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Denture stomatitis — NDEB AFK MCQ

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ModerateProsthodonticsDenture stomatitisNDEB AFK

A 68-year-old complete denture wearer has diffuse palatal erythema under the maxillary denture. The denture is worn overnight, has heavy plaque, and the patient uses an inhaled corticosteroid. What is the most likely cause/mechanism?

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Correct answer: C — Candida-associated inflammation under denture plaque

Palatal erythema limited to the denture-bearing area with overnight wear and plaque is most consistent with Candida-associated denture stomatitis. Carcinoma would not be expected to match the denture base outline so diffusely and symmetrically. The pearl is to treat both the mucosa and the denture hygiene behaviour, including night removal and cleaning.

Reference: Canadian oral medicine and prosthodontic references; NDEB KSAs 2024