Is swallowing Polident (denture cleanser) harmful?

Swallowing Polident: Immediate Risks and Management

Swallowing Polident denture cleanser can cause severe harm and requires immediate medical attention, particularly if the tablets are aspirated into the airway where they can cause life-threatening laryngeal edema and respiratory distress.

Immediate Dangers

Airway Compromise

• Aspiration of denture cleanser tablets causes severe mucosal edema in the upper airway, including constricted glottis with edema and redness, as well as red and edematous mucosa of the trachea and major bronchus 1
• The chemical reaction from these tablets creates rapid tissue damage when in contact with respiratory mucosa, leading to difficulty breathing that can progress quickly 1
• Emergency bronchoscopy may be required, with instillation of 1% xylocaine with epinephrine to reduce edema and maintain airway patency 1

Chemical Injury Risk

• Denture cleansers contain alkaline peroxide compounds that are designed to break down organic material and kill microorganisms 2, 3
• These products are formulated for external use only and are not intended for ingestion 2
• The chemical composition can cause direct mucosal injury throughout the gastrointestinal tract if swallowed 1

What to Do Immediately

If Tablets Are Swallowed

• Seek emergency medical care immediately if any respiratory symptoms develop (difficulty breathing, throat tightness, coughing, wheezing) 1
• Do not induce vomiting, as this may cause additional chemical exposure to the esophagus and airway
• If the person can swallow safely, have them drink water or milk to dilute the chemical, but only if there are no signs of airway compromise
• Monitor closely for signs of respiratory distress, which can develop rapidly 1

If Tablets Are Aspirated

• Call emergency services (911) immediately - this is a medical emergency requiring urgent intervention 1
• Keep the person upright if possible to minimize further aspiration
• Do not give anything by mouth if respiratory symptoms are present
• Be prepared for potential need for advanced airway management 1

Why This Is Dangerous

• The alkaline peroxide formulation in products like Polident is highly effective at breaking down biofilms and killing Candida albicans and other microorganisms on dentures 2, 3
• This same chemical activity causes severe tissue damage when in contact with living mucosa 1
• The tablets are designed to effervesce and release active ingredients rapidly, which accelerates tissue injury 1

Common Pitfalls to Avoid

• Do not assume that spitting out the tablets immediately prevents harm - even brief contact can cause significant airway edema 1
• Do not delay seeking medical care if any respiratory symptoms develop, as laryngeal edema can progress rapidly and become life-threatening 1
• Do not attempt home remedies or wait to "see if it gets better" when respiratory symptoms are present 1
• Never store denture cleansers where they could be mistaken for medication or candy, particularly around elderly individuals with cognitive impairment

Prevention

• Store denture cleansers in clearly labeled containers away from medications and food
• Never place denture cleanser tablets in the mouth - always dissolve in water first according to package directions
• Supervise use in individuals with cognitive impairment or confusion
• Keep denture cleansers out of reach of children, as the tablets may be mistaken for candy