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VOLUME 20 , ISSUE 4 ( April, 2019 ) > List of Articles

REVIEW ARTICLE

Prosthetic Rehabilitation of Microstomia Patients: A Systematic Review of Published Case Reports and Case Series

Rohit K Menon, Kamran H Awan, Mohammed MA Khan, Amol R Gadbail, Shailesh Gondivkar, Manpreet S Kakkar, Zeeshan H Ahmad

Keywords : Dental implants, Microstomia, Rehabilitation, Scleroderma

Citation Information : Menon RK, Awan KH, Khan MM, Gadbail AR, Gondivkar S, Kakkar MS, Ahmad ZH. Prosthetic Rehabilitation of Microstomia Patients: A Systematic Review of Published Case Reports and Case Series. J Contemp Dent Pract 2019; 20 (4):508-515.

DOI: 10.5005/jp-journals-10024-2548

License: CC BY-NC 4.0

Published Online: 01-04-2019

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Statement of problem: Prosthetic techniques commonly employed for the rehabilitation of edentulous patients might not be adequate in the treatment of patients with microstomia. Purpose: The purpose of this paper is to systematically review all the prosthetic techniques that have been used in the oral rehabilitation of patients with microstomia. Materials and methods: Data sources, including PubMed, Google Scholar, SCOPUS and Web of Science, were searched for case reports and case series published through September 2017. Three investigators reviewed and verified the extracted data. Only case reports and case series on prosthetic rehabilitation in microstomia patients published in the English language were considered eligible. Results: A total of 212 records were identified from the database search. Forty duplicate records were removed. The remaining 172 articles were assessed for eligibility, and 139 articles were removed because they did not satisfy the inclusion criteria. A total of 34 cases (including 32 case reports and 1 case series) were finally included in the qualitative analysis. The review revealed the use of a modified impression technique with flexible and sectional trays to record impressions in patients with microstomia. Modified forms of oral prostheses ranging from sectional, flexible, collapsible and hinged dentures to implant-supported prosthesis were fabricated to overcome the limited mouth opening. The success of the prosthetic technique primarily depended on the extent of the microstomia and the nature of the cause of the microstomia. Conclusion: Even though the patient acceptance of the prosthetic techniques summarized in the systematic review were high, long-term success rates for each option could not be assessed because of the short follow-up time in most of the included case reports and series.


