Prosthodontic Management of Xerostomic Patient: A Technical Modification

Abstract

Xerostomia is often a contributing factor in both minor and serious health problems. It can affect nutrition and dental as well as psychological health. Common problems faced by such patients are glossitis, mucositis, angular cheilitis, dysgeusia, and difficulty in chewing and swallowing. One of the major problems associated with xerostomic patients is the poor tolerance and retention of removable dental prostheses because of thin dry atrophic mucosa and lack of a saliva film. This paper describes a new technique of incorporating a salivary reservoir in the maxillary complete denture. The salivary reservoir fabricated by this technique provided good lubrication of the oral tissues and was easily cleansed by the wearer and was fabricated from routine denture materials.

Prótesis Parcial Removible como alternativa protésica en pacientes sometidos a cirugía maxilar resectiva

“…Cuando se requiere un paladar artificial el obturador quirúrgico es una buena opción, este separa la cavidad oral de la nasal, permitiendo al paciente consumir alimentos normalmente mientras los tejidos cicatrizan, además de disminuir el riesgo de infección postquirúrgica (17).…”

“…El paciente recupera su fonación normal lo que le devolverá su confianza. Gracias a ello, los pacientes mostrarán una gran mejoría psíquica y se sentirán aceptados por sus familiares y amigos (10)(11)(12)(13)(14)(15)(16)(17)(18).…”

Dermatomyositis: what the oral healthcare provider must know

“…However, developments in hydrogel and buccal mucoadhesive polymer technology [42] allows for continuous release of salivary substitutes with inherent benefits for oral hydration and dental care. Another strategy for retaining artificial saliva in the oral cavity is fabrication of modified prosthetic structure in dental prosthesis in patients who wear them [43]. Salivary hypofunction requires the use of salivary stimulants such as systemic pilocarpine or Table III.…”

Xerostomia: An Update of Causes and Treatments

“…Other strategy involves the use of modified prosthetic structure designed to retain saliva or substitutes in patients who usually wear a dental prosthesis [4,80].…”