Implant‐supported denture in a patient with Huntington's disease: interdisciplinary aspects
Identifieur interne : 008981 ( Main/Exploration ); précédent : 008980; suivant : 008982Implant‐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
- KwdFr :
- Adulte d'âge moyen, Anesthésie dentaire, Humains, Maladie de Huntington (physiopathologie), Mâchoire édentée (imagerie diagnostique), Mâchoire édentée (rééducation et réadaptation), Mâle, Pose d'implant dentaire endo-osseux, Prothèse dentaire complète inférieure, Prothèse dentaire implanto-portée, Radiographie, Rétention d'appareil de prothèse dentaire (instrumentation), Soins dentaires pour personnes handicapées, Équipe soignante.
- MESH :
- imagerie diagnostique : Mâchoire édentée.
- physiopathologie : Adulte d'âge moyen, Anesthésie dentaire, Humains, Maladie de Huntington, Mâle, Pose d'implant dentaire endo-osseux, Prothèse dentaire complète inférieure, Prothèse dentaire implanto-portée, Radiographie, Rétention d'appareil de prothèse dentaire, Soins dentaires pour personnes handicapées, Équipe soignante.
- rééducation et réadaptation : Mâchoire édentée.
- Wicri :
- topic : Médecine dentaire.
English descriptors
- KwdEn :
- Alveolar ridge, Anesthesia, Anesthesia, Dental, Case report, Chorea, Clinical examination, Cognitive disturbances, Complete denture, Complete mandibular denture, Continuous tongue movement, Dent, Dental Care for Disabled, Dental Implantation, Endosseous, Dental Prosthesis, Implant-Supported, Dental implants, Dental medicine, Denture, Denture Retention (instrumentation), Denture, Complete, Lower, Dyskinesia, Extrapyramidal diseases, Genetic defect, High risk, Humans, Huntington Disease (physiopathology), Hygiene, Hyperkinesia, Implant, Implant denture, Implant surgery, Jaw, Edentulous (diagnostic imaging), Jaw, Edentulous (rehabilitation), Male, Mandibular, Mandibular body, Middle Aged, Musculature, Neuroleptic drugs, Oral hygiene, Osseointegrated implants, Patient Care Team, Perioral, Perioral dyskinesia, Perioral muscles, Prosthesis, Prosthetic treatment, Psychological problems, Radiography, Rapid elimination, Soft deposits, Spec, Spec care dentist, Spec cure dentist, Stomatognathic system, Toronto study, Upper extremities.
- MESH :
- diagnostic imaging : Jaw, Edentulous.
- instrumentation : Denture Retention.
- physiopathology : Huntington Disease.
- rehabilitation : Jaw, Edentulous.
- Teeft :
- Alveolar ridge, Anesthesia, Anesthesia, Dental, Case report, Chorea, Clinical examination, Cognitive disturbances, Complete denture, Complete mandibular denture, Continuous tongue movement, Dent, Dental Care for Disabled, Dental Implantation, Endosseous, Dental Prosthesis, Implant-Supported, Dental implants, Dental medicine, Denture, Denture, Complete, Lower, Dyskinesia, Extrapyramidal diseases, Genetic defect, High risk, Humans, Hygiene, Hyperkinesia, Implant, Implant denture, Implant surgery, Male, Mandibular, Mandibular body, Middle Aged, Musculature, Neuroleptic drugs, Oral hygiene, Osseointegrated implants, Patient Care Team, Perioral, Perioral dyskinesia, Perioral muscles, Prosthesis, Prosthetic treatment, Psychological problems, Radiography, 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
Affiliations:
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Le document en format XML
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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 Care for Disabled</term><term>Dental Implantation, Endosseous</term><term>Dental Prosthesis, Implant-Supported</term><term>Dental implants</term><term>Dental medicine</term><term>Denture</term><term>Denture Retention (instrumentation)</term><term>Denture, Complete, Lower</term><term>Dyskinesia</term><term>Extrapyramidal diseases</term><term>Genetic defect</term><term>High risk</term><term>Humans</term><term>Huntington Disease (physiopathology)</term><term>Hygiene</term><term>Hyperkinesia</term><term>Implant</term><term>Implant denture</term><term>Implant surgery</term><term>Jaw, Edentulous (diagnostic imaging)</term><term>Jaw, Edentulous (rehabilitation)</term><term>Male</term><term>Mandibular</term><term>Mandibular body</term><term>Middle Aged</term><term>Musculature</term><term>Neuroleptic drugs</term><term>Oral hygiene</term><term>Osseointegrated implants</term><term>Patient Care Team</term><term>Perioral</term><term>Perioral dyskinesia</term><term>Perioral