%0 Journal Article
%T Oral Rehabilitation of Parkinson¡¯s Disease Patient: A Review and Case Report
%A Fouad A. Al-Omari
%A Mohammed M. Al Moaleem
%A Sulaiman S. Al-Qahtani
%A Abdullah S. Al Garni
%A Syed Sadatullah
%A Master Luqman
%J Case Reports in Dentistry
%D 2014
%I Hindawi Publishing Corporation
%R 10.1155/2014/432475
%X Parkinson¡¯s disease is usually seen in adults in their middle and late ages. Most people with this disease are less likely to opt for dental treatments unless it is an acute condition. Tremors caused by Parkinson¡¯s disease can make dental appointments, especially prolonged treatments, a challenge. The case presented here was successfully treated with an immediate denture for the partially edentulous maxillary and mandibular arches. Early morning brief appointments were given for the procedure. Patient was instructed to take the prescribed parkinsonism medications 60 to 90 minutes before the appointment to utilize the advantage of its peak response. Sympathetic and caring approach towards the patient was employed to reduce his anxiety during the procedures. Some modification of technics and materials was adopted to suit the special situation. 1. Introduction Parkinson¡¯s disease is seen in adults in their late middle or old age. The affected patients have uncontrolled movements of the body along with stiffness of muscles [1]. This is due to the progressive degeneration of nerve cells in the brain resulting in a decrease in dopamine levels. Dopamine is a chemical that helps in transmitting messages between cells. Most Parkinson¡¯s patients are old and are less likely to opt for dental treatments except for emergencies. Medication used to treat parkinsonism causes xerostomia [2]. This increases the risk of caries and fungal infections. Removable partial dentures tend to be dislodged or swallowed while complete dentures fall out more often. They can even break following sudden jerky movements. If the person is a complete denture wearer then it becomes difficult to wear them, as the disease gets worse. Tremors caused by Parkinson¡¯s disease can make dental appointments a challenge. These patients have a hard time opening their mouth for longer time. Anxiety increases the Parkinson¡¯s symptoms. It is important that patient should remain calm during dental treatment. It is essential to make the environment stress-free and as serene as possible. Here is one of such cases of a partially edentulous Parkinson¡¯s patient successfully treated with an immediate denture. 2. Case Report A 62-year-old Saudi male patient reported to King Fahed General Hospital, Jeddah, with complaint of difficulty in eating food due to an ill-fitting partial denture. The patient was looking for complete oral heath check followed by full mouth rehabilitation. Medical history of the patient revealed he was suffering from Parkinson¡¯s disease since 18 years with osteoporosis and fracture of the
%U http://www.hindawi.com/journals/crid/2014/432475/