Patil Shankargouda, Sarode Sachin Chakradhar, Sarode Gargi S, Bhandi Shilpa, Awan Kamran Habib, Ferrari Marco
Department of Medical Biotechnologies, School of Dental Medicine, University of Siena, Italy.
Department of Maxillofacial Surgery and Diagnostic Sciences, Division of Oral Pathology, College of Dentistry, Jazan University, Jazan, Saudi Arabia.
PLoS One. 2017 Sep 6;12(9):e0184041. doi: 10.1371/journal.pone.0184041. eCollection 2017.
Oral submucous fibrosis (OSF) is an insidious chronic condition characterized by restricted mouth opening. Prosthetic rehabilitation is challenging for OSF patients as obtaining a good impression requires adequate mouth opening. The aim of the present review is to systematically present the data from case reports published in the English-language literature.
A comprehensive search of the literature databases (PubMed, Medline, SCOPUS, Web of Science and Google Scholar) along with the references of published articles on prosthetic rehabilitation in OSF patients published to date was conducted. Keywords included a combination of 'Oral submucous fibrosis', 'prosthesis', 'dentures' and/or 'restricted mouth opening'. Citations from selected references and bibliographic linkages taken from similar cases were included in this review. The inclusion criteria selected for case reports on prosthetic rehabilitation in OSF patients, and cases of restricted mouth opening due to causes other than OSF were excluded from the study.
A total of 21 cases were identified and analysed from 17 papers published in the English-language literature. Of these, 9 cases employed the sectional denture technique, 4 cases emphasized the need-based treatment approach in which conventional methods were modified, and 4 cases used mouth exercising devices. Finally, 1 case each involved, flexible denture, oral screen prosthesis, oral stents, surgery in conjunction with dentures.
Prosthetic rehabilitation in OSF patients is a multifaceted approach and should be patient specific, although sectional dentures have achieved the best results.
口腔黏膜下纤维化（OSF）是一种隐匿性慢性病，其特征为张口受限。对于OSF患者而言，修复性康复颇具挑战，因为获得良好的印模需要足够的张口度。本综述的目的是系统呈现英文文献中发表的病例报告数据。
对文献数据库（PubMed、Medline、SCOPUS、科学网和谷歌学术）进行全面检索，并查阅迄今已发表的关于OSF患者修复性康复的文章参考文献。关键词包括“口腔黏膜下纤维化”“假体”“假牙”和/或“张口受限”的组合。本综述纳入了所选参考文献的引文以及类似病例的文献链接。本研究选择了OSF患者修复性康复病例报告的纳入标准，排除了因OSF以外原因导致张口受限的病例。
从英文文献发表的17篇论文中总共识别并分析了21例病例。其中，9例采用了分段义齿技术，4例强调了基于需求的治疗方法，即对传统方法进行改良，4例使用了张口训练装置。最后，各有1例涉及弹性义齿、口腔筛状假体、口腔支架、手术联合义齿。
OSF患者的修复性康复是一种多方面的方法，应根据患者具体情况而定，尽管分段义齿取得了最佳效果。
