Cases reported "Microstomia"

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1/8. Implant-supported, long-span fixed partial denture for a scleroderma patient: a clinical report.

    Scleroderma poses many difficulties and challenges for the treating dentist. Until now, dental implant treatment for patients with scleroderma was limited to either complete overdentures or short-span fixed partial dentures. This clinical report describes the use of modified techniques to fabricate a long-span fixed prosthesis delivered after serial extractions and implant placement.
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ranking = 1
keywords = scleroderma
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2/8. Fabrication of a sectional impression tray and sectional complete denture for a patient with microstomia and trismus: a clinical report.

    This article describes techniques used to fabricate mandibular and maxillary sectional trays and a folding maxillary complete denture for a patient with limited oral opening caused by scleroderma. For the foldable denture, the anterior teeth had to be arranged on a second base and the hinge fitted at a location higher than the denture base. These 2 factors increased the thickness of the denture and limited the volume of the tongue. Nevertheless, a single-piece denture base provided the patient with ease in placement and removal of the denture.
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ranking = 0.2
keywords = scleroderma
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3/8. Prosthetic rehabilitation for a patient with microstomia: a clinical report.

    This clinical report describes the fabrication of a collapsible maxillary removable complete overdenture using a sectional impression tray technique and a custom-made palatal hinge mechanism for a partially edentulous woman with microstomia resulting from scleroderma. As microstomia is frequently associated with poor manual dexterity, an instrument was fabricated to assist the patient in removing the prosthesis.
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ranking = 0.2
keywords = scleroderma
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4/8. A prosthodontic management alternative for scleroderma patients.

    Hardening of the skin around the mouth causes the oral opening to become limited in scleroderma patients. A maximal oral opening that is smaller than the size of a complete denture can make prosthetic treatment challenging. This clinical report presents the prosthodontic management of a total edentulous patient with microstomia induced by scleroderma. Sectional mandibular and maxillary trays and a collapsed mandibular denture were fabricated for the total edentulous patient. With the use of lingual midline hinge, the collapsed denture was successfully and easily inserted and provided adequate function in the patient's mouth. The cast hinge design reduced the overall costs and simplified the laboratory technique.
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ranking = 1.2
keywords = scleroderma
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5/8. Oral rehabilitation of a patient with scleroderma associated with systematic lupus erythematosus: a case report.

    This case report presents a patient who had a limited oral opening due to systematic lupus erythematosus (SLE) and describes how oral rehabilitation was achieved with a removable partial denture. Various techniques for the delivery of oral health care have been reported for patients who have limited mouth openings as a result of SLE and scleroderma. After a review of the literature, a new approach was required for this patient with SLE who had a very limited mouth opening. The retention for the removable partial denture (RPD) used the undercut in the abutment teeth and a magnet-retained sectional RPD. A set of tweezers was modified to help with the insertion and removal of the sectional RPD by the patient. This paper reports a new clinical and laboratory technique of fabricating a sectional RPD using magnets and customized tweezers for this patient.
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ranking = 1
keywords = scleroderma
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6/8. A simplified technique for prosthetic treatment of microstomia in a patient with scleroderma: a case report.

    A simplified technique was used to treat a patient who had limited mouth opening as a result of scleroderma. Treatment included the construction of a three-piece, sectional maxillary partial denture and a one-piece mandibular complete denture.
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ranking = 1
keywords = scleroderma
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7/8. microstomia does not necessarily mean scleroderma.

    Two patients with microstomia in the absence of any features of progressive systemic sclerosis are documented. Follow-up of almost 20 years did not reveal development of any features of this disease. The first patient had systemic lupus erythematosus and the second rheumatoid arthritis/sjogren's syndrome with a complicating myositis.
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ranking = 0.8
keywords = scleroderma
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8/8. The provision of dental implants and a fixed prosthesis in the treatment of a patient with scleroderma: a clinical report.

    This clinical report highlights some of the problems in providing a suitable prosthesis for a patient who suffers from systemic sclerosis. A conventional removable partial denture may not have been suitable because of the lack of denture bearing area, changing peripheral seal, and insufficient teeth to support and retain the denture. An implant-retained FPD overcame these difficulties. One would hope that, with regular maintenance and monitoring, quoted prosthesis success of 15 years can be achieved.
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ranking = 0.8
keywords = scleroderma
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