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Fitting complete dentures after multiple tooth extraction in a patient with severe dementia
Toshiaki Fujisawa1, Atsuro Yokoyama, Masumi Muramatsu
1Supporting Unit for Regional Oral Care and Cure, Hokkaido University Hospital Center for Dental Clinics, Japan. fujitosi@den.hokudai.ac.jp
Summary
Complete dentures improved eating and swallowing for an uncommunicative Alzheimer's patient. Intravenous sedation and husband's care were key to successful denture fitting and use.
Area of Science:
- Geriatric Dentistry
- Prosthodontics
- Neurodegenerative Disease Management
Background:
- Complete dentures were fabricated for a 71-year-old uncommunicative patient with Alzheimer's disease (AD).
- The patient had no prior experience with dentures, but her husband requested their fitting.
- AD presents challenges in patient cooperation and oral care.
Observation:
- Thirteen teeth were extracted under local anesthesia and intravenous sedation (IVS).
- Impression-making and denture fabrication/adjustment were performed under IVS and mild physical restraint.
- A tissue conditioner was used, followed by regular denture adjustments.
Findings:
- Denture use reduced mealtime duration from 90 to 30 minutes, indicating improved swallowing.
- Successful outcomes were attributed to IVS for behavior management during dental procedures.
- A pain-free treatment approach and consistent oral hygiene by the husband were crucial.
Implications:
- Intravenous sedation can facilitate dental treatment for uncommunicative patients with dementia.
- Patient and caregiver education is vital for successful denture adaptation and maintenance in AD patients.
- Improved oral function through complete dentures can enhance quality of life for individuals with Alzheimer's disease.
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