Development of a Device for Removing a Partial Denture in a Patient with Scleroderma

Sharon-Buller, Anat; Sela, M.

doi:10.1111/j.1754-4505.2005.tb01655.x

Cited by 5 publications

(5 citation statements)

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“…In patients without teeth and with severe microstomia, rehabilitation with fractionated prosthesis and limiting the size of the teeth of the upper prosthesis may be proposed. The flexibility of the prosthesis in the median and sagittal position facilitates its insertion (50–57). Imprints should be made with a hydrophobic material such as thiocol, which allows for maintaining a salivary film between mouth mucosa and the prosthesis.…”

Section: Resultsmentioning

confidence: 99%

Prostate‐specific antigen: A review of the validation of the most commonly used cancer biomarker

Hernández

Thompson

2004

Cancer

272

173

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Objective To review the literature and collect expert advice for proposing preventive and curative treatments of mouth and dental involvement in patients with systemic sclerosis (SSc; scleroderma). Methods The literature pertaining to mouth and/or dental involvement related to SSc was reviewed, and recommendations were developed according to the suggestions of a French multidisciplinary working group of experts and validated by a lecture committee. Results Dentists face 3 main issues in caring for SSc patients: oral mucosa involvement, manducatory apparatus and mouth involvement responsible for limitations in mouth opening, and treatment‐related adverse events. An increased risk of tongue carcinoma has been noted. In patients with severe limitation in mouth opening (<30 mm), recommended treatments are a specific mouth‐opening rehabilitation program, flexible sectional dentures, and splint therapy. Indications for dental implants depend on the severity of SSc, comorbidities, and/or ongoing bisphosphonate treatment. Prevention of mouth infections and caries implies patient education and teaching about mouth and dental hygiene, periodontal maintenance, and treatment of sicca syndrome. Cessation of tobacco use is mandatory. Patient‐tailored rehabilitation may improve limitations in mouth opening. Systematic dental panoramic radiography allows for the early detection of dental caries. Conclusion Prevention of oral and dental complications is a major issue in patients with SSc. Dental treatment should be tailored to limitations in mouth opening, disease severity, and ongoing treatments.

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Section: Resultsmentioning

confidence: 99%

Prostate‐specific antigen: A review of the validation of the most commonly used cancer biomarker

Hernández

Thompson

2004

Cancer

272

173

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“…Several causes exist for microstomia, but most microstomia cases in the included studies were due to post-surgical com plications, [2][3][4]9,12,17,18,[23][24][25][26]28,34 and scleroderma/systemic scler osis. 5,6,8,10,[13][14][15][19][20][21][22]27,29,32 Other less common reasons include congenital maxilla-facial syngnathia, 9 muscular dystrophy, 31 burn injuries, 7,11 Freeman-Sheldon syndrome 30 and one case of coexisting systemic lupus erythematosus and scleroderma 16 The various techniques and appliances used for the prosthetic rehabilitation of microstomia patients are described below.…”

Section: Discussionmentioning

confidence: 99%

“…Thirteen (38.2%) of the 34 reported microstomia cases were due to post-surgical complications, [2][3][4]9,12,17,18,[23][24][25][26]28,34 and 14 (41.1%) cases were due to scleroderma/systemic sclerosis, 5,6,8,10,[13][14][15][19][20][21][22]27,29,32 . Two cases of burn injuries, 7,11 and, one case each of Freeman-Sheldon syndrome, 30 muscular dystrophy, 31 and congenital maxillomandibular syngnathia, 33 and one case of coexisting systemic lupus erythematosus and scleroderma 16 .…”

Section: Reported Casesmentioning

confidence: 99%

“…13 Prostheses that were fabricated to increase or maintain mouth opening included an intraoral splint [1 (2.9%) case], 7 custom dynamic commissure retractor [1 (2.9%) case] 30 and a dynamic opening device that consisted of an extraoral framework attached to intraoral maxillary and mandibular base plates [1 (2.9%) case]. 9 Buller et al 15 fabricated a metal appliance with a large ring (for finger grip) to aid in the easy removal of the removable partial denture clasp from the teeth [1 (2.9%) case]. Kam et al 16 fabricated a set of modified tweezers and magnets to aid in the insertion and removal of the removable partial denture [1 (2.9%) case].…”

