Oral Function Rehabilitation with the Simplified Lauritzen Clinical Remount Technique in a Patient with Bimaxillary Alveolar Exostoses: A Case Report

Abstract

This case report describes a 70 year-old man with IVA lung cancer who required oral function rehabilitation by fabricating dentures with a simplified clinical remount technique. A pair of dentures were fabricated for a 70-year-old man with stage IVA lung cancer. Due to severe bimaxillary exostoses, the dentures could not properly extend and achieve a peripheral seal. The treatment philosophy was to stabilize the dentures and achieve proper function with optimized occlusion. The simplified Lauritzen clinical remount technique was performed at the time of denture delivery and 3 months later. After the second clinical remount procedure, the patient was able to eat meals with the dentures and maintained in a stable condition. Compared with the original technique, the simplified Lauritzen clinical remount omits the facebow transfer and keeps the condylar guidance setting and the Bennett angle unchanged during the adjustment. The prostheses are mounted to a type 3, non-arcon type articulator with anterior stop screws attached to the bilateral condylar parts. With the aid of anterior stop screws, the eccentric movement of dentures can be differentiated on a millimeter scale and balanced easily. It is effective to use occlusal-optimized dentures and the clinical remount technique, especially in difficult cases.

Oral Health-Related Quality of Life Changes after Clinical Remounting of Existing Dentures

“…The clinical remount procedure performed at Kyushu University Hospital has been described in our previous study [ 16 ]. The tissue surfaces under the dentures were checked and adjusted if indicated before bite registration was taken.…”

“…The dentures were then arbitrarily mounted on a type-3, non-arcon mean-value articulator with a mounting platform. The condylar guidance and Bennett angle were set to the average value and kept unchanged during the whole procedure [ 16 ]. The incisal pin was then removed, and premature contacts were marked with 25 μm-thick articulating paper (Precut Articulating Paper; Morita, Osaka, Japan).…”

Mastication Wear of Two Low Profile Attachment Systems for Overdenture: An In Vitro Study

“…There are many options available to ensure a physiological dentition, such as traditional dentures, implant-supported fixed prosthesis, and implant-retained removable overdenture [12][13][14][15][16][17]. Traditional dentures are no longer considered an adequate therapeutic choice [14,18].…”