Reabilitação oral de pacientes com distúrbios da motricidade oral utilizando próteses totais removíveis: relato de caso

Abstract

Oral Rehabilitation of edentulous people with Complete Dentures (CDs) is challenging in the presence of oral dyskinesias, since these patients have a reduced ability to control oral motricity, which impacts on this treatment prognosis. As a solution to avoid CD instability in patients with oral dyskinesia, artificial teeth with zero degree cuspal inclination (monoplanes) can be used to minimize the interference of posterior teeth cusps during eccentric mandibular movements, allowing free mandibular movements. Therefore, the aim of this case report was to describe the rehabilitation of a edentulous patient with oral dyskinesia, related to epilepsy and neuroepileptic drug use, through conventional CDs with monoplanar occlusal scheme. A 62-year-old patient sought care at the Dental Clinic of the Federal University of Uberlândia complaining of discomfort during chewing during and poor retention of CDs fabricated four years ago. During the clinical examination, it was observed that the patient had oral motor disorders, and in the anamnesis was reported the use of anticonvulsant drugs, antipsychotics and mood stabilizers for psychiatric and epilepsy treatments. As a solution, the treatment plan consisted of making new CDs using monoplane teeth. Seven clinical steps and four laboratory steps from the anatomical impression to the prostheses acrylization, were necessary to make the new CDs using the traditional method. At the end of the clinical case, it was concluded that the monoplanar occlusal scheme reduced the instability of the CDs, especially the prosthesis mandibular, resulting in greater patient satisfaction with the prosthetic treatment.