Anesthetic management of a patient with arthrogryposis multiplex congenita and limited mouth opening: reply

Impression making is not only important but is also the most significant step in the fabrication of any fixed or removable prosthesis. Proper impression making may be hindered by certain pathologic conditions. Reduced mouth opening is one of the common mechanical obstructions for proper orientation of the impression tray in the patient’s mouth. In patients with trismus induced by submucous fibrosis, the procedure may be even more difficult to carry out because of reduced tissue resiliency and obliteration of vestibular spaces. Use of sectional trays offers one of the alternatives to overcome the problem of restricted mouth opening. Fabrication of customized impression trays according to the patient dentition improves the accuracy of impression making. The present case reports describe the fabrication of sectional custom trays designed for dentulous patients with chronic tobacco-induced submucous fibrosis.

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Prosthodontic Management of a Completely Edentulous Patient with Microstomia and Flat Ridge Mandible: A Case Report

Acta Medica Philippina ◽

10.47895/amp.v53i6.703 ◽

2019 ◽

Vol 53 (6) ◽

Author(s):

Michael Josef Kridanto Kamadjaja ◽

Fatty Nada Pertiwi

Keyword(s):

Case Report ◽

Mouth Opening ◽

Complete Denture ◽

Edentulous Patient ◽

Limited Mouth Opening ◽

Proper Diagnosis

It is difficult to make impression and fabricate conventional dentures for patients with microstomia and flat ridge. This is a case report of 53-year-old female with limited mouth opening (25 mm) who had been wearing denture for 7 years and which was recently broken. Close mouth with suction impression method was used. Proper diagnosis and appropriate set of procedures and methods were needed for this patient. The conventional complete denture fitted with closed mouth method for this condition resulted in retentive and stable denture which was inserted and removed easily.

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Limitation of mouth opening after radiotherapy for head and neck

RGO - Revista Gaúcha de Odontologia ◽

10.1590/1981-863720160001000032923 ◽

2016 ◽

Vol 64 (1) ◽

pp. 24-29

Author(s):

Rafael da Silva CAETANO ◽

Paula Gabrielle de CASTRO ◽

Paulo Henrique de Souza CASTRO ◽

Alexandre Meireles BORBA ◽

Álvaro Henrique BORGES ◽

...

Keyword(s):

Alcohol Consumption ◽

Head And Neck ◽

Mouth Opening ◽

Vocal Folds ◽

Tumor Location ◽

The Other ◽

Previous Surgery ◽

Limited Mouth Opening ◽

The Mean ◽

Level Of Significance

ABSTRACT Objective: To evaluate the ability to open the mouth in patients undergoing radiotherapy for head and neck and the variables related to this limitation. Methods: 32 patients were evaluated six months after completion of radiotherapy sessions to treat cancer in the head and neck. The maximum mouth opening was measured using digital calipers and its association with gender, age, smoking, alcohol consumption, tumor location, chemotherapy and surgery were analyzed using the Mann-Whitney and Kruskal-Wallis tests at a level of significance of 95%. Results: The mean age of patients was 60.44 years; 87.5% were male; 81.2% were smokers; 65.6% regularly consumed alcohol. The average mouth opening was 43.17 mm and seven (21.9%) patients had trismus. The most common locations of the tumors were the tongue (31.3%) followed by the larynx and vocal folds with five (15.6%) each. No association was found between limited mouth opening and the other variables. Conclusion: In this sample, 21.9% of patients had trismus six months after completing radiotherapy. The variables gender, age, smoking habits and alcohol consumption, tumor location, previous surgery and adjunctive chemotherapy were not associated with limited mouth opening.

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