Denture Stomatitis with Systemic Disease in Elderly Patient. A Case Report
Abstract
ABSTRACTIntroduction: Denture Stomatitis (DS) is a frequent condition that affects people who wear dentures, particularly the elderly. There are several contributing factors to denture stomatitis. Many local and systemic predisposing factors interact with one another. Case report: A 54-year-old female presented to Dental Hospital Universitas Syiah Kuala with a chief complaint of redness of the palate. Dentures currently seem loose and frequently fall out when speaking and chewing. Intraoral examination revealed diffuse erythematous, measuring >2 cm, red in color, number 2 (bilateral), irregular edges, located on the hard palate. Atrophic lesions, flat, measuring ±3x5cm, red in color, multiple, with diffuse borders and irregular edges, located dorsal of the tongue. Laboratory test results showed an increase in blood glucose levels, HbA1c and decrease in Hemoglobin, Hematocrit, Mean Corpuscular Volume (MCV), Mean Corpuscular Hemoglobin (MCH). Based anamnesis, clinical features and adjunctive examination was diagnosed Denture stomatitis with Diabetes Mellitus and slight Anemia. The treatment was Nystation oral suspension, Chlorhexidine Gluconate 0.2%, maintained oral health and improved nutrition. Conclusion: Denture stomatitis is a complex disorder that mostly affects the palatal mucosa of the upper jaw. Management of this condition must be comprehensive, starting with a proper diagnosis of the causative and risk factors, then directing treatment to the most significant factors specific to the patient.
References
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Weerasinghe J, Weerasinghe L, Thirugnanasampanthar V, Jayasooriya P, Lombardi T. Cross-sectional study on proportions of type 2 diabetic patients presenting with oral candidal lesions. Appl Sci. 2025;15(10):1-12. doi:10.3390/app15105539
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Sumitro, Cuan HK, Halim S. Denture stomatitis: an overview of epidemiology, etiology, and current therapeutic strategies. J Inov Pendidik Mat dan IPA. 2025;5(2):965-74.
Rani.s L, Dharman S, G.Maragathavalli. Assessment of diabetic status in denture stomatitis and angular cheilitis patients in a university hospital setting-a retrospective analysis. Int J Dent Oral Sci. 2019;2(4):36-41. doi:10.19070/2377-8075-si02-04008
Rodríguez-Archilla A, Piedra-Rosales C. Candida species oral detection and infection in patients with diabetes mellitus: a meta-analysis. Iberoam J Med. 2021;3(2):115-21. doi:10.53986/ibjm.2021.0020
Raman N, Jain S. Oral symptoms of diabetes mellitus in complete denture wearers patients: a case control study. Int J Pharm Clin Res. 2021;13(6):393-400.
Suragimath G, SR A, Christopher V, Al E. Oral candidiasis in diabetic patients- case report with treatment. World J Pharm Res. 2016;5(3):741-46.
Ramamurthy J. Prevalence of oral mucosal lesions in patients with type ii diabetes mellitus: a retrospective analysis. World J Dent. 2023;14(8):683-87.
Nicholson-Becerra CD, Orozco-Gallardo M, Cisneros-Moya A, et al. Oral candidiasis in a diabetic patient wearing bar-retained provisional overdenture: clinical case report. Reports. 2024;7(4):96. doi:10.3390/reports7040096
Abuhajar E, Ali K, Zulfiqar G, et al. Management of chronic atrophic candidiasis (denture stomatitis)—a narrative review. Int J Environ Res Public Health. 2023;20(4). doi:10.3390/ijerph20043029
Sartawi SY, Abu-Hammad S, Salim NA, Al-Omoush S. Denture stomatitis revisited: a summary of systematic reviews in the past decade and two case reports of papillary hyperplasia of unusual locations. Int J Dent. Published online 2021:1-8. doi:10.1155/2021/7338143
González-Serrano J, Serrano J, López-Pintor RM, et al. Prevalence of oral mucosal disorders in diabetes mellitus patients compared with a control group. J Diabetes Res. 2016; 1-11. doi:10.1155/2016/5048967
Djou R, Wahyuni IS. Atrophic glossitis as a clinical sign for anemia in the elderly. Dentino (JurKedGigi). 2019;IV(1):70-76.
Gopal S, Srividhya S, Sushmitha S. Oral manifestations a key in diagnosing iron deficiency anemia–a case report. J Res Med Dent Sci. 2021;9(4):438-41.
Bukhari MA, Algahtani MA, Alsuwailem FA, Alogaiel RM, et al. Epidemiology, etiology, and treatment of denture stomatitis. Int J community Med Public Heal. 2022;9(2):981-86. doi: 6040.ijcmph20220003
Eyadeh A Al, Al-Qaisi R, Rumman KA, Shibli A, Aburumman R, Aburumman R. Effect of glycemic control on candida colonization on complete denture wearers of diabetic patients. Rawal Med J. 2022;47(3):552-55.
Weerasinghe J, Weerasinghe L, Thirugnanasampanthar V, Jayasooriya P, Lombardi T. Cross-sectional study on proportions of type 2 diabetic patients presenting with oral candidal lesions. Appl Sci. 2025;15(10):1-12. doi:10.3390/app15105539
Banday MZ, Sameer AS, Nissar S. Pathophysiology of diabetes: An overview Mujeeb. Avicenna J Med. 2020;10(04):174-88. doi:10.4103/ajm.ajm
Sumitro, Cuan HK, Halim S. Denture stomatitis: an overview of epidemiology, etiology, and current therapeutic strategies. J Inov Pendidik Mat dan IPA. 2025;5(2):965-74.
Rani.s L, Dharman S, G.Maragathavalli. Assessment of diabetic status in denture stomatitis and angular cheilitis patients in a university hospital setting-a retrospective analysis. Int J Dent Oral Sci. 2019;2(4):36-41. doi:10.19070/2377-8075-si02-04008
Rodríguez-Archilla A, Piedra-Rosales C. Candida species oral detection and infection in patients with diabetes mellitus: a meta-analysis. Iberoam J Med. 2021;3(2):115-21. doi:10.53986/ibjm.2021.0020
Raman N, Jain S. Oral symptoms of diabetes mellitus in complete denture wearers patients: a case control study. Int J Pharm Clin Res. 2021;13(6):393-400.
Suragimath G, SR A, Christopher V, Al E. Oral candidiasis in diabetic patients- case report with treatment. World J Pharm Res. 2016;5(3):741-46.
Ramamurthy J. Prevalence of oral mucosal lesions in patients with type ii diabetes mellitus: a retrospective analysis. World J Dent. 2023;14(8):683-87.
Published
2025-10-31
How to Cite
RAMBE, Sarinah et al.
Denture Stomatitis with Systemic Disease in Elderly Patient. A Case Report.
Journal of Indonesian Dental Association, [S.l.], v. 8, n. 2, p. 98-101, oct. 2025.
ISSN 2621-6175.
Available at: <http://jurnal.pdgi.or.id/index.php/jida/article/view/1447>. Date accessed: 20 nov. 2025.
doi: https://doi.org/10.32793/jida.v8i2.1447.
Section
Case Report
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