Section: Reported Casesmentioning

confidence: 99%

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Prosthetic Rehabilitation of Microstomia Patients: A Systematic Review of Published Case Reports and Case Series

Patil

Raj

Sarode

et al. 2019

The Journal of Contemporary Dental Practice

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Statement of problem: Prosthetic techniques commonly employed for the rehabilitation of edentulous patients might not be adequate in the treatment of patients with microstomia. Purpose: The purpose of this paper is to systematically review all the prosthetic techniques that have been used in the oral rehabilitation of patients with microstomia. Materials and methods: Data sources, including PubMed, Google Scholar, SCOPUS and Web of Science, were searched for case reports and case series published through September 2017. Three investigators reviewed and verified the extracted data. Only case reports and case series on prosthetic rehabilitation in microstomia patients published in the English language were considered eligible. Results: A total of 212 records were identified from the database search. Forty duplicate records were removed. The remaining 172 articles were assessed for eligibility, and 139 articles were removed because they did not satisfy the inclusion criteria. A total of 34 cases (including 32 case reports and 1 case series) were finally included in the qualitative analysis. The review revealed the use of a modified impression technique with flexible and sectional trays to record impressions in patients with microstomia. Modified forms of oral prostheses ranging from sectional, flexible, collapsible and hinged dentures to implant-supported prosthesis were fabricated to overcome the limited mouth opening. The success of the prosthetic technique primarily depended on the extent of the microstomia and the nature of the cause of the microstomia. Conclusion:Even though the patient acceptance of the prosthetic techniques summarized in the systematic review were high, long-term success rates for each option could not be assessed because of the short follow-up time in most of the included case reports and series.

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“…Additionally individuals with other conditions, such as scleroderma, lack the fine motor skills to be able to insert and remove a denture independently. 2 Multiple other diseases such as arthritis, functional movement disorders, and various neurological disorders can also cause dimin-© 2021 Special Care Dentistry Association and Wiley Periodicals LLC ished fine motor skills and difficulty maintaining adequate oral hygiene. 3 These individuals have to overcome many obstacles in their daily lives.…”

Section: Introductionmentioning

confidence: 99%

Customized device for individuals with limited range of motion to insert and remove dentures

Keller

Alvey

Valdéz

2021

Special Care in Dentistry

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Aim: To develop a device to aid in insertion and removal of dentures in patients with limited range of motion. Case report: A 62-year-old male with congenital musculoskeletal system anomaly, severe scoliosis, missing teeth, and poor dentition presented for comprehensive dental care. Patient had significant range of motion limitations resulting in an inability to reach his mouth. A device allowing for independent insertion, removal, and cleaning of dentures was made for patient. Dentures were fabricated and scanned using an intraoral scanner, traditional surgical guide for implant placement was adapted to accommodate neodynium magnets and wooden dowel, and guide was 3D printed. Stainless steel spheres were processed into denture to correspond to magnets in guide. Patient demonstrated ability to independently insert and remove both his maxillary complete denture and mandibular partial denture using device. Conclusion:A successful device for insertion and removal of complete and partial dentures can be fabricated by adapting a surgical guide to incorporate magnets by processing stainless steel spheres into the dentures. This device could be helpful for any individuals demonstrating musculoskeletal system anomalies or range of motion deficits.How to cite this article: Keller EL, Alvey IA, Valdez JA. Customized device for individuals with limited range of motion to insert and remove dentures.

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Development of a Device for Removing a Partial Denture in a Patient with Scleroderma

Cited by 5 publications

References 1 publication

Prostate‐specific antigen: A review of the validation of the most commonly used cancer biomarker

Prostate‐specific antigen: A review of the validation of the most commonly used cancer biomarker

Prosthetic Rehabilitation of Microstomia Patients: A Systematic Review of Published Case Reports and Case Series

Customized device for individuals with limited range of motion to insert and remove dentures

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