Comparative observations of lingualized occlusion and monoplane occlusion in the treatment of severe atrophy of edentulous mandible

The patient who has severely absorbed residual ridges, treatments are challenging to satisfy many factors: support, retention, stability, etc. The neutral zone or monoplane occlusion with non-anatomical tooth would be helpful to get additional retention and stability. The monoplane occlusion has been used long time because it can eliminate horizontal forces and many other advantages. The lingualized occlusion was introduced to improve chewing efficiency and esthetics. But from a stability aspect, it seems controversy between monoplane occlusion and lingualized occlusion. This case report shows the results of the treat two flat residual ridge patients using functional impression; piezography, and made 2 other dentures with monoplane and lingualized occlusion that patient can select denture.

Prosthodontic Care For Edentulous Patients With Parkinson Disease

Parkinson’s disease is seen in adults in their late middle or old age. It has four cardinal signs - resting tremor, bradykinesia, akinesia, and postural instability. Patient’s gait is often slow, shuffling with a stooped posture and they tend to walk faster with shorter steps. The affected patients have uncontrolled movements of the body along with stiffness of muscles. Tremors in orofacial musculature caused by Parkinson’s disease can make dental treatments, a challenge. The psychological component like depression, cognitive problems, and apathy further jeopardise the successful fabrication and utilisation of complete denture. This case series presents completely edentulous patients with Parkinson’s disease successfully treated with complete dentures in a sympathetic and caring approach. Some modification of techniques and materials were adopted to suit the special situations.