Rehabilitation of A Completely Edentulous Neuromuscular Disorder Case: A Prosthodontics Challenge Dr. Singhal Shelly, Junior Residency, Dr. Rao Jitendra, Assistant Professor, Dr. Singh Balendra Pratap, Assistant Professor, Dr. Kumar Lakshya, Associate Professor Department of Prosthodontics, Faculty of Dental Sciences, C.S.M. Medical University (KG. M.C), Lucknow. Address for Correspondence: Dr. Balendra Pratapsingh Flat no. 101, new teacher's apartment TG hostel, Chowk, Lucknow E-mail-balendra02@yahoo.com
Online published on 11 May, 2012. Abstract Neuromuscular disorders affect the nerves that control the voluntary muscles resulting in muscles weakness and wasting. Bell's palsy is one of the commonest neuromuscular disorders affecting 1 out of 5000 people. Bell's palsy is a form of facial paralysis resulting from damage to the facial nerve. If upper motor neuron (UMN) type, it affects contralateral lower half of face and if lower motor neuron (LMN) type then it affects ipsilateral half of the face. Most often it is idiopathic; other causes can be viral infections, cysts and tumors etc. Rehabilitation of such edentulous patients is a challenge for the prosthodontist as the face is pulled to one side with a change in facial appearance, asymmetrical smile, drooping of corner of mouth as well as drooling of saliva. In this case report, functionally stable and esthetically acceptable dentures were fabricated by recording the neutral zone concept so as to recognize the importance of tooth position, flange form and contour to improve function. Thick denture borders were given flange intentionally towards the paralyzed side and teeth setting was done with shifted midline and canting of occlusion. This created an illusion towards normalcy to improve esthetics and overall prognosis of case. Top Keywords Neuromuscular Disorder, Bell's Palsy, Paralysis, Rehasilitation. Top |