Abstract

Parkinson’s disease is a progressive, idiopathic neurological disorder characterized by tremors, rigidity, bradykinesia, and postural instability. The resulting decline in motor function and cognitive abilities significantly affects a patient’s ability to maintain adequate nutrition and oral hygiene. Consequently, individuals with Parkinson’s often face increased risks of dental caries and edentulism. In many cases, non-motor symptoms such as ap depression, constipation, sleep disturbances, anosmia, and cognitive decline can have a greater impact on the patient’s quality of life than motor symptoms. Prosthodontic management of these patients requires special consideration and a sensitive approach, particularly when socioeconomic constraints limit access to multiple clinical appointments. This clinical report presents the complete oral rehabilitation of a patient with Parkinson’s disease using conventional denture fabrication techniques tailored to minimize visits and accommodate the patient’s unique needs.

• 1.   Kumar V., Abbas A.K., Aster J.C. Basic pathology. 9th ed. Philadelphia: Saunders; 2013.
• 2.   Pathophysiology of Parkinson’s Disease. Zingmond M.J., Burke RE. Neuropsychopharmacology: 1, 782. The Fifth Generation of Progress.
• 3.   Playfer J.R., Hindle N. (eds). Parkinson’s disease in the older patient. 2nd ed. Diagnosis and differential diagnosis of Parkinson’s disease, London: Arnold; 2001: 43-76.
• 4.   Nakayama Y.L., Washio M., Mori M. Oral health conditions m patients with Parkinson’s disease. J Epidemiol 2004; 14: 143-50.
• 5.   Bonenfant D., Rompre P.H., Rei N., Jodoin N., Soland V.L., Rey V., Brefel-Courbon C., Ory-Magne F., Rascol 0, Blanchet P.J. Characterization of Burning Mouth Syndrome in Patients with Parkinson’s Disease. J Oral Facial Pain Headache. 2016 Fall; 30(4): 318-322.
• 6.   Fiske J., Hyland K. Parkinson’s disease and oral care. Dent Update 2000; 27: 58-65 [PMID: 11218273]
• 7.   Rahn A.O., Heartwell C.M. Textbook of complete dentures. 5th ed. Philadelphia: Lea and Febiger, 1993: 134.
• 8.   National Collaborating Centre for Chronic Conditions. Symptomatic pharmacological therapy in Parkinson’s disease. Parkinson’s disease. London: Royal College of Physicians. 2006: 59-100.
• 9.   Hasnain M., Vieweg W.V., Baron M.S., BeattyBrooks M., Fernandez A., Pandurangi A.K. Pharmacological management of psychosis in elderly patients with Parkinsonism. Am J Med. 2009; 122(7): 614-22.
• 10.   C.A. Davie, “A review of Parkinson’s disease,” British Medical Bulletin 2008; 86(1): 109-127.
• 11.   Singh Y., Saini M., Garg N. Oral rehabilitation of a Parkinson’s patient: A case report. World J Clin Cases 2013; 1(1): 67-70.
• 12.   A.Dougall, J. Fiske,”Accesstospecialcareden tistry, part 9. Special care dentistry services for older people,” British Dental Journal 2008; 205(8): 421-434.
• 13.   H.E. Clough, J.M. Knodle, S.H. Leeper, M. L. Pudwill, and D.T. Taylor, “A comparison of lingualized occlusion and monoplane occlusion in complete dentures,” J Prosthet Dent 1983; 50(2): 176-179.
• 14.   A.F. Sutton and J.F. McCord, “A randomized clinical trial comparing anatomic, lingualized, and zero-degree posterior occlusal forms for complete dentures,” J Prosthet Dent 2007; 97(5): 292-298.
• 15.   M. Inada, T. Yamazaki, 0. Shinozuka, G. Sekiguchi, Y. Tamamori, and T. Ohyama “Complete denture treatments for a cerebral palsy patient by using a treatment denture. A case report,” Journal of Medical and Dental Sciences 2002; 49(4): 171-177.

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