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Prosthetic care for a mentally ill patient.
Y Pietrokovski1, A Zini, J Pietrokovski
1Dept. of Oral Rehabilitation, The Hebrew University-Hadassah Faculty of Dental Medicine, Jerusalem.
This case study highlights prosthetic treatment for a fully edentulous patient with bipolar disorder. Successfully delivered dentures improved function and aesthetics despite anatomical challenges.
Area of Science:
- Geriatric Dentistry
- Prosthodontics
- Psychiatric Dentistry
Background:
- A 64-year-old female patient with a history of bipolar disorder presented with complete edentulism and poorly fitting dentures.
- The patient exhibited apathy and indifference towards oral hygiene and proposed treatment, posing a potential challenge for prosthetic rehabilitation.
Observation:
- The patient's indifferent attitude could potentially shift to hostility, impacting cooperation during and after treatment.
- Informed consent was obtained from the patient and her daughter after a detailed explanation of the proposed prosthetic care.
Findings:
- A new set of complete dentures was successfully fabricated, enhancing the patient's esthetics and oral function.
- Anatomical limitations, including flat mandibular bony ridges and shallow mucosal coverage, restricted the extension of lingual flanges, potentially limiting denture support and retention.
Implications:
- This case underscores the importance of considering psychological factors in prosthetic treatment planning for patients with psychiatric conditions.
- Careful management and communication are crucial for successful outcomes in patients with fluctuating attitudes.
- Prosthetic design must adapt to anatomical limitations to optimize function and patient satisfaction.
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