We aimed to explore the risk factors for denture-related oral mucosal lesions (DML). A total of 134 fixed denture wearers visiting from February 2018 to January 2023 were selected and assigned into a DML group and a non-DML group according to whether DML occurred. The denture-related factors possibly leading to DML were recorded. A binary logistic regression model was employed to analyze the correlations of different denture-related factors with the occurrence of DML. Gender, denture type, inflammatory fibrous hyperplasia, restoration method, cusp inclination, occlusal force distribution, presence of mechanical complications, implant location, and denture manufacturing time were factors affecting the occurrence of DML (P<0.05). The results of logistic regression analysis revealed that restoration method, denture type, cusp inclination, implant location, occlusal force distribution, and presence of mechanical complications were independent risk factors affecting DML (P<0.05). Restoration method, denture type, cusp inclination, implant location, occlusal force distribution, and presence of mechanical complications affect the occurrence of DML. Rational precautionary measures targeting these influencing factors should be taken to decrease the incidence rate of DML.
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