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Prosthodontic rehabilitation of completely edentulous patient with partial glossectomy

View Article: PubMed Central - PubMed

ABSTRACT

Oral cancer accounts for about 40% of all cancers inflicting the human beings. Those involving the tongue results in mild to severe deficiencies of phonation, deglutition, mastication, and taste depending upon the degree and extent tissues involved. Often rehabilitation of such patient is a challenge for the prosthodontist and involves a careful observation and evaluation of the residual oral function and ways to restore them. This article presents a case report of prosthodontic rehabilitation completely edentulous patient, who underwent partial glossectomy following surgical resection of the squamous cell carcinoma involving left lateral borders of the tongue. An attempt was made to restore the comfort and function of the patient with the help of palatal augmentation prosthesis, with additional assistance through speech therapy and simple oral exercises.

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Lateral view of complete denture in centric relation position and front view of complete denture showing the anterior teeth placed close to each other to aid in phonation
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Figure 3: Lateral view of complete denture in centric relation position and front view of complete denture showing the anterior teeth placed close to each other to aid in phonation

Mentions: The master cast was poured with type IV die stone. Jaw relation was recorded, decreasing the vertical dimension of occlusion slightly by reducing the height of the occlusal plane on the mandibular denture, to allow the residual tongue to more conveniently place the food bolus on the occlusal table.[7] Posterior teeth with reduced buccolingual width and reduced cuspal angle (semi-anatomic) were selected. These would aid in providing the stability to the mandibular denture as well as reduce the stress transmitted on to the underlying ridge, hence slow down the further resorption of the bone. The teeth arrangement was done with the anterior teeth arranged closed to prevent the escape of air between them and posterior in lingualized occlusion. Try-in was done to verify the retention, stability, and esthetics of the prosthesis, the denture was cured, finished, and polished [Figure 3].


Prosthodontic rehabilitation of completely edentulous patient with partial glossectomy
Lateral view of complete denture in centric relation position and front view of complete denture showing the anterior teeth placed close to each other to aid in phonation
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4837780&req=5

Figure 3: Lateral view of complete denture in centric relation position and front view of complete denture showing the anterior teeth placed close to each other to aid in phonation
Mentions: The master cast was poured with type IV die stone. Jaw relation was recorded, decreasing the vertical dimension of occlusion slightly by reducing the height of the occlusal plane on the mandibular denture, to allow the residual tongue to more conveniently place the food bolus on the occlusal table.[7] Posterior teeth with reduced buccolingual width and reduced cuspal angle (semi-anatomic) were selected. These would aid in providing the stability to the mandibular denture as well as reduce the stress transmitted on to the underlying ridge, hence slow down the further resorption of the bone. The teeth arrangement was done with the anterior teeth arranged closed to prevent the escape of air between them and posterior in lingualized occlusion. Try-in was done to verify the retention, stability, and esthetics of the prosthesis, the denture was cured, finished, and polished [Figure 3].

View Article: PubMed Central - PubMed

ABSTRACT

Oral cancer accounts for about 40% of all cancers inflicting the human beings. Those involving the tongue results in mild to severe deficiencies of phonation, deglutition, mastication, and taste depending upon the degree and extent tissues involved. Often rehabilitation of such patient is a challenge for the prosthodontist and involves a careful observation and evaluation of the residual oral function and ways to restore them. This article presents a case report of prosthodontic rehabilitation completely edentulous patient, who underwent partial glossectomy following surgical resection of the squamous cell carcinoma involving left lateral borders of the tongue. An attempt was made to restore the comfort and function of the patient with the help of palatal augmentation prosthesis, with additional assistance through speech therapy and simple oral exercises.

No MeSH data available.


Related in: MedlinePlus