J Korean Acad Prosthodont.  2015 Jan;53(1):74-80. 10.4047/jkap.2015.53.1.74.

Prosthetic treatment for patient with upper lip cancer and severe periodontitis: Maxillary complete denture with denture adhesive and mandibular double crown-retained removable partial denture

• Choi HS
• Lee CH
• Cho JH

• KMID: 2057210
• DOI: http://doi.org/10.4047/jkap.2015.53.1.74

Abstract

When oral cancer is occured, one may experience problems such as lip defect, necrosis of periodontal tissue and cervical caries caused by radiotherapy. According to ADI (Association of dental implantology), recent radiotherapy on jaw bone could be a relative contraindication of implant treatment. Due to this controversy, in most cases, treatment is done with removable dentures rather than implants. Especially, lip defect caused by an oral cancer operation have a serious repercussion on the retention of the denture. In this case report, patient with upper lip cancer had undergone resection primarily and secondary radiotherapy was done periodically. As a result, upper teeth of patient were extracted gradually and lower teeth showed very poor periodontal status. Therefore, Polident(R) denture adhesive cream (GlaxoSmithKline, London, England) was applied on maxillary complete denture to overcome reduced retention due to the lip defect and double crown RPD with friction pin was applied on the mandible successfully for two years.

Keyword

Lip defect; Denture adhesive cream; Radiotherapy; Double crown RPD

MeSH Terms

Adhesives*
Crowns
Denture, Complete*
Denture, Partial, Removable*
Dentures*
Friction
Humans
Jaw
Lip
Lip Neoplasms*
Mandible
Mouth Neoplasms
Necrosis
Periodontitis*
Radiotherapy
Root Caries
Tooth
Adhesives

Figure

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  Fig. 1. (A) Panoramic radiograph, (B) Initial intraoral photograph - Frontal view.

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  Fig. 2. Maxillary impression with conventional method.

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  Fig. 3. (A) Mandibular inner crown, (B) Mandibular pick-up impression.

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  Fig. 4. Bite registration with conventional method upper lip defect.

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  Fig. 5. (A, B) Maxillary complete denture, (C, D) mandibular double crown RPD.

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  Fig. 6. (A) Application of Polident® (GlaxoSmithKline, London, England) on maxillary denture, (B) Maxillary denture try-in.

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  Fig. 7. Final panoramic view.

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  Fig. 8. 2 years follow-up. (A) Intraoral photograph, (B) Panoramic view.

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