Prosthodontic Rehabilitation of Patient with Mandibular Resection using Overlay Prosthesis: A Case Report

Godbole

2021

JPRI

Background: A Temporo-mandibular disorder (TMD) itself is a cumulative terminology used to indicate the situations which entails the pain alone or in association with dysfunction of the Temporomandibular joint (TMJ) with or without involving the associated structures. One of the main cause of developing TMD is the loss of tooth. The completely edentulous patients also have reported high prevalence of TMD as in dentulous patients. Methods: It is a prospective interventional study that will be carried out in three years. The sample size will be those completely edentulous subjects, who has not used dentures for a duration of six months to five years of tooth extraction. Such subjects will then be subjected to anamnestic component of Helkimos Index for screening purpose.110 subjects exhibiting mild to severe signs and symptoms of Temporomandibular disorders will be considered as the study participants for the study. Study participants will be categorized as Group A (study participants having mild symptoms of TMD, n=55) and the second will be Group B (study participaants having severe symptoms of TMD, n=55). The Craniomandibular Index will be used to score the severity of the TMD before denture insertion. The initial recorded score will be then correlated with the score obtained after 3 months of delivery of denture. Descriptive as well as analytical statistics will be performed. The statistical relevance among the Group A and Group B before intervention and after 3months of intervention will be assessed at p<0.05. Discussion: Through the study results we anticipate a fall in CMI score i.e improvement by lowering the intensity of TMD due to intervention by complete dentures in completely edentulous subjects. In case the above Hypothesis is not proved, then prevalence of TMD among patients who are completely edentulous needs to be anticipated with the factors such as anatomical or pathological diversities in TMJ and not to be associated with changes in vertical dimensions because of teeth loss.

Section: Resultsmentioning

confidence: 99%

Evaluating the Effect of Complete Dentures on Signs and Symptoms of Temporomandibular Disorders Analyzed by Craniomandibular Index in Completely Edentulous Patients- A Study Protocol

Godbole

2021

JPRI

“…In such unhappy individuals, rehabilitation in the form of a prosthetic eye reestablishes shape, improves psychological status, and restores esthetics and comforts. [ 23 24 25 ]…”

Section: Discussionmentioning

confidence: 99%

A narrative review on techniques of iris replication in an ocular prosthesis

J Indian Prosthodont Soc

Dahihandekar

et al. 2023

The disfigurement associated due to the loss of an eye can cause a significant physical and psychological disturbance. Psychological distress among such unfortunate patients can be reduced by providing an artificial eye. Rehabilitating such patients with an ocular defects is the most challenging task for a prosthodontist. The custom-made ocular prostheses are preferred over the prefabricated stock eye shells as it provides intimate contact with the tissue bed, enabling an ideal fit. For an esthetic ocular prosthesis, the precise positioning of an iris is a primary requirement to avoid the squint eye appearance. Various case reports are documented in the literature for centralizing the iris in the prosthetic eye. This review article explores the established methods and techniques for positioning the iris in a custom-made ocular prosthesis.

“…[ 3 ] Daytime sleepiness and poor quality of life have also been reported among them. [ 4 5 6 7 ] Early diagnosis and primary care in the form of intervention can reduce the risk for developing the cardiovascular diseases. Evidence that sleep apnea is a risk factor for stroke is strong and its prevalence among stroke survivors is high.…”

Section: Introductionmentioning

confidence: 99%

Oral appliances for obstructive sleep apnea: Emerging issues, upcoming challenges, and possible solutions

Godbole

et al. 2021

J Family Med Prim Care

Background: As per the current epidemiological studies, the prevalence of obstructive sleep apnea (OSA) among the adult population is very high. Oral appliances (OAs) have emerged as the most recommended alternative treatment option for mild to moderate OSA. Objective: The objective of this article is to propose or develop a new design of OA named “customized maxillary oral appliance (CMOA),” for managing moderate OSA syndrome. Methods: The design proposed in this article is first of its kind that is fabricated on the maxillary arch. CMOA is developed by combining the principles of the three most popular OAs used in OSA, namely, soft palate lifters, tongue retaining devices, and mandibular advancement devices. Conclusions: Given the potential impact of OSA on general and mental health and the side effects of existing appliances, there is a need for a new remedy to be introduced in the field of sleep medicine. This novel design can provide a new therapeutic option for patients with moderate OSA.