DENTURE

ADHESIVE
Dr Thulfiqar
Dental Material
Block 4

A material used to adhere a denture to the oral mucosa

 CONTENT
1) Composition
2) Mechanism of action
3) Characteristics of ideal
4) Method of adhesive application
5) Indication
6) Contra indication
7) Conclusion
 COMPOSITION
The major constituent can be divided into:
Group 1 (Adhesive properties)
Eg: Karaya gum, tragacanth, acacia, pectin, gelatin, methyl-
cellulose, hydroxyl-methyl cellulose, sodium carboxy-methyl
cellulose, synthetic polymers (polyethylene oxide, acetic &
polyvinyl)

Group 2 (Antimicrobial agents)

Hexachlorophene, sodium barate, sodium tetraborate & ethanol

Group 3 (Additives, Flavoring & Wetting Agents)

Oil, peppermint
 MECHANISM ACTION OF DENTURE
ADHESIVES
 It is marketed as paste, powder or cream.
 Adhesive powder include vegetable gum (acacia,
tagacanth or karaya) which swells to many times
their original volume on the addition of water &
acquire viscous and retention properties
 As water is absorbed by adhesive agent, the
resulting anions are attracted to cations in the
mucous membrane proteins, producing the
stickiness.
 Saliva increase the viscosity of adhesive, thereby
increasing the force required to separate the
prosthesis from oral mucosa
 Denture adhesive absorb water to become viscous
& sticky. Coloring, flavouring, wetting & preserving
agent may be released
 Some of these constituent may induce adverse
reaction among users of denture adhesives
 Modern adhesives increase their force by using
materials that provide bio-adhesion via carboxyl
groups
 As the adhesives such as methyl cellulose,
hydroxymethyl-cellulose, sodium carboxy-methyl
cellulose or poly methyl vinyl ether maleic
anhydride (PVM-MA) etc, hydrates, free carboxyl
groups form electrovalent bonds that produce
stickiness
 However, the cream adhesives when applied,
spread laterally excluding air and saliva from the
tissue surface of the denture
 The increase in viscosity of the cream layer,
compared with that of saliva is a factor for the
increased retention
 CHARACTERISTIC OF AN IDEAL
DENTURE ADHESIVE
1) Physically should be in powder, cream or gel form
2) Non-toxic, non-irritant & biocompatible with oral
mucosa
3) Odorless and tasteless
4) Easy to apply & to remove from the tissue surface of
the denture
5) Not promote microbial growth
6) Retain its adhesive properties for 12-16 hours
7) Provide comfort, retention & stability to denture,
ensuring patients ability to function with security &
effectiveness during speech, mastication & other
 METHOD OF ADHESIVE APPLICATION
1) Tissue bearing surface of the denture should be
cleaned of any residual adhesive
2) The denture bearing tissues are wiped clean of any
denture adhesive, mucous, saliva or food debris
3) Apply small quantities of denture adhesive to the
tissue bearing surface of dentures
 INDICATION
1) Stabilization of trail denture bases during
• Jaw relation record
• Final try-in
• Insertion of dentures
2) Immediate denture
3) Reduction of tissue irritation
4) Patient with systemic disease
5) Maxillofacial surgery patients
6) For extra security of stable denture
 CONTRA-INDICATION
1) Pt allergic to denture adhesive or its component
2) Denture which are grossly inadequate in fit &
function
3) Dentures that demonstrate excessive loss of vertical
dimension because bone resorption and soft tissue
shrinkage
4) Pt with broken dentures / missing flange / sectional
fracture should not use adhesive to retain their
denture
5) Pt who use denture without throughoutly cleaning
the previous used adhesive resulting in a lining of a
layered, caked deposit of harderened adhesive
should be instructed about proper method to clean
 CONCLUSION
 Denture adhesive, when used properly are safe &
beneficial to patient in improving
 Retention & stability
 Incisive ability
 Comfort & function
 Psychological security
 Although adhesive enhance denture performance &
pt confidence, they should not be used to
compensate denture deficiencies
 Pt should use denture adhesive only on the advice of
dentists. Dentist should instruct proper use &
caution against misuse