J Dent Rehabil Appl Sci.  2016 Dec;32(4):301-306. 10.14368/jdras.2016.32.4.301.

Overdenture with magnetic attachments for a patient with Parkinson's disease: a case report

• Ma BY
• Min BK
• Yang HS
• Park SW
• Lim HP
• Yun KD
• Park C
• Shin JH

• KMID: 2369070
• DOI: http://doi.org/10.14368/jdras.2016.32.4.301

Abstract

It is very hard for edentulous patients to satisfy retention and stability with their complete denture. Especially, for patients with systemic diseases such as Parkinson's disease causing involuntary and limited movements, fabricating complete dentures may be challenging to both dentists and patients due to functional limitations. To overcome this problem, overdentures can be used through conserving retained roots. In this case, a 45-year-old male patient had to extract numerous teeth due to dental caries, and at the time of visit he was taking drugs for diabetes and Parkinson's disease for a period of long time. A complete denture was applied to maxilla, and for mandible, an overdenture on two preserved retained roots was applied where its retention and stability were obtained by magnetic attachments. This case reports that overdenture with retained roots improved overall functional limitations.

Keyword

Parkinson's disease; overdenture; magnetic attachment

MeSH Terms

Dental Caries
Dentists
Denture, Complete
Denture, Overlay*
Humans
Male
Mandible
Maxilla
Middle Aged
Parkinson Disease*
Tooth

Figure

• 

  Fig. 1 Initial panoramic radiograph.

• 

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

• 

  Fig. 3 Magfit EX 600. (A) Bare roots on Mandible, (B) Master cast with magnetic attachments, (C) Installed magnetic attachment.

• 

  Fig. 4 Border 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.

• 

  Fig. 5 Metal framework. (A) Metal framework of maxilla, (B), (C) Metal framework of mandible.

• 

  Fig. 6 Maxillomandibular relationship record. (A) VD taking, (B) Facebow transfer.

• 

  Fig. 7 Wax denture try-in.

• 

  Fig. 8 Definitive denture.

• 

  Fig. 9 Overdenture component placement (Magfit EX 600®).

Reference

References

1. Kim SU. Implant-supported removable prosthetic treatments with patient focus. Myungmoon: Seoul;2007.

2. Brånemark PI, Adell R, Breine U, Hansson BO, Lindström J, Ohlsson A. Intra-osseous anchorage of dental prostheses. I. Experimental studies. Scand J Plast Reconstr Surg. 1969; 3:81–100. DOI: 10.3109/02844316909036699. PMID: 4924041.

3. Adell R, Lekholm U, Rockler B, Brånemark PI. A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg. 1981; 10:387–416. DOI: 10.1016/S0300-9785(81)80077-4.

4. Riley MA, Walmsley AD, Harris IR. Magnets in prosthetic dentistry. J Prosthet Dent. 2001; 86:13742. DOI: 10.1067/mpr.2001.115533. PMID: 11514799.

5. Smith GA, Laird WR, Grant AA. Magnetic retention units for overdentures. J Oral Rehabil. 1983; 10:481–8. DOI: 10.1111/j.1365-2842.1983.tb01471.x. PMID: 6358436.

6. Packer M, Nikitin V, Coward T, Davis DM, Fiske J. The potential benefits of dental implants on the oral health quality of life of people with Parkinson’s disease. Gerodontology. 2009; 26:11–8. DOI: 10.1111/j.1741-2358.2008.00233.x. PMID: 19278520.