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Simplified impression technique and foldable denture fabrication for a patient with microstomia

Ritu Saneja, Bappaditya Bhatacharjee, Pavan Dubey, Atul Bhatnagar

Abstract


Background: Constricted opening of the oral aperture may linger any dental treatment. The adequate mouth opening is very much necessary for any procedure related to prosthodontics. The restricted opening may lead to difficulty in recording the accurate impressions, designing of the dentures and even the ordinary tasks of insertion and removal of the prosthesis. As the absolute height of the stock impression tray is approximately 1–1.5 cm, the impression tray and final prosthesis to be use in microstomia patient has to be laboratory modified. Aim: The aim of this case presentation is to rehabilitate an edentulous patient with severely reduced mouth opening with three-piece sectional denture to make prosthesis foldable during removal. Methodology: A sectioned custom tray was made to achieve accessibility of intraoral structure, and the hinged maxillary denture with intraoral magnet was fabricated to ensure comfortable insertion of the complete denture prosthesis. Conclusion: The sectional hinge denture with adjunct use of intraoral magnet can be comfortably inserted and removed by patient with restricted mouth opening. It is cost effective and comfortable approach for rehabilitation of microstomia patient. Clinical Significance: Impression technique chosen was very comfortable for the patient. As complete denture prosthesis was fabricated in three parts, insertion and removal of the prosthesis was easy.

Keywords


Hinge denture; impression technique; intraoral magnet; reduced mouth opening; sectional denture

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References


Garnett MJ, Nohl FS, Barclay SC. Management of patients with reduced oral aperture and mandibular hypomobility (trismus) and implications for operative dentistry. Br Dent J 2008;204:125-31.

Cenk C, Serdar HC, Atilia U. Fabrication of a sectional impression tray and sectional complete denture for a patient with microstomia and trismus: A clinical report. J Prosthet Dent 2003;89:540-3.

McGarry TJ, Nimmo A, Skiba JF, Ahlstrom RH, Smith CR, Koumjian JH. Classification system for complete edentulism. J Prosthodont 1999;8:27-39.

Luebke RJ. Sectional impression tray for patients with constricted oral opening. J Prosthet Dent 1984;52:135-7.

Bachhav VC, Aras MA. A simple method for fabricating sectional impression trays for making definitive impressions in patients with microstomia. Eur J Dent 2012;6:244-7.

Wahle JJ, Gardner LK, Fiebiger M. The Mandibular swing lock complete denture for patients with microstomia. J Prosthet Dent 1992;68:523-7.

Jivanescu A, Bratu D, Negrutiu M. Prosthetic rehabilitation of a patient with scleroderma induced microstomia. Int Poster J Dent Oral Med 2007;9:382.

Al-Hadi LA. A simplified technique for prosthetic treatment of microstomia in a patient with scleroderma: A case report. Quintessence Int 1994;25:531-3.

Yenisey M, Kulunk T, Kurt S, Ural C. A prosthodontics management alternative for scleroderma patients. J Oral Rehabil 2005; 32: 696-700.

Baker PS, Brandt RL, Boyajian G. Impression procedure for patients with severely limited mouth opening. J Prosthet Dent 2000;84:241-4.

Cheng AC, Wee AG, Morrison D, Maxymiw WG. Hinged mandibular removable complete denture for post-mandibulectomy patients. J Prosthet Dent 1999;82:103-6.

Rajendren R, Sivapathasundharam B. Shafer’s Textbook of Oral Pathology. 7th ed. Netherlands: Elsevier Publishers; 2012. p. 97-101.

Kaira LS, Dabral E. Prosthetic management of microstomia with sectional denture. Saudi J Dent Res 2014;5:93-7.

Kumar KA, Bhat V, Nair KC, Suresh R. Preliminary impression technique for microstomia patients. J Indian Prosthod Soc 2016;16:229-33.

Dreizen S. Oral complications of cancer therapies. Description and incidence of oral complications. NCI Monogr 1990;9:11-5.


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