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Case Study Of Microstomia

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ABSTRACT

Nylon-derived flexible dentures are an excellent alternative to conventional way of treating microstomia. Thermoplastic resins not only provides excellent comfort and aesthetics but also adapt to the constant flexibility during insertion and removal of dentures in restricted mouth opening cases.This case report discusses the successful management of a patient with microstomia due to surgical excision and radiotherapy with thermoplastic flexible dentures

KEYWORDS
Microstomia , Thermoplastic resin , Retento- grip tissue bearing technique, Injection moulding technique .

INTRODUCTION

Management of patients with microstomia is one of the biggest challenges in the field of prosthodontics 1 . Cases of restricted oral opening may be due to carcinoma, …show more content…

Rest or vertical stops are not required for flexible dentures because on functional loading they would flex and distribute the stress to the underlying tissues3,4. Insertion and removal of this flexible denture is very easy compared to other means of attachments in sectional dentures in patients with limited mouth opening . The patient reported with the marked improvement in mastication as he was able to chew his food properly .The patient was also satisfied with the esthetics and light weight of the prosthesis. Even though these thermoplastic resin materials have disadvantages like require special instruments for adjustments, repairing is difficult , needs atleast 4mm of interoccusal space for adequate retention of teeth to the denture base and technique sensitive , the flexible denture has provided a simple and effective treatment solution for this patient3, 6

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