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Introduction

Growth in the aging population has resulted

in an increasing number of older persons


requiring dentures.
Proper cleansing of dentures is an essential
daily routine in order to ensure the safety
and satisfaction of the edentulous patient.
To maintain an esthetic, odor-free appliance.

Denture debris
Every surface in the oral cavity, natural or

synthetic, becomes covered within about 30


minutes with a 0.5-1.5 -thick precipitate of
salivary glycoprotein and immunoglobulin that
is termed "pellicle.

Calculus is also readily stained by tobacco,

tea, coffee, certain medications (particularly


iron supplements), and numerous other
ingested materials.

Denture Cleanser
a variety of products designed to

safely remove stains, deposits, and


debris from the surfaces of dental
prostheses, by means of immersion
or brushing with a denture brush and
paste, toothpaste, or powder.
Mosby's Dental Dictionary, 2nd edition.
2008 Elsevier, Inc. All rights reserved.

Denture cleanser,
hipochlorite
a chemical ingredient used in some

solutions to clean removable oral


prostheses. The active ingredient is
dilute sodium hypochlorite. It effectively
removes food, stains, and plaque, and is
readily available in household bleach; it
has a strong lingering scent and may
damage prostheses
Mosby's Dental Dictionary, 2nd edition.
2008 Elsevier, Inc. All rights reserved.

Denture cleanser, alkaline


peroxide
a light-duty denture cleaner; active

ingredient is typically sodium perborate


or sodium percarbonate. Comes in tablet
or powder form; when combined with
water, it creates bubbles. Does not
effectively deal with calculus or darker
staining.
Mosby's Dental Dictionary, 2nd edition.
2008 Elsevier, Inc. All rights reserved.

Denture cleanser, dilute


a chemical containing inorganic acids as
acid
its active ingredient; used to clean
prosthetic dental appliances in an
immersion regimen. Solutions range
include 3% to 5% hydrochloric acid or a
combination of phosphoric and
hydrochloric acids. Regular use of dilute
acids can damage any metal on the
prosthetic device.
Mosby's Dental Dictionary, 2nd edition.
2008 Elsevier, Inc. All rights reserved.

Denture cleanser,
enzyme
an agent that is sometimes added to
immersion cleaning solutions, which
works by weakening polysaccharides
and plaque proteins.
Mosby's Dental Dictionary, 2nd edition.
2008 Elsevier, Inc. All rights reserved.

Types:
Mechanical method.
Chemical method.
Combination method.
Ultrasonic cleanser.

TEKNIK MEMBERSIHKAN GIGI TIRUAN


1. Mekanik

brushing
Jenis sikat gigi
dentifrices, mild detergents, soap, atau
nonabrasive denture cleaning paste
2. Chemical denture cleanser
immersion
bubuk dan tablet
alkaline compounds, detergents, sodium
perborate dan flavoring agents

Denture White

Ultrasonic cleaner

ULTRASONIC DENTURE
CLEANSER

Ultra sonic denture


cleanser
Sonic Denture Cleaner is an
effective and simple way to
clean dentures
The Sonic Denture Cleanser
effectively removes
discolouration caused by
coffee, tea, red wine and
tobacco.
It also removes lingering food
odours, such as smells of
onions and garlic.

Ultrasonic Cleaner
Alat dengan teknologi canggih dan unik ini berguna

untuk
membersihkan
barang-barang
dengan
getaran ultrasonic sehingga lekukan-lekukan yang
tidak terjangkaupun bisa bersih karena media air
digetarkan dengan 40.000 getaran/detik sehingga
sanggup merontokkan kotoran yang menempel.
Wadah
diisi
dengan
air
dan
celupkan
benda/denture yang ingin dibersihkan, nyalakan
alat beberapa detik. Angkat , denture yang sudah
bersih.

This personal ultrasonic cleaner can be

used to clean:
Jewelry
Eye glasses
Printer heads
Dentures
Electric shavers
Artist pens
Watch bands
Tatoo instruments
Fishing reels
Small tools
Small engine parts
Bearings

General cleaning----use only water

Enhanced cleaning----add 2 drops of


dishwashing detergent to the water
220 Volt 30 Watt, 40 kHz
Container size WxLxH = 9 x 16.5 x 4
cm (oval)

SYARAT PEMBERSIH GIGI


TIRUAN

Non toxik, mudah dibersihkan, tidak

meninggalkan iritant
Mempunyai kemampuan melarutkan
deposit organic dan inorganic dari
denture
Tidak merusak bahan denture termasuk
denture base polymer dan alloy, gigi
akrilik dan gigi porselein, dan bahan
denture liner

Tidak merusak pakaian apabila

tumpah
mengenai pakaian
Stabil dalam penyimpanan
Bersifat bactericidal dan fungicidal

Sodium perborate mengurai

membentuk alkaline peroxide


solution, kemudian peroxide solution
melepaskan oksigen dan menghasil
kan buih yang dapat melepaskan
debris

5 % Sodium hypoclorites solution

(1 : 3 water)
Dilute bleach solution
Hypoclorite and glassy phosphate
(Calgon)
solution
Hypochlorite and glassy phosphate
solution
Dilute acids atau enzymes

Simpan gigi tiruan dalam air untuk

mencegah perubahan dimensi dan distorsi


Jangan membersihkan gigi tiruan dalam air
panas karena mengakibatkan distorsi /
warpage
Hindari merendam gigi tiruan dalam chlorine
bleach karena menyebabkan perubahan
warna dan akan mengenai komponen logam
pada gigi tiruan sebagian korosi logam.