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  1. Patil S, Sarode SC, Sarode GS, Bhandi S, Awan KH, Ferrari M. Prosthetic rehabilitation of oral submucous fibrosis patients: a systematic review of published case reports and case series. PLOS ONE 2017;12:e0184041.
  2. Kirchheimer S, Sainuddin S, Bojanic S, Saeed NR. Simultaneous custom-made replacement of the temporomandibular joint and cranioplasty. Br J Oral Maxillofac Surg 2013;51:e70-e71.
  3. Cheng AC, Wee AG, Shiu-Yin C, Tat-Keung L. Prosthodontic management of limited oral access after ablative tumor surgery: a clinical report. J Prosthet Dent 2000;84:269-273.
  4. Garg SK, Bansal S, Shireen RK. Microstomia in a maxillectomy patient: a prosthetic challenge. Contemp Clin Dent 2011;2:34-36.
  5. Gözde Türk AG, Ulusoy M. A collapsible partial denture for a patient with limited mouth opening induced by scleroderma: a clinical report. J Prosthodont 2015;24:334-338.
  6. Jensen J, Pedersen SS. Osseointegrated implants for prosthetic reconstruction in a patient with scleroderma: report of a case. J Oral Maxillofac Surg 1990;46:739-741.
  7. MacMillan ARG, Oliver AJ, Richardson L, Reade PC. An intraoral splint for the prevention of microstomia from facial burns. Burns 1991;17:72-74.
  8. Langer Y, Cardash HS, Tal H. Use of dental implants in the treatment of patients with scleroderma: a clinical report. J Prosthet Dent 1992;68:873-875.
  9. Brunello DL, Mandikos MN. The use of a dynamic opening device in the treatment of radiation induced trismus. Aust Prosthodont J 1995;9:45-48.
  10. Fischer DJ, Patton LL. Scleroderma: oral manifestations and treatment challenges. Spec Care Dentist 2000;20:240-244.
  11. Suzuki Y, Abe M, Hosoi T, Kurtz KS. Sectional collapsed denture for a partially edentulous patient with microstomia: a clinical report. J Prosthet Dent 2000;84:256-259.
  12. Cheng AC, Wee AG, Tat-Keung L. Maxillofacial prosthetic rehabilitation of a midfacial defect complicated by microstomia: a clinical report. J Prosthet Dent 2001;85:432-437.
  13. Watanabe I, Tanaka Y, Ohkubo C, Miller AW. Application of cast magnetic attachments to sectional complete dentures for a patient with microstomia: a clinical report. J Prosthet Dent 2002;88:573-577.
  14. Cura C, Cotert HS, User A. Fabrication of a sectional impression tray and sectional complete denture for a patient with microstomia and trismus: a clinical report. J Prosthet Dent 2003;89:540-543.
  15. Sharon-Buller AS, Sela M. Development of a device for removing a partial denture in a patient with scleroderma. Spec Care Dentist 2005;25:234-235.
  16. Kam AYL, Chung WC, Luk WK. Oral rehabilitation of a patient with scleroderma associated with systematic lupus erythematosus: a case report. Spec Care Dentist 2006;26:121-123.
  17. Cheng AC, Kwok-Seng L, Wee AG, Tee-Khin N. Prosthodontic management of edentulous patient with limited oral access using implant-supported prostheses: a clinical report. J Prosthet Dent 2006;96:1-6.
  18. Geckili O, Cilingir A, Bilgin T. Impression procedures and construction of a sectional denture for a patient with microstomia: a clinical report. J Prosthet Dent 2006;96:387-390.
  19. Samet N, Tau S, Findler M, Susarla SM, Findler M. Flexible, removable partial denture for a patient with systemic sclerosis (scleroderma) and microstomia: a clinical report and a three-year follow-up. Gen Dent 2007;55:548-551.
  20. Jivanescu A, Bratu D, Negrutiu M. Prosthetic rehabilitation of a patient with scleroderma- induced microstomia. Int Poster J Dent Oral Med 2007;9:382.
  21. Dikbas I, Koksal T, Kazazoglu E. Fabricating sectional-collapsible complete dentures for an edentulous patient with microstomia induced by scleroderma. Quintessence Int 2007;38:15-22.
  22. Colvenkar SS. Sectional impression tray and sectional denture for a microstomia patient. J Prosthodont 2010;19:161-165.
  23. Cheng AC, Koticha TN, Tee-Khin N, Wee AG. Prosthodontic management of an irradiated maxillectomy patient with severe trismus using implant-supported prostheses: a clinical report. J Prosthet Dent 2008;99:344-350.
  24. Givan DA, AuClair WA, Seidenfaden JC, Paiva J. Sectional impressions and simplified folding complete denture for severe microstomia. J Prosthodont 2010;19:299-302.
  25. Bidra AS, Montgomery PC, Jacob RF. Maxillofacial rehabilitation of a Microstomic patient after resection of nose, lip, and maxilla. J Oral Maxillofac Surg 2010;68:2513-2519.
  26. Bilhan H, Geckili O, Atalay B, Arat S. Oral rehabilitation following removal of a rhabdomyosarcoma and subsequent microstomia: a case report. J Oral Implantol 2011;37:353-360.
