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[Prosthetic rehabilitation in a patient with systemic scleroderma]
R Branchi1, A De Salvador, A Vannini
1Dipartimento di Odontostomatologia, Università degli Studi, Firenze.
Minerva Stomatologica
|May 30, 2001
Summary
This study details the successful creation of new complete dentures for a patient with systemic scleroderma, overcoming significant oral challenges. The specialized dental prostheses provided long-term functional and cosmetic satisfaction.
Area of Science:
- Dentistry
- Prosthodontics
- Rheumatology
Background:
- Systemic scleroderma presents unique challenges in complete denture fabrication due to oral tissue alterations.
- Patients with scleroderma often experience limited mouth opening and reduced perioral tissue extensibility.
Observation:
- A 49-year-old patient with systemic scleroderma could not wear existing complete dentures due to poor fit and discomfort.
- The patient required new upper and lower complete dentures to address functional and aesthetic deficits.
Findings:
- Fabricating complete dentures for scleroderma patients involves significant technical modifications in areas such as tooth positioning, base length, and vertical dimension calculation.
- Specialized techniques were adapted to manage the anelasticity of mesenchymal tissues and oral limitations.
Implications:
- Successfully fabricated complete dentures can significantly improve the quality of life for patients with systemic scleroderma.
- This case highlights the importance of tailored prosthodontic approaches for patients with complex systemic diseases.