Edentulism was a common dental condition that could be found in Broadway long-term care facility. With continuous effort of educating care staffs regarding the importance of daily denture care led to better management of dentures. However, I had one incidence, in

Unidentified black patches on the soft-lining of lower denture

which an elder was wearing her lower denture that had been covered with unidentified black patches for several months. The alarming news was that even though the caring/nursing staffs had recognized the patches on the denture, they had not reported the mobile dental hygiene unit or other professionals because they did not understand the seriousness of the denture condition. This incidence highlighted the lack of understanding among staffs to recognize normal and abnormal dentures and to properly manage dentures if they recognized abnormalities as well as there was still a lack of communication between staffs and dental hygiene unit in the facility. So I advised the nursing staff to isolate the denture until the issues of the denture would be resolved, contacted the family members and a denturist to notify the situation as well as further assess overall oral health status of the elder for any signs of spread of infections. The elderly fortunately did not present any other symptoms of oral infections and the process of having a mobile denturist into the facility and resolved issue took less than a week. The quick response to the incidence prevented possible oral diseases and further similar incidence by educating the nursing staffs.