Prosthetic treatment for patient with upper lip cancer and severe periodontitis: Maxillary complete denture with denture adhesive and mandibular double crown-retained removable partial denture

Hyun-Suk Choi; Cheong-Hee Lee; Jin-Hyun Cho

doi:10.4047/jkap.2015.53.1.74

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Choi, Lee, and Cho: Prosthetic treatment for patient with upper lip cancer and severe periodontitis: Maxillary complete denture with denture adhesive and mandibular double crown-retained removable partial denture

Case Report

J Korean Acad Prosthodont 2015;53(1):74-80.

Published online: 9 February 2015

DOI: https://doi.org/10.4047/jkap.2015.53.1.74

Prosthetic treatment for patient with upper lip cancer and severe periodontitis: Maxillary complete denture with denture adhesive and mandibular double crown-retained removable partial denture

Hyun-Suk Choi, Cheong-Hee Lee, Jin-Hyun Cho^∗

Department of Prosthodontics, School of Dentistry, Kyoungpook National University, Daegu, Republic of Korea

^∗Corresponding Author: Jin-Hyun Cho Department of Prosthodontics, School of Dentistry, Kyoungpook National University 2177, Dalgubeoldae-ro, Jung-gu, Daegu 700-705, Republic of Korea +82 53 600 7651: e-mail, prosth95@knu.ac.kr

Received 1 December 201419 December 2014 Accepted 6 January 2015

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

When oral cancer is occured, one may experience problems such as lip defect, necrosis of periodontal tissue and cervical caries caused by radiotherapy. According to ADI (Association of dental implantology), recent radiotherapy on jaw bone could be a relative contraindication of implant treatment. Due to this controversy, in most cases, treatment is done with removable dentures rather than implants. Especially, lip defect caused by an oral cancer operation have a serious repercussion on the retention of the denture. In this case report, patient with upper lip cancer had undergone resection primarily and secondary radiotherapy was done periodically. As a result, upper teeth of patient were extracted gradually and lower teeth showed very poor periodontal status. Therefore, Polident^® denture adhesive cream (GlaxoSmithKline, London, England) was applied on maxillary complete denture to overcome reduced retention due to the lip defect and double crown RPD with friction pin was applied on the mandible successfully for two years.

Keywords: Lip defect, Denture adhesive cream, Radiotherapy, Double crown RPD

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