Rajapur Anand, Mitra Nirban, Prakash V Jeevan, Rah Sajad Ahmad, Thumar Sagar
Professor, Department of Prosthodontics, Vyas Dental College & Hospital, Jodhpur, Rajasthan, India.
Post-graduate Student, Department of Prosthodontics, Vyas Dental College & Hospital, Jodhpur, Rajasthan, India.
J Int Oral Health. 2015;7(Suppl 2):77-81.
Bell's palsy is an idiopathic unilateral lower motor neuron paresis or paralysis of the facial nerve of sudden onset. It involves loss of muscular control on the affected side of the face. This paper reports the prosthodontic management of patients with Bell's palsy and also describes a technique to stabilize the jaw movements in complete denture patients using interim dentures. A 65-year-old male edentulous patient and a 55-year-old female edentulous patient reported to the department of prosthodontics to get their missing teeth replaced. They both gave history of facial paralysis and were diagnosed for Bell's palsy. Interim training dentures with flat occlusal tables were fabricated first to correct and stabilize their mandibular movements. During initial 4 weeks, there was poor functioning of the interim dentures. Gradually by 8(th) week the patients started stabilizing the interim dentures and were functional. After observing the improvement when the patients had no pain and could stabilize and use the treatment dentures successfully, definitive complete dentures were fabricated. This case report presents a systematic approach to successively rehabilitate edentulous patients with Bell's palsy.
贝尔面瘫是一种特发性单侧下运动神经元性轻瘫或面神经麻痹，起病突然。它涉及面部患侧肌肉控制的丧失。本文报告了贝尔面瘫患者的口腔修复治疗，并描述了一种使用临时义齿稳定全口义齿患者下颌运动的技术。一名65岁男性无牙颌患者和一名55岁女性无牙颌患者到口腔修复科就诊，要求修复缺失牙。他们都有面瘫病史，被诊断为贝尔面瘫。首先制作了具有平坦咬合面的临时训练义齿，以纠正和稳定他们的下颌运动。在最初的4周内，临时义齿的功能较差。到第8周时，患者逐渐开始稳定临时义齿并使其发挥功能。在观察到患者没有疼痛并且能够成功稳定和使用治疗义齿后，制作了最终的全口义齿。本病例报告提出了一种系统的方法，用于依次为贝尔面瘫的无牙颌患者进行康复治疗。
