Prosthetic Rehabilitation with Collapsible Hybrid Acrylic Resin and Permanent Silicone Soft Liner Complete Denture of a Patient with Scleroderma‐Induced Microstomia
Identifieur interne : 005C07 ( Istex/Corpus ); précédent : 005C06; suivant : 005C08Prosthetic Rehabilitation with Collapsible Hybrid Acrylic Resin and Permanent Silicone Soft Liner Complete Denture of a Patient with Scleroderma‐Induced Microstomia
Auteurs : Kunwarjeet Singh ; Nidhi Gupta ; Ridhimaa Gupta ; Dex AbrahmSource :
- Journal of Prosthodontics [ 1059-941X ] ; 2014-07.
Abstract
Scleroderma is an autoimmune multisystem rheumatic condition characterized by fibrosis of connective tissues of the body, resulting in hardening and impairment of the function of different organs. Deposition of collagen fibers in peri‐oral tissues causes loss of elasticity and increased tissue stiffness, resulting in restricted mouth opening. A maximal oral opening smaller than the size of a complete denture can make prosthetic treatment challenging. Patients with microstomia who must wear removable dental prostheses (RDPs) often face the difficulty of being unable to insert or remove a conventional RDP. A sectional‐collapsible denture is indicated for the prosthetic management of these patients, but reduced manual dexterity often makes intraoral manipulation of the prosthesis difficult. A single collapsible complete denture is a better choice for functional rehabilitation of these patients. This clinical report describes in detail the prosthodontic management of a maxillary edentulous patient with restricted mouth opening induced by scleroderma with a single collapsible removable complete denture fabricated with heat‐polymerized silicone soft liner and heat‐cured acrylic resin. The preliminary and secondary impressions were made with moldable aluminum trays by using putty and light‐body poly(vinyl siloxane) elastomeric impression material. The collapsed denture can be easily inserted and removed by the patient and also provides adequate function in the mouth.
Url:
DOI: 10.1111/jopr.12127
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<keyword xml:id="jopr12127-kwd-0002">scleroderma</keyword>
<keyword xml:id="jopr12127-kwd-0003">microstomia</keyword>
<keyword xml:id="jopr12127-kwd-0004">permanent silicone soft liner</keyword>
<keyword xml:id="jopr12127-kwd-0005">Molloplast B</keyword>
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<abstractGroup><abstract type="main"><title type="main">Abstract</title>
<p>Scleroderma is an autoimmune multisystem rheumatic condition characterized by fibrosis of connective tissues of the body, resulting in hardening and impairment of the function of different organs. Deposition of collagen fibers in peri‐oral tissues causes loss of elasticity and increased tissue stiffness, resulting in restricted mouth opening. A maximal oral opening smaller than the size of a complete denture can make prosthetic treatment challenging. Patients with microstomia who must wear removable dental prostheses (RDPs) often face the difficulty of being unable to insert or remove a conventional RDP. A sectional‐collapsible denture is indicated for the prosthetic management of these patients, but reduced manual dexterity often makes intraoral manipulation of the prosthesis difficult. A single collapsible complete denture is a better choice for functional rehabilitation of these patients. This clinical report describes in detail the prosthodontic management of a maxillary edentulous patient with restricted mouth opening induced by scleroderma with a single collapsible removable complete denture fabricated with heat‐polymerized silicone soft liner and heat‐cured acrylic resin. The preliminary and secondary impressions were made with moldable aluminum trays by using putty and light‐body poly(vinyl siloxane) elastomeric impression material. The collapsed denture can be easily inserted and removed by the patient and also provides adequate function in the mouth.</p>
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<noteGroup><note xml:id="jopr12127-note-0001" numbered="no"><p><i>The authors deny any conflict of interest</i>
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<mods version="3.6"><titleInfo lang="en"><title>Prosthetic Rehabilitation with Collapsible Hybrid Acrylic Resin and Permanent Silicone Soft Liner Complete Denture of a Patient with Scleroderma‐Induced Microstomia</title>
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<titleInfo type="abbreviated" lang="en"><title>Prosthetic Rehabilitation of a Patient with Microstomia</title>
