Dental OSCE (Objective Structured Clinical Examination) Practice Exam

What is the recommended treatment for a patient experiencing denture stomatitis?

1. Immediate extraction of remaining teeth

2. Antifungal therapy and denture adjustments

3. Long-term use of pain relievers

4. Increased oral hygiene without denture use

The correct answer is: Antifungal therapy and denture adjustments

The recommended treatment for denture stomatitis focuses on addressing the underlying fungal infection often associated with this condition, which commonly results from the overgrowth of Candida species due to poor denture hygiene or ill-fitting dentures. Antifungal therapy is essential as it targets the pathogen causing the inflammation and discomfort in the oral mucosa. In addition to antifungal medications, making adjustments to the dentures is crucial. This may involve ensuring that the dentures fit properly and are not creating areas of irritation or providing a hospitable environment for fungal growth. Properly fitting dentures can lead to improved oral health and comfort for the patient. The other options do not address the root cause of denture stomatitis effectively. Immediate extraction of remaining teeth would be unnecessary and overly invasive, particularly when the condition can often be managed conservatively. Long-term use of pain relievers may provide symptomatic relief but would not treat the underlying issue nor improve the integrity of the oral environment. Increased oral hygiene without denture use would also miss the mark since it does not incorporate the necessary antifungal treatment or adjustment of the dentures. Overall, combining antifungal therapy with proper denture adjustments presents a comprehensive approach to effectively managing denture stomatitis.