Implant‐supported denture in a patient with Huntington's disease: interdisciplinary aspects
Identifieur interne : 000834 ( Istex/Curation ); précédent : 000833; suivant : 000835Implant‐supported denture in a patient with Huntington's disease: interdisciplinary aspects
Auteurs : Jochen Jackowski [Allemagne] ; Dr Med Dent [Allemagne] ; Jurgen Andrich [Allemagne] ; Jurgen Med ; Harald Kdppeler ; Axel Zöllner [Allemagne] ; Dr Med Dent ; Peter Jöhren [Allemagne] ; Dr Med Dent [Allemagne] ; Thomas Müller [Allemagne] ; Thomas MedSource :
- Special Care in Dentistry [ 0275-1879 ] ; 2001-01.
Descripteurs français
- Wicri :
- topic : Médecine dentaire.
English descriptors
- KwdEn :
- Alveolar ridge, Anesthesia, Case report, Chorea, Clinical examination, Cognitive disturbances, Complete denture, Complete mandibular denture, Continuous tongue movement, Dent, Dental implants, Dental medicine, Denture, Dyskinesia, Extrapyramidal diseases, Genetic defect, High risk, Hygiene, Hyperkinesia, Implant, Implant denture, Implant surgery, Mandibular, Mandibular body, Musculature, Neuroleptic drugs, Oral hygiene, Osseointegrated implants, Perioral, Perioral dyskinesia, Perioral muscles, Prosthesis, Prosthetic treatment, Psychological problems, Rapid elimination, Soft deposits, Spec, Spec care dentist, Spec cure dentist, Stomatognathic system, Toronto study, Upper extremities.
- Teeft :
- Alveolar ridge, Anesthesia, Case report, Chorea, Clinical examination, Cognitive disturbances, Complete denture, Complete mandibular denture, Continuous tongue movement, Dent, Dental implants, Dental medicine, Denture, Dyskinesia, Extrapyramidal diseases, Genetic defect, High risk, Hygiene, Hyperkinesia, Implant, Implant denture, Implant surgery, Mandibular, Mandibular body, Musculature, Neuroleptic drugs, Oral hygiene, Osseointegrated implants, Perioral, Perioral dyskinesia, Perioral muscles, Prosthesis, Prosthetic treatment, Psychological problems, Rapid elimination, Soft deposits, Spec, Spec care dentist, Spec cure dentist, Stomatognathic system, Toronto study, Upper extremities.
Abstract
Patients with extrapyramidal diseases often cannot maintain independent, efficient oral hygiene due to restricted motor ability of the upper extremities and lack of coordination. The hermetic closure of the mouth and lips, and the associated ability to keep liquid and toothpaste in the mouth, can become so weak that effective oral hygiene cannot be maintained. Over a period of many years, this illness leads to loss of teeth and the need for complete prosthodontic care. Dyskinesia and hyperkinesia of the tongue and the peri‐oral musculature, combined with xerostomia and pooling of saliva, make it impossible for the patient to wear a conventional complete denture, despite an anatomically‐adequate bearing area. In such cases, an implant‐supported prosthesis is a better therapeutic measure, although some aspects of oral hygiene must initially be disregarded. Two ITITM implants were inserted into the anterior mandibular region of a patient with Huntington's chorea, because a complete denture could not be retained on the alveolar ridge, despite adequate vestibule depth, due to tongue dyskinesia. A bar joint was used to anchor this mucosal‐borne denture. This implant‐supported complete denture led to a clear improvement in the patient's chewing function when observed over a period of a year.
Url:
DOI: 10.1111/j.1754-4505.2001.tb00218.x
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Jurgen Med<affiliation><mods:affiliation>University Bochum, Department of Neurology, St Josef's Hospital</mods:affiliation><wicri:noCountry code="subField">Hospital</wicri:noCountry></affiliation><affiliation><mods:affiliation>Ruhr University Bochum, Department of Anesthesiology, St. Josef's Hospital</mods:affiliation><wicri:noCountry code="subField">Hospital</wicri:noCountry></affiliation><affiliation><mods:affiliation>Department of Prosthodontics, University of Witten/Herdecke, Faculty of Dental Medicine</mods:affiliation><wicri:noCountry code="subField">Medicine</wicri:noCountry></affiliation><affiliation><mods:affiliation>University Bochum, Department of Neurology, St Josef's Hospital</mods:affiliation><wicri:noCountry code="subField">Hospital</wicri:noCountry></affiliation>Le document en format XML
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first="Axel" last="Zöllner">Axel Zöllner</name><affiliation wicri:level="1"><mods:affiliation>University of Witten/Herdecke, Faculty of Dental Medicine, Department of Oral Surgery, Alfred‐Herrhausen‐Straβe 50, 58448 Witten, Germany</mods:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>University of Witten/Herdecke, Faculty of Dental Medicine, Department of Oral Surgery, Alfred‐Herrhausen‐Straβe 50, 58448 Witten</wicri:regionArea></affiliation></author><author><name sortKey="Dent, Dr Med" sort="Dent, Dr Med" uniqKey="Dent D" first="Dr Med" last="Dent">Dr Med Dent</name><affiliation><mods:affiliation>Department of Prosthodontics, University of Witten/Herdecke, Faculty of Dental Medicine</mods:affiliation><wicri:noCountry code="subField">Medicine</wicri:noCountry></affiliation></author><author><name sortKey="Johren, Peter" sort="Johren, Peter" uniqKey="Johren P" first="Peter" last="Jöhren">Peter Jöhren</name><affiliation wicri:level="1"><mods:affiliation>University of Witten/Herdecke, Faculty of Dental Medicine, Department of Oral Surgery, Alfred‐Herrhausen‐Straβe 50, 58448 Witten, Germany</mods:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>University of Witten/Herdecke, Faculty of Dental Medicine, Department of Oral Surgery, Alfred‐Herrhausen‐Straβe 50, 58448 Witten</wicri:regionArea></affiliation></author><author><name sortKey="Dent, Dr Med" sort="Dent, Dr Med" uniqKey="Dent D" first="Dr