The Rationale for a Differentiated Approach to Orthopedic Treatment of the Teeth With a Systemic Pathology

Abstract

In the clinical practice of a dentist-orthopedist, patients with various diseases, abnormalities and deformities are often found. In this case, there may often be a relationship between General somatic pathology and manifestations in the oral cavity. Parkinson's disease is no exception. This paper discusses the main features of the course of the disease in the oral cavity and the principles of a differentiated approach to orthopedic treatment. So in patients with Parkinson's disease, sialorrhea (salivation, hypersalivation), dryness of the red border of the lips and oral mucosa, speech changes, «prosthetic» stomatitis are observed. At the same time, these patients have sensory and vegetative disorders, violation of muscle tone, which aggravates the process of prosthetics and creates certain difficulties for a dentist-orthopedist. Due to the spread of this disease among the elderly, who often require dental care, clinicians need to know about this pathology.