Bersihkan gigi tiruan diatas gelas yang berisi

air atau kain yang dilipat supaya gigi tiruan


tidak patah apabila jatuh
Hindari abrasive toothpastes atau household
cleaner sebab akan menggores dan merusak
gigi tiruan

Danger in denture
cleanser
Symptoms of an allergic reaction
Irritation
Tissue damage,
Rash,
Hives,
Gum tenderness,
Breathing problems, and

Misuse of denture
cleansers
Some cleansers may list mouthwash as an
ingredient, but consumers should never chew,
swallow, or gargle with denture cleansers.
Dentures should be thoroughly rinsed with
water before they are placed in the mouth.

Conclusion
Dental professionals must have a current

knowledge of denture cleansing strategies in


order to maximize the service offered to
denture patients.
Care and cleaning of dentures is more than a
strictly esthetic concern

References:

Books:

Anusavice-Phillips science of dental

materials(tenth edition)
Craig 12th edition-Restorative dental materials
Michael bagby-Clinical dental materials
William J. obrein-Dental materials properties
and selection

DENTURE ADHESIVE

Introduction:
The purpose of using denture adhesives.
Improved fit
Comfort
Improved chewing ability and confidence.

Neutral or slightly basic pH


Minimal toxicity to the oral mucosa
Adhesive bond strength for 12 to 16 hours
Easier to clean off oral tissues
Easier to clean off denture
Less messy
More readily available in shops
Less expensive
Better taste and fit

Denture Adhesive
Denture adhesive is a non-toxic,

water-soluble material that is placed


between the denture and the tissues
to enhance the normal physiological
forces that hold dentures in place.
Dentures "adhere" to tissues because
saliva adheres to both the denture and
the tissue.

Denture Adhesive
Denture adhesive does a superior job of

adhering to both surfaces, thereby,


improving retention.
Dentures also "cohere" to tissues because
the film of saliva between tissue and
denture resists being pulled apart. But the
coherence of denture adhesive is far
greater than the coherence of saliva.

Denture adhesive juga digunakan :


Sebagai retensi selama pembuatan
gigi tiruan
Sebagai retensi gigi tiruan (misal gigi
tiruan sudah longgar ) dan obturator
oleh karena keterbatasan retensi
secara fisik
Sebagai media untuk aplikasi obat
pada mukosa rongga mulut

Pemberian denture adhesive harus

dalam jumlah sedikit dahulu


kemudian disesuai kan
Efek denture adhesive berlangsung
sampai lebih dari 16 jam, tergantung
pada individu, jumlah saliva dalam
mulut, konsumsi makanan dan
minuman
Super poligrip harus diaplikasikan 15
30 menit sebelum makan

Semua denture adhesive dapat

digunakan untuk gigi tiruan sebagian


karena tidak merusak bagian logam
dari gigi tiruan sebagian ( yaitu
connectors and clasps )
Denture adhesive tidak boleh
digunakan apabila oral hygiene jelek
atau alergi pada zat yang
terkandung dalam adhesives

To apply adhesive to your dentures:


1. Clean and dry your dentures.
2. Squeeze the tube from the top and
apply adhesive in dashes or strips (as
shown), not too close to denture edges.
3. Rinse mouth before inserting
dentures.
4. Press dentures in place, hold firmly
and bite
down for a few seconds.

DENTURE ADHESIVES mengandung unsur


pokok sebagai berikut :
Gelatin, pectin atau gum, akan
mengembang dan menjadi lebih lunak
dengan adanya air
Cellulose materials sebagai thickening
agents
Hexachlorophene atau antibacterial agents
lain
Sodium lauryl sulphate untuk mengurangi
surface tension
Filler misal magnesium oxide
Flavoring agents misal peppermint oil

Mode of action:
Swell to obliterate the space between

the base of denture and the oral mucosa.


Influence:
Increase the coefficient of surface tension
of the fluid
Forms a viscous gel on contact with water
Increases cohesiveness of the film of
saliva by increasing viscosity of the film.

Viscous gel

Before applying adhesive

After applying adhesive

Denture Adhesive

References:

Books:

Anusavice-Phillips science of dental

materials(tenth edition)
Craig 12th edition-Restorative dental materials
Michael bagby-Clinical dental materials
William J. obrein-Dental materials properties
and selection

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