Premium
Fitting complete dentures after multiple tooth extraction in a patient with severe dementia
Author(s) -
Fujisawa Toshiaki,
Yokoyama Atsuro,
Muramatsu Masumi,
Kimura Yukifumi,
Kurozumi Akihiro,
Kobayashi Ichizo,
Sano Hidehiko,
Totsuka Yasunori,
Fukushima Kazuaki
Publication year - 2007
Publication title -
special care in dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.328
H-Index - 41
eISSN - 1754-4505
pISSN - 0275-1879
DOI - 10.1111/j.1754-4505.2007.tb00344.x
Subject(s) - dentures , medicine , dentistry , swallowing , dementia , orthodontics , sedation , disease , surgery , pathology
Complete dentures were constructed after tooth extraction for a 71 ‐year‐old uncommunicative patient with Alzheimer's disease. Although she had never previously used them, her husband requested the fitting of complete maxillary and mandibular dentures. Thirteen teeth were extracted under local anesthesia and intravenous sedation (IVS), followed by impression‐making under IVS. Denture fabrication and adjustment were carried out under mild physical restraint. A tissue conditioner was applied to the fitting surface of the denture base followed by regular denture adjustments. The time required for the patient to eat a meal decreased from 90 minutes without dentures to 30 minutes with dentures due to an improvement in swallowing. Important factors in the successful fitting and use of dentures in this patient were the use of IVS to control behavior during treatment, the treatment plan focused on painless denture use, and oral care by the patient's husband.