Mahajan Amit D, Tatu Rohit J, Shenoy Nithin A, Sharma Vaibhav S
Department of Oral and Maxillofacial Surgery, K.M. Shah Dental College and Hospital, Sumandeep Vidyapeeth, Piparia, Vadodara, Gujarat.
Natl J Maxillofac Surg. 2010 Jul;1(2):161-3. doi: 10.4103/0975-5950.79221.
Prosthetic rehabilitation of patients with oral submucous fibrosis (OSMF) offers a formidable challenge due to restricted mouth opening. Physiotherapy via interocclusal force application is the mainstay for surgical treatment. Herein, we report a case of a man with OSMF requiring construction of dentures. The main objective was to deliver intra-operative and post operative inter occlusal forces without fracturing the mandible and thus providing rehabilitation to the patient prosthetically. An edentulous male patient reported with grade IVA OSMF to our department to improve his mouth opening for denture construction. The patient was managed successfully using surgical sectioning of the fibrous bands. Inter occlusal force application for mouth opening during the operation and post operative physiotherapy were facilitated using custom-made occlusal splints. Satisfactory mouth opening was achieved, with good healing and no event of infection or fracture. Here, we propose an easy method to achieve adequate mouth opening in an edentulous patient of OSMF, with atrophic ridges; without the chances of fracture of either jaw.
由于张口受限，口腔黏膜下纤维化（OSMF）患者的修复性康复面临巨大挑战。通过施加咬合间力进行物理治疗是手术治疗的主要手段。在此，我们报告一例需要制作假牙的OSMF男性患者的病例。主要目标是在不致使下颌骨骨折的情况下，在术中及术后施加咬合间力，从而为患者提供修复性康复。一名无牙男性患者因IVA级OSMF到我院就诊，目的是为制作假牙改善张口度。通过对纤维带进行手术切开，该患者得到了成功治疗。术中使用定制的咬合夹板辅助施加咬合间力以张口，术后进行物理治疗。实现了满意的张口度，愈合良好，未发生感染或骨折事件。在此，我们提出一种简便方法，可使患有萎缩性牙槽嵴的无牙OSMF患者实现足够的张口度，且上下颌均无骨折风险。
