Occlusal Reconstruction of a Patient with Limited Mouth Opening after Radiotherapy: A Case Report

doi:10.13701/j.cnki.kqyxyj.2023.07.018

Journal of Oral Science Research ›› 2023, Vol. 39 ›› Issue (7): 654-657.DOI: 10.13701/j.cnki.kqyxyj.2023.07.018

Occlusal Reconstruction of a Patient with Limited Mouth Opening after Radiotherapy: A Case Report

WANG Jingyu, YAO Xingmei, WANG Jingwen, LIU Chun, ZHAO Rui, ZHAO Yi^*

State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, Department of Prosthetics, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China

Received:2023-06-16 Published:2023-07-25

Abstract

Abstract: Radiotherapy for nasopharyngeal carcinoma can easily lead to oral complications such as jaw bone damage, muscle fibrosis and radioactive caries which brings challenges to denture restoration. This article reported a case of occlusive reconstruction after radiotherapy for nasopharyngeal carcinoma, accompanied by radioactive caries of the entire dentition and limited mouth opening. A denture restoration scheme using maxillary and mandibular short arch is used to restore oral physiology and aesthetic function.

Key words: radioactive caries, limited mouthopening, occlusal reconstruction

WANG Jingyu, YAO Xingmei, WANG Jingwen, LIU Chun, ZHAO Rui, ZHAO Yi. Occlusal Reconstruction of a Patient with Limited Mouth Opening after Radiotherapy: A Case Report[J]. Journal of Oral Science Research, 2023, 39(7): 654-657.

References

[1] 陈伟雄,王凯,唐隽,等.颈部食管造口术提高鼻咽癌放疗后吞咽困难患者生活质量的研究[J].中华耳鼻咽喉头颈外科杂志,2016,51(3):179-182.
[2] 王剑.鼻咽癌放射治疗后吞咽困难及张口受限的系统康复治疗疗效分析[J].中国医刊,2018,53(8):921-923.
[3] De Moor R. Direct and indirect effects of medication (including chemotherapy) and irradiation on the pulp [J]. Rev Belge Med Dent, 2000, 55(4):321-333.
[4] 郑宝敏,孙艳.放射性龋齿相关因素研究[J].国外医学(临床放射学分册),2006,29(4):280-284.
[5] Duarte VM, Liu YF, Rafizadeh S, et al.Comparison of dental health of patients with head and neck cancer receiving IMRT vs conventional radiation [J]. Otolaryngol Head Neck Surg, 2014,150(1):81-86.
[6] Zen Filho EV, Tolentino EDS, Santos PSS. Viability of dental implants in head and neck irradiated patients: A systematic review [J]. Head Neck, 2016, 38(S1):E2229-E2240.
[7] 陈智,周林芳.口腔疾病与治疗技术的风险评估[J].口腔医学研究,2022,38(1):1-8.
[8] Hu JY, Li YQ, Smales RJ, et al. Restoration of teeth with more viscous glass ionomer cements following radiation-induced caries [J]. Int Dent J, 2002,52(6):445-448.
[9] Huber MA, Terezhalmy GT. The head and neck radiation oncology patient [J]. Quintessence Int, 2003, 34(9):693-717.
[10] Johansson G, Anderson G, Attstom R, et al. Oral mucous membrane flora in patients using saliva substitutes [J]. Gerodontology, 2000, 17(2):87-90.
[11] Raj R, Koli DK, Bhalla AS, et al. Effect of rehabilitation by using the shortened dental arch concept on the thickness of the masseter muscle and occlusal force: A pilot study [J]. J Prosthet Dent, 2022:S0022-3913(21)00694-6.
[12] Yamashita S, Maruyama Y, Kirihara T, et al. Condylar positioning during clenching related to loss of posterior occlusal support [J]. Nihon Hotetsu Shika Gakkai Zasshi, 2007, 51(4):690-709.
[13] Tetsuka M, Saga T, Nakamura M, et al. Relationship between masseter muscle form and occlusal support of remaining teeth [J]. Kurume Med J, 2012, 59(1-2):5-15.

Occlusal Reconstruction of a Patient with Limited Mouth Opening after Radiotherapy: A Case Report

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 2

Recommended Articles

Metrics

[1]	LIANG Qian, SUN Qianyue, LUO Youcheng, YANG Zinan, WU Zhe. Occlusal Reconstruction Treatment of Severely Worn Dentition with CDD/CDM Workflow [J]. Journal of Oral Science Research, 2019, 35(12): 1191-1192.
[2]	XIAO Shen-zhao, REN Guang-hui, LIU Zhong-hao.. Recording Methods and Appraisal Systems of Centric Relation. [J]. Journal of Oral Science Research, 2016, 32(12): 1329-1332.