muscles</term><term>Prosthesis</term><term>Prosthetic treatment</term><term>Psychological problems</term><term>Radiography</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="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Anesthésie dentaire</term><term>Humains</term><term>Maladie de Huntington (physiopathologie)</term><term>Mâchoire édentée (imagerie diagnostique)</term><term>Mâchoire édentée (rééducation et réadaptation)</term><term>Mâle</term><term>Pose d'implant dentaire endo-osseux</term><term>Prothèse dentaire complète inférieure</term><term>Prothèse dentaire implanto-portée</term><term>Radiographie</term><term>Rétention d'appareil de prothèse dentaire (instrumentation)</term><term>Soins dentaires pour personnes handicapées</term><term>Équipe soignante</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Jaw, Edentulous</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Mâchoire édentée</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Denture Retention</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Anesthésie dentaire</term><term>Humains</term><term>Maladie de Huntington</term><term>Mâle</term><term>Pose d'implant dentaire endo-osseux</term><term>Prothèse dentaire complète inférieure</term><term>Prothèse dentaire implanto-portée</term><term>Radiographie</term><term>Rétention d'appareil de prothèse dentaire</term><term>Soins dentaires pour personnes handicapées</term><term>Équipe soignante</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Huntington Disease</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire édentée</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Alveolar ridge</term><term>Anesthesia</term><term>Anesthesia, Dental</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 Care for Disabled</term><term>Dental Implantation, Endosseous</term><term>Dental Prosthesis, Implant-Supported</term><term>Dental implants</term><term>Dental medicine</term><term>Denture</term><term>Denture, Complete, Lower</term><term>Dyskinesia</term><term>Extrapyramidal diseases</term><term>Genetic defect</term><term>High risk</term><term>Humans</term><term>Hygiene</term><term>Hyperkinesia</term><term>Implant</term><term>Implant denture</term><term>Implant surgery</term><term>Male</term><term>Mandibular</term><term>Mandibular body</term><term>Middle Aged</term><term>Musculature</term><term>Neuroleptic drugs</term><term>Oral hygiene</term><term>Osseointegrated implants</term><term>Patient Care Team</term><term>Perioral</term><term>Perioral dyskinesia</term><term>Perioral muscles</term><term>Prosthesis</term><term>Prosthetic treatment</term><term>Psychological problems</term><term>Radiography</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><affiliations><list><country><li>Allemagne</li></country></list><tree><noCountry><name sortKey="Dent, Dr Med" sort="Dent, Dr Med" uniqKey="Dent D" first="Dr Med" last="Dent">Dr Med Dent</name><name sortKey="Kdppeler, Harald" sort="Kdppeler, Harald" uniqKey="Kdppeler H" first="Harald" last="Kdppeler">Harald Kdppeler</name><name sortKey="Med, Jurgen" sort="Med, Jurgen" uniqKey="Med J" first="Jurgen" last="Med">Jurgen Med</name><name sortKey="Med, Thomas" sort="Med, Thomas" uniqKey="Med T" first="Thomas" last="Med">Thomas Med</name></noCountry><country name="Allemagne"><noRegion><name sortKey="Jackowski, Jochen" sort="Jackowski, Jochen" uniqKey="Jackowski J" first="Jochen" last="Jackowski">Jochen Jackowski</name></noRegion><name sortKey="Andrich, Jurgen" sort="Andrich, Jurgen" uniqKey="Andrich J" first="Jurgen" last="Andrich">Jurgen Andrich</name><name sortKey="Dent, Dr Med" sort="Dent, Dr Med" uniqKey="Dent D" first="Dr Med" last="Dent">Dr Med Dent</name><name sortKey="Dent, Dr Med" sort="Dent, Dr Med" uniqKey="Dent D" first="Dr Med" last="Dent">Dr Med Dent</name><name sortKey="Dent, Dr Med" sort="Dent, Dr Med" uniqKey="Dent D" first="Dr Med" last="Dent">Dr Med Dent</name><name sortKey="Johren, Peter" sort="Johren, Peter" uniqKey="Johren P" first="Peter" last="Jöhren">Peter Jöhren</name><name sortKey="Muller, Thomas" sort="Muller, Thomas" uniqKey="Muller T" first="Thomas" last="Müller">Thomas Müller</name><name sortKey="Zollner, Axel" sort="Zollner, Axel" uniqKey="Zollner A" first="Axel" last="Zöllner">Axel Zöllner</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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