Med" last="Dent">Dr Med Dent</name><affiliation wicri:level="1"><mods:affiliation>University of Witten/Herdecke, Faculty of Dental Medicine, Department of Oral Surgery, Alfred‐Herrhausen‐Straβe 50, 58448 Witten, Germany</mods:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>University of Witten/Herdecke, Faculty of Dental Medicine, Department of Oral Surgery, Alfred‐Herrhausen‐Straβe 50, 58448 Witten</wicri:regionArea></affiliation></author><author><name sortKey="Muller, Thomas" sort="Muller, Thomas" uniqKey="Muller T" first="Thomas" last="Müller">Thomas Müller</name><affiliation wicri:level="1"><mods:affiliation>University of Witten/Herdecke, Faculty of Dental Medicine, Department of Oral Surgery, Alfred‐Herrhausen‐Straβe 50, 58448 Witten, Germany</mods:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>University of Witten/Herdecke, Faculty of Dental Medicine, Department of Oral Surgery, Alfred‐Herrhausen‐Straβe 50, 58448 Witten</wicri:regionArea></affiliation></author><author><name sortKey="Med, Thomas" sort="Med, Thomas" uniqKey="Med T" first="Thomas" last="Med">Thomas Med</name><affiliation><mods:affiliation>University Bochum, Department of Neurology, St Josef's Hospital</mods:affiliation><wicri:noCountry code="subField">Hospital</wicri:noCountry></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Special Care in Dentistry</title><title level="j" type="alt">SPECIAL CARE IN DENTISTRY</title><idno type="ISSN">0275-1879</idno><idno type="eISSN">1754-4505</idno><imprint><biblScope unit="vol">21</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="15">15</biblScope><biblScope unit="page" to="20">20</biblScope><biblScope unit="page-count">6</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2001-01">2001-01</date></imprint><idno type="ISSN">0275-1879</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0275-1879</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Alveolar ridge</term><term>Anesthesia</term><term>Case report</term><term>Chorea</term><term>Clinical examination</term><term>Cognitive disturbances</term><term>Complete denture</term><term>Complete mandibular denture</term><term>Continuous tongue movement</term><term>Dent</term><term>Dental implants</term><term>Dental medicine</term><term>Denture</term><term>Dyskinesia</term><term>Extrapyramidal diseases</term><term>Genetic defect</term><term>High risk</term><term>Hygiene</term><term>Hyperkinesia</term><term>Implant</term><term>Implant denture</term><term>Implant surgery</term><term>Mandibular</term><term>Mandibular body</term><term>Musculature</term><term>Neuroleptic drugs</term><term>Oral hygiene</term><term>Osseointegrated implants</term><term>Perioral</term><term>Perioral dyskinesia</term><term>Perioral muscles</term><term>Prosthesis</term><term>Prosthetic treatment</term><term>Psychological problems</term><term>Rapid elimination</term><term>Soft deposits</term><term>Spec</term><term>Spec care dentist</term><term>Spec cure dentist</term><term>Stomatognathic system</term><term>Toronto study</term><term>Upper extremities</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Alveolar ridge</term><term>Anesthesia</term><term>Case report</term><term>Chorea</term><term>Clinical examination</term><term>Cognitive disturbances</term><term>Complete denture</term><term>Complete mandibular denture</term><term>Continuous tongue movement</term><term>Dent</term><term>Dental implants</term><term>Dental medicine</term><term>Denture</term><term>Dyskinesia</term><term>Extrapyramidal diseases</term><term>Genetic defect</term><term>High risk</term><term>Hygiene</term><term>Hyperkinesia</term><term>Implant</term><term>Implant denture</term><term>Implant surgery</term><term>Mandibular</term><term>Mandibular body</term><term>Musculature</term><term>Neuroleptic drugs</term><term>Oral hygiene</term><term>Osseointegrated implants</term><term>Perioral</term><term>Perioral dyskinesia</term><term>Perioral muscles</term><term>Prosthesis</term><term>Prosthetic treatment</term><term>Psychological problems</term><term>Rapid elimination</term><term>Soft deposits</term><term>Spec</term><term>Spec care dentist</term><term>Spec cure dentist</term><term>Stomatognathic system</term><term>Toronto study</term><term>Upper extremities</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Médecine dentaire</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Patients with extrapyramidal diseases often cannot maintain independent, efficient oral hygiene due to restricted motor ability of the upper extremities and lack of coordination. The hermetic closure of the mouth and lips, and the associated ability to keep liquid and toothpaste in the mouth, can become so weak that effective oral hygiene cannot be maintained. Over a period of many years, this illness leads to loss of teeth and the need for complete prosthodontic care. Dyskinesia and hyperkinesia of the tongue and the peri‐oral musculature, combined with xerostomia and pooling of saliva, make it impossible for the patient to wear a conventional complete denture, despite an anatomically‐adequate bearing area. In such cases, an implant‐supported prosthesis is a better therapeutic measure, although some aspects of oral hygiene must initially be disregarded. Two ITITM implants were inserted into the anterior mandibular region of a patient with Huntington's chorea, because a complete denture could not be retained on the alveolar ridge, despite adequate vestibule depth, due to tongue dyskinesia. A bar joint was used to anchor this mucosal‐borne denture. This implant‐supported complete denture led to a clear improvement in the patient's chewing function when observed over a period of a year.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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