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放疗后口干症患者的处理——病例报告。

Management of a post-radiotherapy xerostomic patient--a case report.

机构信息

Subharti Dental College, Meerut, Uttarpradesh, India.

出版信息

Gerodontology. 2012 Jun;29(2):e1172-5. doi: 10.1111/j.1741-2358.2011.00519.x. Epub 2011 Aug 24.

Abstract

OBJECTIVE

The objective of the study was to fabricate complete denture with palatal reservoir filled with artificial saliva for a post radiotherapy edentulous patient.

BACKGROUND

Xerostomia is a subjective complaint rather than a disease. It is caused by irradiation, medication, Sjogren's syndrome & neurological factors such as stress. Radiotherapeutic treatment of head and neck cancer patients often causes long term dysfunction involving their salivary function, swallowing capabilities & taste. All three of these domains are affected by radiation- induced damage to the salivary glands. This in turn results in poor retention of complete denture, frequent trauma to alveolar ridge & other oral infections. All these events drastically affects quality of life of ageing patients.

MATERIAL AND METHOD

A complete denture in heat cure acrylic resin was fabricated in which a palatal reservoir was made on the palatal side.

RESULTS

Problems arising due to xerostomia were reduced to a great extent.

CONCLUSION

Prosthodontic management of Xerostomic patient include several techniques. This paper presents a case report of post radiotherapy edentulous patient in which complete denture with palatal reservoir filled with artificial saliva was fabricated.

摘要

目的

本研究的目的是为一名接受过放疗的无牙患者制作带有人工唾液的腭部储库的全口义齿。

背景

口干症是一种主观抱怨,而不是一种疾病。它是由放疗、药物、干燥综合征和神经因素如压力引起的。头颈部癌症患者的放射治疗往往会导致长期的唾液功能、吞咽能力和味觉功能障碍。这三个领域都受到唾液腺放射损伤的影响。这反过来又导致全口义齿固位不良、牙槽嵴频繁创伤和其他口腔感染。所有这些事件都极大地影响了老年患者的生活质量。

材料和方法

制作热凝丙烯酸树脂全口义齿,在腭侧制作腭部储库。

结果

口干引起的问题在很大程度上得到了缓解。

结论

口干患者的修复治疗包括多种技术。本文介绍了一名接受过放疗的无牙患者的病例报告,该患者制作了带有人工唾液的腭部储库的全口义齿。

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