Open Access, Peer-reviewed, Quarterly
pISSN 0301-2875
eISSN 2005-3789
    J Korean Acad Prosthodont. 2015 Oct;53(4):352-358. Korean.
    Published online Oct 28, 2015.
    https://doi.org/10.4047/jkap.2015.53.4.352
    Copyright © 2015 The Korean Academy of Prosthodontics
    Case Report

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

    Byung-Kwee Min, Eun-Jung Shin, Mong-Sook Vang, Hong-So Yang, Sang-Won Park, Kwi-Dug Yun and Hyun-Pil Lim
      • Department of Prosthodontics, School of Dentistry, Chonnam National University, Gwangju, Republic of Korea.
    • Corresponding Author: Hyun-Pil Lim. Department of Prosthodontics, School of Dentistry, Chonnam National University, 77, Yongbong-ro, Buk-gu, Gwangju 61186, Republic of Korea. +82 62 530 5638: Email: mcnihil@jnu.ac.kr
    Received June 18, 2015; Revised July 13, 2015; Accepted July 20, 2015.

    This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

    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® attachments of mandible in patients with Parkinson's disease. This report describes the fabrication of this functionally improved prosthesis.

    Keywords
    Magnetic; Implant; Locator®; Overdenture; Complete denture

    Figures

    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.

    References

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    MeSH Terms
    Denture, Complete
    Denture, Overlay*
    Dyskinesias
    Humans
    Lip
    Mandible
    Maxilla
    Parkinson Disease*
    Prostheses and Implants
    Tongue
    Metrics
    Share
    Figures
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