J Dent Rehabil Appl Sci.  2019 Dec;35(4):228-234. 10.14368/jdras.2019.35.4.228.

Full mouth rehabilitation for a Parkinson's diseases patient with chronic periodontitis: a case report

Affiliations
  • 1Divison of Prosthodontics, Department of Dentistry, Asan Medical Center, Seoul, Republic of Korea.
  • 2Divison of Prosthodontics, Department of Dentistry, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Republic of Korea. ljhl11911@hanmail.net

Abstract

Parkinson's disease is a neurological disorder characterized by tremor, bradykinesia, akinesia, postural instability, and muscular rigidity, which is caused by the depletion of neurotransmitters such as dopamine. Cooperative dental treatment is more challenging because of tremor of Parkinson's disease. In this case, a 47-year-old Parkinson's disease patient with chronic periodontitis was treated with full-mouth rehabilitation using conventional fixed prostheses and implant fixed partial denture, which attained satisfactory outcomes functionally and esthetically. Short term periodic follow-ups will be needed with consideration for the characteristics of Parkinson's disease such as decreased manual dexterity.

Keyword

Parkinson's disease; implants; full mouth rehabilitation; chronic periodontitis

MeSH Terms

Chronic Periodontitis*
Denture, Partial, Fixed
Dopamine
Follow-Up Studies
Humans
Hypokinesia
Middle Aged
Mouth Rehabilitation*
Mouth*
Muscle Rigidity
Nervous System Diseases
Neurotransmitter Agents
Parkinson Disease
Prostheses and Implants
Rehabilitation
Tremor
Dopamine
Neurotransmitter Agents

Figure

  • Fig. 1 Preoperative intraoral photographs. (A) Maxillary occlusal view, (B) Right lateral view, (C) Frontal view, (D) Left lateral view, (E) Mandibular occlusal view.

  • Fig. 2 Radiographic evaluation before treatment (Panoramic view).

  • Fig. 3 Diagnostic wax-up. (A) Right lateral view, (B) Frontal view, (C) Left lateral view.

  • Fig. 4 Panoramic radiograph after implant installation.

  • Fig. 5 Provisional restoration after implant installation. (A) Right lateral view, (B) Frontal view, (C) Left lateral view.

  • Fig. 6 Final impression taking. (A) Maxilla, (B) Mandible.

  • Fig. 7 Master cast fabrication. (A) Maxilla, (B) Mandible.

  • Fig. 8 Placement of the definitive prostheses. (A) Maxillary occlusal view, (B) Right lateral view, (C) Frontal view, (D) Left lateral view, (E) Mandibular occlusal view.

  • Fig. 9 Panoramic radiograph after placement of the definitive prostheses.


Reference

References

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