  27. McKenna G, Hayes M, Burke FM. Provision of resin bonded bridgework for a patient with microstomia secondary to scleroderma. Eur J Prosthodont Rest Dent 2012;20:56-60.
  28. Egan JG, Swindells SA. A novel prosthodontic alternative for patients who are edentulous and have microstomia: a case report. Spec Care Dentist 2012;32:160-164.
  29. Singh K, Gupta N, Gupta R, Abrahm D. Prosthetic rehabilitation with collapsible hybrid acrylic resin and permanent silicone soft liner complete denture of a patient with scleroderma-induced microstomia. J Prosthodont 2014;23:412-416.
  30. Sadrimanesh R, Hassani A, Vahdati SA, Chaghari H, Sadr-Eshkevari P, Rashad A. Freeman-Sheldon syndrome: combined surgical and nonsurgical approach. J Craniomaxillofac Surg 2013;41:397-402.
  31. Rathi N, Heshmati R, Yilmaz B, Wilson W. A technique for fabricating a hinged mandibular complete dental prosthesis with swing lock for a patient with microstomia. The Journal of Prosthetic Dentistry 2013;110:540-543.
  32. Hajimahmoudi M, Mostafavi AS. A simple and effective method for prosthetic rehabilitation in scleroderma patients: a clinical report. Int J Prosthodont 2014;27:169-173.
  33. Konaş E, Aliyev A, Tunçbilek G. Congenital maxillomandibular Syngnathia: a new management technique using distraction techniques. J Craniofac Surg 2015;26:e68–e70.
  34. Singh K, Kumar N, Gupta N, Sikka R. Modification of existed prosthesis into a flexible wall hollow bulb obturator by permanent silicone soft liner for a hemimaxillectomy patient with restricted mouth opening. Prosthodont Res 2015;59:205-209.
  35. Luebke RJ. Sectional impression tray for patients with constricted oral opening. J Prosthet Dent 1984; 52:135-137.
  36. Benetti R, Zupi A, Toffanin A. Prosthetic rehabilitation for a patient with microstomia: A clinical report. J Prosthet Dent 2004;92:322-327.
  37. Dhanasomboon S, Kiatsiriroj K. Impression procedure for a progressive sclerosis patient- A clinical report. J Prosthet Dent 2000;83: 279-282.
  38. Ohkubo C, Ohkubo C, Hosoi T, Kurtz KS. A sectional stock tray system for making impression. J Prosthet Dent 2003; 90:201-204.
  39. Baker P, Brandt R, Boyajian G. Impression procedure for patients with severely limited mouth opening J Prosthet Dent 2000;84:241-244.
  40. Mirfazaelian A. Use of orthodontic expansion screw in fabricating section custom trays. J Prosthet Dent 2000;83:474-475.
  41. Fernandes A, Mascarenhas K, Aras MA. Custom sectional impression trays with interlocking type handle for microstomia patients. Indian J Dent Res 2009;20:370-373.
  42. Poole J, Conte C, Brewer C, Good CC, Perella D, Rossie KM, et al. Oral hygiene in scleroderma: The effectiveness of a multi-disciplinary intervention program. Disabil Rehabil 2010;32:379-384.
  43. Parr GR, Tharp GE, Rahn AO. Prosthodontic principles in the framework design of maxillary obturator prostheses. J Prosthet Dent 1989;62:205-212.
  44. Eckert SE, Carr AB. Implant-retained maxillary overdentures. Dent Clin North Am 2004; 48:585-601.
  45. Iyer S, Thankappan K. Maxillary reconstruction: Current concepts and controversies Indian J Plast Surg 2014;47:8-19.
  46. Kornblith AB, Zlotolow IM, Gooen J, Huryn JM, Lerner T, Strong EW, et al. Quality of life of maxillectomy patients using an obturator prosthesis. Head Neck 1996;18:323-34.
  47. Rogers SN, Lowe D, McNally D, Brown JS, Vaughan ED. Health-related quality of life after maxillectomy: a comparison between prosthetic obturation and free flap. J Oral Maxillofac Surg 2003;61:174-181.
  48. Okay DJ, Genden E, Buchbinder D, Urken M. Prosthodontic guidelines for surgical reconstruction of the maxilla: a classification system of defects. J Prosthet Dent 2001;86:352-363.
  49. Muller F, Bergendal B, Wahlmann U, Wagner W. Implant-supported fixed dental prostheses in an edentulous patient with dystrophic epidermolysis bullosa. Int J Prosthodont 2010;23:42-48.
  50. Patel K, Welfare R, Coonar HS. The provision of dental implants and a fixed prosthesis in the treatment of a patient with scleroderma: a clinical report. J Prosthet Dent 1998;79:611-612.
  51. Baig MR. Multi-unit implant impression accuracy: A review of the literature. Quintessence Int 2014;45:39-51.
  52. Uludag B, Polat S, Sahin V, Tokar E, Ertug O. A simplified technique for solving the transfer problem of implant supported fixed partial denture for patients with microstomia. J Oral Implantol 2013;39:169-171.
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