Baslas Varun, Agrawal Kaushal Kishor, Chand Pooran, Jurel Sunit Kumar
Department of Prosthodontics, King George Medical University, Lucknow, India.
BMJ Case Rep. 2014 Sep 10;2014:bcr2013203402. doi: 10.1136/bcr-2013-203402.
Microstomia is a common occurrence in clinical practice that may hinder the conventional prosthetic treatment of edentulous patients. Oral augmentation exercises to increase the vertical opening and sectional or collapsible dentures have been described in the past, which have their own drawbacks and limitations. The present article highlights a new approach for rehabilitation of a patient with microstomia with cast lock and key attachments leading to greater ease for both the patient and the clinician. The chief advantage of this technique is the simple fabrication procedure and the reduction in the denture base thickness, providing a larger intraoral space and thus better comfort to the patient, overcoming the shortcomings of previously described sectional denture bases.
小口畸形在临床实践中很常见,可能会妨碍无牙患者的传统修复治疗。过去曾描述过增加垂直开口的口腔扩张练习以及分段或可折叠假牙,但它们都有各自的缺点和局限性。本文重点介绍一种治疗小口畸形患者的新方法,即采用铸造锁扣和钥匙附件,这能让患者和临床医生都更轻松。该技术的主要优点是制作过程简单,义齿基托厚度减小,从而提供更大的口腔内空间,给患者带来更好的舒适度,克服了先前描述的分段义齿基托的缺点。