentures was effective for the treatment of denture stomatitis. The recurrence of Candida on microwaved dentures at follow-up was dramatically reduced.”
Comment – Recently been suggested that 6 minutes on MEDIUM is much safer for dentures and 6 min high can cause “conformational changes in dentures”
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Addendum
When one looks at mucousal lesions in denture wearers,
Gerodontology. 2010 Mar;27(1):26-32.
Oral mucosal lesions in denture wearers.
Jainkittivong A, Aneksuk V, Langlais RP. abstract here
- 60.8% time lesions not related to denture wearing
- traumatic ulcers and yeast infection are about evenly split (19.5% and 18.1%)- I have seen traumatic ulcers induced by antidepressants that cause bruxism (teeth grinding) and dry mouth