J Korean Acad Prosthodont.  2015 Oct;53(4):352-358. 10.4047/jkap.2015.53.4.352.

Overdentures of the patient with Parkinson's disease: A case report

Affiliations
  • 1Department of Prosthodontics, School of Dentistry, Chonnam National University, Gwangju, Republic of Korea. mcnihil@jnu.ac.kr

Abstract

The retention of complete dentures in patients with Parkinson's disease is often poor due to their constant dislodgement by involuntary movements of the tongue and lips. Furthermore, insertion of the overdenture is expected to be difficult due to their limited voluntary movements. This case is about the bimaxillary overdenture restoration where its retention and stability are improved, using magnetic attachment of remained roots of maxilla and two implant Locator(R) attachments of mandible in patients with Parkinson's disease. This report describes the fabrication of this functionally improved prosthesis.

Keyword

Magnetic; Implant; Locator(R); Overdenture; Complete denture

MeSH Terms

Denture, Complete
Denture, Overlay*
Dyskinesias
Humans
Lip
Mandible
Maxilla
Parkinson Disease*
Prostheses and Implants
Tongue

Figure

  • Fig. 1. Initial panographic radiograph.

  • Fig. 2. Initial intraoral photographs. (A) Frontal view, (B) Maxillary occlusal view, (C) Mandibular occlusal view.

  • Fig. 3. Interim denture delivery.

  • Fig. 4. Implant placement with surgical stent. (A) Surgical stent, (B) Panorama.

  • Fig. 5. Magfit EX 600. (A) Bare roots on Maxilla, (B) Master cast with magnetic attachment, (C) Installed magnetic attachment.

  • Fig. 6. Bolder molding and definitive impression taking. (A) Border molding for maxillary denture, (B) Border molding for mandibular denture, (C) Final impression taking of maxilla, (D) Final impression taking of mandible with impression coping.

  • Fig. 7. Master casts of maxilla and mandible.

  • Fig. 8. Metal framework. (A) Metal framework (maxilla), (B) Metal framework (mandible).

  • Fig. 9. Maxillormandibular relationship record. (A) VD taking, (B, C) Facebow transfer.

  • Fig. 10. Wax denture try-in. (A) Wax denture fabrication on master cast, (B) Wax denture try-in.

  • Fig. 11. Definitive denture. (A) Frontal view, (B) Maxillary definitive denture, (C) Mandibular definitive denture.

  • Fig. 12. Overdenture component placement. (A) Magfit EX 600 (maxilla), (B) Osstem implant locator (mandible).

  • Fig. 13. Patient’ s profile. (A) Profile of first visit, (B) Profile of visit after final denture delivery.


Cited by  1 articles

Implant overdenture of mandible with severe unilateral atrophy: Report of two cases
So-Yeun Kim, Eun-Young Kwon, Kyoung-Hwa Jung, Hye-Mi Jeon, Young-Jae Baek, Mi-Jung Yun, Jung-Bo Huh
J Korean Acad Prosthodont. 2019;57(3):271-279.    doi: 10.4047/jkap.2019.57.3.271.


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