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Current guidelines recommend brushing dentures daily with a non-abrasive cleaner, soaking them, removing them overnight, and routine dental visits. However, these recommendations rarely specify care for the remaining teeth and soft tissues, nor do they outline the most effective home routines for improved gum health and plaque control.
Strong evidence shows that dental disease, even in periodontitis cases, can be prevented or improved with better hygiene, and that theory-based, structured nterventions are effective at changing patient outcomes.
RPD wearers are a particularly high-risk group for gingival inflammation, persistent plaque, and suboptimal denture and tissue hygiene. Traditional guidance—“brush, soak, repeat”—is increasingly seen as insufficient.
A recent randomized controlled trial introduces a clear, three-step protocol that delivers superior outcomes.
Patients who followed the multi-step regimen showed:
Empower your patients—when recommendations are practical and grounded in evidence, you improve results and patient satisfaction.
| Study Goal | Test if a multi-step oral hygiene routine enhances gum health, plaque control, and denture cleanliness in partial denture wearers. |
|---|---|
| Key Intervention | Three-step regimen: Stannous fluoride toothpaste, Sodium fluoride mouth rinse, Antibacterial denture foam all with detailed instructions. |
| Primary Outcomes | The protocol led to significant improvements in gum bleeding, plaque, and denture debris by week 6 and even more by week 12. |
| Final Conclusion | A structured, multi-product home care routine is measurably superior to “just brush and soak.” |
| Clinical Relevance | Time to move on from outdated hygiene routines— this protocol sets a new practical standard for RPD patients. |
| Immediate Action | Demonstrate and recommend a three-product hygiene process for all RPD wearers, starting at the next visit. |
| Limitations | Small study (49), short duration (12 weeks), and minor, mostly self-limiting adverse reactions. |
Seong J, Je C, Gr B, E S, M A, West N. A randomised controlled trial to evaluate the efficacy of a multi-step oral hygiene product intervention to improve oral health in partial denture wearers: Assessing Oral Health Improvement: Complex
Intervention for Partial Denture Wearers. J Dent. 2025 May;156:105643. doi: 10.1016/j.jdent.2025.105643. Epub 2025 Mar 4. PMID: 40049283.