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<titleInfo type="alternative" contentType="CDATA" lang="en"><title>Prosthetic Rehabilitation with Collapsible Hybrid Acrylic Resin and Permanent Silicone Soft Liner Complete Denture of a Patient with Scleroderma‐Induced Microstomia</title>
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<name type="personal"><namePart type="given">Kunwarjeet</namePart>
<namePart type="family">Singh</namePart>
<namePart type="termsOfAddress">BDS, MDS</namePart>
<affiliation>Department of Prosthodontics, Dental Materials and Implantology, Institute of Dental Studies and Technologies, Ghaziabad, Modinagar, India</affiliation>
<affiliation>E-mail: drkunwar@gmail.com</affiliation>
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<name type="personal"><namePart type="given">Nidhi</namePart>
<namePart type="family">Gupta</namePart>
<namePart type="termsOfAddress">BDS, MDS</namePart>
<affiliation>Department of Pedodontics and Preventive Dentistry, Institute of Dental Studies and Technologies, Ghaziabad, Modinagar, India</affiliation>
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<name type="personal"><namePart type="given">Ridhimaa</namePart>
<namePart type="family">Gupta</namePart>
<namePart type="termsOfAddress">BDS, MDS</namePart>
<affiliation>Department of Prosthodontics, Dental Materials and Implantology, Institute of Dental Studies and Technologies, Ghaziabad, Modinagar, India</affiliation>
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<name type="personal"><namePart type="given">Dex</namePart>
<namePart type="family">Abrahm</namePart>
<affiliation>Department of Conservative Dentistry, Institute of Dental Studies and Technologies, Ghaziabad, Modinagar, India</affiliation>
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<dateIssued encoding="w3cdtf">2014-07</dateIssued>
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<abstract>Scleroderma is an autoimmune multisystem rheumatic condition characterized by fibrosis of connective tissues of the body, resulting in hardening and impairment of the function of different organs. Deposition of collagen fibers in peri‐oral tissues causes loss of elasticity and increased tissue stiffness, resulting in restricted mouth opening. A maximal oral opening smaller than the size of a complete denture can make prosthetic treatment challenging. Patients with microstomia who must wear removable dental prostheses (RDPs) often face the difficulty of being unable to insert or remove a conventional RDP. A sectional‐collapsible denture is indicated for the prosthetic management of these patients, but reduced manual dexterity often makes intraoral manipulation of the prosthesis difficult. A single collapsible complete denture is a better choice for functional rehabilitation of these patients. This clinical report describes in detail the prosthodontic management of a maxillary edentulous patient with restricted mouth opening induced by scleroderma with a single collapsible removable complete denture fabricated with heat‐polymerized silicone soft liner and heat‐cured acrylic resin. The preliminary and secondary impressions were made with moldable aluminum trays by using putty and light‐body poly(vinyl siloxane) elastomeric impression material. The collapsed denture can be easily inserted and removed by the patient and also provides adequate function in the mouth.</abstract>
<subject><genre>keywords</genre>
<topic>Collapsible complete denture</topic>
<topic>scleroderma</topic>
<topic>microstomia</topic>
<topic>permanent silicone soft liner</topic>
<topic>Molloplast B</topic>
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<identifier type="ISSN">1059-941X</identifier>
<identifier type="eISSN">1532-849X</identifier>
<identifier type="DOI">10.1111/(ISSN)1532-849X</identifier>
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<part><date>2014</date>
<detail type="volume"><caption>vol.</caption>
<number>23</number>
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<detail type="issue"><caption>no.</caption>
<number>5</number>
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<extent unit="pages"><start>412</start>
<end>416</end>
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<accessCondition type="use and reproduction" contentType="copyright">© 2014 American College of Prosthodontists© 2014 by the American College of Prosthodontists</accessCondition>
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