Maxillary reservoir denture to overcome radiation-induced xerostomia – Light at the end of the tunnel

Srivastava, Sudhanshu; Negi, Preety; Chopra, Devendra; Misra, Sumit Kumar

doi:10.4103/jcrt.jcrt_851_18

Cited by 4 publications

(4 citation statements)

References 20 publications

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“…The most common locations for reservoirs include the palate and the lingual aspect of the denture base. Through the electronic search of the keyword "salivary reservoir denture," 22 case series were found from 1986 to 2024 [ 42 , 43 ]. The location for reservoir preference seemed almost equal among both the arches, out of which, maxillary reservoirs were placed in the palate.…”

Section: Reviewmentioning

confidence: 99%

Dry Mouth Dilemma: A Comprehensive Review of Xerostomia in Complete Denture Wearers

Mhatre,

Srichand,

Sethumadhavan

et al. 2024

Cureus

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Xerostomia, commonly known as dry mouth, presents a significant challenge for individuals wearing complete dentures, affecting their oral health and quality of life. This review explores the relationship between saliva and complete dentures, highlighting the varied management strategies for xerostomia. Saliva plays a critical role in denture retention, lubrication, and oral environment buffering. Complete denture wearers often experience reduced salivary flow, aggravating symptoms of xerostomia. Various management approaches are discussed, including general measures such as hydration and salivary stimulation techniques which aim to boost saliva production naturally. The use of salivary substitutes provides artificial lubrication and moisture to alleviate dry mouth discomfort. Oral lubricating devices, such as sprays, gels, and lozenges, offer relief by mimicking saliva's lubricating properties, thereby improving denture stability and comfort. This review addresses the etiology of xerostomia in complete denture wearers and explores preventive measures to reduce its impact. A comprehensive approach has been discussed for the management of xerostomia which will help to improve the oral health and well-being of complete denture wearers experiencing dry mouth.

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Section: Reviewmentioning

confidence: 99%

Dry Mouth Dilemma: A Comprehensive Review of Xerostomia in Complete Denture Wearers

Mhatre,

Srichand,

Sethumadhavan

et al. 2024

Cureus

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“…Using denture adhesives, such as Protefix has shown promise in improving denture retention among patients with radiation‐induced xerostomia, while Biotène showed minimal effect on retention among the same cohort 100 . Fabricating maxillary and mandibular dentures with artificial saliva reservoirs allowing for saliva release upon applying pressure, can help alleviate symptoms associated with dry mouth among post‐irradiated denture wearers 101–104 . Due to radiation‐induced morbidities, head and neck cancer patients may delay seeking prostheses fabrication, for example, obturators, as compared to patients not receiving radiotherapy, 105 increasing local morbidity.…”

Section: Diagnosis and Management Of Salivary Gland Dysfunctionmentioning

confidence: 99%

“…100 Fabricating maxillary and mandibular dentures with artificial saliva reservoirs allowing for saliva release upon applying pressure, can help alleviate symptoms associated with dry mouth among postirradiated denture wearers. [101][102][103][104] Due to radiation-induced morbidities, head and neck cancer patients may delay seeking prostheses fabrication, for example, obturators, as compared to patients not receiving radiotherapy, 105 increasing local morbidity.…”

Section: Managementmentioning

confidence: 99%

Prosthodontic implications of saliva and salivary gland dysfunction

Khoury

Sultan

2023

Journal of Prosthodontics

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PurposeTo provide a detailed overview of the fundamentals of saliva constituents and production. The review outlines the clinical manifestations as a consequence of salivary gland dysfunction and management strategies for patients with salivary gland dysfunction. Prosthodontic implications of saliva and salivary gland dysfunction are presented.Materials and methodsEnglish‐language literature relating to saliva constituents, physiologic saliva production, clinical manifestations secondary to salivary gland dysfunction, salivary biomarkers, and management strategies were retrieved via electronic search. Relevant articles were summarized for this manuscript with a view toward providing pragmatic information.ResultsSaliva is produced by three pairs of major and minor salivary glands. The major salivary glands, namely, the parotid, submandibular, and sublingual glands, contribute approximately 90% of saliva production. Saliva contains serous and mucinous secretions produced by different types of cells within salivary glands. Parasympathetic and sympathetic fibers innervate the major salivary glands, and upon stimulation, the parasympathetic innervation increases serous secretions, while the sympathetic innervation increases protein secretion. Stimulated saliva is mainly derived from the parotid glands which are composed of serous acini, while unstimulated saliva is mainly derived from the submandibular glands which are composed of mixed seromucous acini. As major salivary glands contribute the most to salivary flow, local or systemic factors influencing those glands can disrupt saliva production resulting in clinically significant oral manifestations.ConclusionThis review provides a fundamental overview of saliva production. In addition, the review highlights the various clinical manifestations secondary to salivary gland dysfunction, explores salivary biomarkers for screening of systemic diseases, discusses management strategies for patients with salivary gland dysfunction, and outlines the prosthodontic implications of saliva and salivary gland dysfunction.

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“…By destroying the deoxyribonucleic acid (DNA) structure of cells in a wide range (cancer cells and normal cells) 36 , radiation therapy is effective in removing almost all tumour cells from the tumour and suspicious surrounding areas. Unfortunately, a series of complications, such as mucositis 37 , xerostomia 38 , and myelosuppression 36,39 , subsequently occur. Chemotherapy is more often recommended in patients diagnosed with stage III-IV disease, in which surgery and radiotherapy might not function efficiently and may only aggravate the situation.…”

Section: Traditional Tumour Therapymentioning

confidence: 99%

Biomaterial-based strategies for maxillofacial tumour therapy and bone defect regeneration

et al. 2021

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Issues caused by maxillofacial tumours involve not only dealing with tumours but also repairing jaw bone defects. In traditional tumour therapy, the systemic toxicity of chemotherapeutic drugs, invasive surgical resection, intractable tumour recurrence, and metastasis are major threats to the patients’ lives in the clinic. Fortunately, biomaterial-based intervention can improve the efficiency of tumour treatment and decrease the possibility of recurrence and metastasis, suggesting new promising antitumour therapies. In addition, maxillofacial bone tissue defects caused by tumours and their treatment can negatively affect the physiological and psychological health of patients, and investment in treatment can result in a multitude of burdens to society. Biomaterials are promising options because they have good biocompatibility and bioactive properties for stimulation of bone regeneration. More interestingly, an integrated material regimen that combines tumour therapy with bone repair is a promising treatment option. Herein, we summarized traditional and biomaterial-mediated maxillofacial tumour treatments and analysed biomaterials for bone defect repair. Furthermore, we proposed a promising and superior design of dual-functional biomaterials for simultaneous tumour therapy and bone regeneration to provide a new strategy for managing maxillofacial tumours and improve the quality of life of patients in the future.

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Maxillary reservoir denture to overcome radiation-induced xerostomia – Light at the end of the tunnel

Cited by 4 publications

References 20 publications

Dry Mouth Dilemma: A Comprehensive Review of Xerostomia in Complete Denture Wearers

Dry Mouth Dilemma: A Comprehensive Review of Xerostomia in Complete Denture Wearers

Prosthodontic implications of saliva and salivary gland dysfunction

Biomaterial-based strategies for maxillofacial tumour therapy and bone defect regeneration

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