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Foldable denture: for microstomia patient.

Sandeep Kumar1, Aman Arora, Reena Yadav

  • 1Department of Prosthodontics and Crown & Bridge, D.A.V. (C) Dental College & Hospital, Yamunanagar, Haryana 121006, India.

Case Reports in Dentistry
|September 8, 2012
PubMed
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Microstomia, a reduced oral opening, complicates dental prosthetics. This study details managing a completely edentulous patient with microstomia using sectional trays and foldable dentures.

Area of Science:

  • Dentistry
  • Prosthodontics
  • Oral Surgery

Background:

  • Microstomia, characterized by a limited maximal oral opening, can arise from various conditions including orofacial neoplasms, cleft lip repairs, maxillofacial trauma, burns, radiotherapy, and scleroderma.
  • A significantly reduced oral opening, smaller than a complete denture, presents considerable challenges for effective prosthetic rehabilitation.
  • Managing microstomia is crucial for restoring oral function and improving the quality of life for affected patients.

Purpose of the Study:

  • To present the prosthodontic management of a completely edentulous patient suffering from microstomia.
  • To illustrate the fabrication and application of specialized prosthetic devices to overcome the limitations imposed by microstomia.

Main Methods:

  • The clinical paper details the prosthodontic treatment approach for a patient with total edentulousness and microstomia.

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  • Custom sectional impression trays for both the mandible and maxilla were fabricated to accommodate the restricted oral opening.
  • Foldable mandibular and maxillary dentures were designed and constructed to facilitate insertion and removal through the narrowed oral aperture.

    • Main Results:

    • The use of sectional trays allowed for accurate impressions despite the limited mouth opening.
    • Foldable dentures were successfully fabricated and delivered, enabling the patient to wear and manage their prostheses effectively.
    • The prosthetic rehabilitation addressed the functional deficits caused by the absence of teeth and the presence of microstomia.

    Conclusions:

    • Specialized techniques and devices, such as sectional trays and foldable dentures, are effective in managing completely edentulous patients with microstomia.
    • Prosthodontic treatment is feasible even in complex cases of microstomia, restoring function and aesthetics.
    • This approach highlights the adaptability of prosthodontic solutions to overcome significant anatomical and functional challenges.