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Fabrication of a flexible prosthesis for the edentulous scleroderma patient with microstomia.

The exercise prosthesis serves as an interim device to achieve an increased opening of the jaws. Once the patient is able to insert the existing denture or when an impression tray can be placed in the patient's mouth without extreme discomfort, its purpose will have been achieved; the dentures should be relined or remade. Some patients need only achieve slight increases in the maximal vertical oral opening to make prosthetic treatment possible (Fig. 6). While this technique is useful for the edentulous scleroderma patient, it may have application for individuals with limited mouth opening secondary to facial burns or other scarring. It is suggested as an alternative to surgical correction through bilateral commissurotomies.

Exercise Therapy↗

Fabrication of silicone oral splints for severe burn microstomia in children.

This paper describes a simple technique of fabrication of oral splints (from silicone blocks), which can be utilized in the postoperative period following the release and graft of anterior oral contractures in children. Advantages of the silicone splint when compared to standard acrylic splints are discussed.

Burns↗

Impression procedures and construction of a sectional denture for a patient with microstomia: a clinical report.

This article describes a modified impression procedure and a method of fabricating a 2-piece collapsible denture for a patient with limited oral opening as a result of the resection of a precancerous lesion on the maxillary lip. Fabricating the denture in 2 pieces (a smaller anterior piece and a larger, hinged, collapsible posterior piece) enabled the patient to place and remove the denture.

Acrylic Resins↗

Fabrication of a sectional impression tray and sectional complete denture for a patient with microstomia and trismus: a clinical report.

This article describes techniques used to fabricate mandibular and maxillary sectional trays and a folding maxillary complete denture for a patient with limited oral opening caused by scleroderma. For the foldable denture, the anterior teeth had to be arranged on a second base and the hinge fitted at a location higher than the denture base. These 2 factors increased the thickness of the denture and limited the volume of the tongue. Nevertheless, a single-piece denture base provided the patient with ease in placement and removal of the denture.

Dental Impression Technique↗

Fine-Lubinsky syndrome: a fourth patient with brachycephaly, deafness, cataract, microstomia and mental retardation.

In 1993, Suthers et al. reported on a child with an undiagnosed syndrome associating developmental delay, brachycephaly, deafness and cataracts. They discussed the possibility that this child had the same dysmorphic syndrome as the patient reported by Fine and Lubinsky in 1983. Twenty years ago, we examined a very similar patient who has been followed up to now. When she was a baby, she looked extremely similar to another patient, reported by Preus et al. in 1984. We now think that these four patients have in fact the same syndrome, the patient reported by Fine and Lubinsky being an example of a very severe expression of this condition, the other patients expressing different anomalies depending on the age at examination.

Abnormalities, Multiple↗

Surgical management of microstomia in the dental office.

Scarring of the oral stoma is usually a consequence of burns of the circumoral region. The subsequent contractural decrease in the width and general size of the opening is deforming, interferes with eating, makes dental treatment extremely difficult, prevents access for oral hygiene, and makes general anesthesia hazardous. A case report demonstrates the relative ease and safety of performing a commissurotomy in the dental office with local anesthesia alone so that access is facilitated and the dentition of these patients can be rehabilitated.

Adult↗