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      Reservoir Complete Denture in a Patient with Xerostomia Secondary to Radiotherapy for Oral Carcinoma: A Case Report and Review of Literature

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          Abstract

          Xerostomia refers to a subjective sensation of dry mouth. A variety of factors can cause xerostomia including radiotherapy (RT) given for the treatment of oral carcinoma. Depending on the cause, treatment is provided to a patient suffering from xerostomia. In severe xerostomia salivary substitutes can be used and if the xerostomic patient is edentulous, then reservoir space for artificial salivary substitute can be created in partial as well as complete upper or lower dentures. The methods advocated so far for incorporating reservoir space in mandibular complete denture are costly, time consuming and require extra-laboratory steps. Therefore, the purpose of this article is to report a simpler method for fabrication of mandibular reservoir denture in a 67-year-old edentulous male patient suffering from xerostomia due to RT for oral carcinoma.

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          The role of saliva in oral health: strategies for prevention and management of xerostomia.

          Mary Brosky (2007)
          Oral complications are the most frequent and debilitating sequelae of radiation treatment for patients with head and neck cancer. Impaired salivary function and consequent xerostomia can persist for years after radiation treatment, significantly increasing the risk of oral and dental disease and negatively affecting patients' quality of life. Current evidence indicates that many patients undergoing radiation treatment do not receive adequate oral and dental care and follow-up and that patients' compliance with oral care recommendations is frequently poor. Topical lubricants, coating agents,and saliva substitutes or lozenges may provide transient relief from xerostomia. Cholinergic stimulants such as pilocarpine improve salivary flow but have had mixed results in improving patients' assessments of symptoms or other quality-of-life measures. Advances in radiotherapy techniques, such as intensity-modulated radiation therapy, have enabled increased delivery of therapeutic doses of radiation to tumors while limiting exposure to normal tissues, thereby reducing the incidence, duration, and severity of xerostomia in some patients with head and neck cancers. Additionally, radioprotective agents such as amifostine have been shown to reduce radiation-induced toxicity to normal tissues within the radiation field. Studies are ongoing to determine the optimal approaches for these techniques and agents to maximize clinical response while improving the overall quality of life for patients with head and neck cancer.
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            Use of a palatal reservoir in denture patients with xerostomia.

            Joseph Toljanic, Terry G. Zucuskie (1984)
            Dentures that included a reservoir for saliva substitute in the palate of the maxillary denture were constructed for three xerostomic patients. Results were obtained through examinations and interviews. All patients found that the reservoir system helped control the xerostomia. Details of design and function were reviewed and general applications were discussed.
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              The split denture: managing xerostomia in denture patients: a case report.

              Nupur Dabas, Sumit Phukela, Harish Yadav (2011)
              Wearing complete dentures can be an extremely uncomfortable experience for the people with Xerostomia. Various treatment modalities have been suggested in the literature to overcome the problem of xerostomia in complete denture patients. Incorporating reservoirs containing salivary substitutes, into dentures, is one of these treatment modalities. This paper presents case report of a patient suffering from xerostomia who was successfully treated with a new form of reservoir dentures. This new split denture technique resulted in a reservoir denture that provided good lubrication of the oral tissues, was easily cleaned by the wearer and was produced from routine denture materials. Details of its design, construction and other potential applications are also presented.
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                Author and article information

                Journal
                Journal ID (nlm-ta): Ann Med Health Sci Res
                Journal ID (iso-abbrev): Ann Med Health Sci Res
                Journal ID (publisher-id): AMHSR
                Title: Annals of Medical and Health Sciences Research
                Publisher: Medknow Publications & Media Pvt Ltd (India )
                ISSN (Print): 2141-9248
                ISSN (Electronic): 2277-9205
                Publication date (Print): Mar-Apr 2014
                Volume: 4
                Issue: 2
                Pages: 271-275
                Affiliations
                [1] Department of Prosthodontics, Rural Dental College, Loni, Maharashtra, India
                [1 ] Department of Oral Medicine and Radiology, Rural Dental College, Loni, Maharashtra, India
                Author notes
                Address for correspondence: Dr. Ruchi Ladda, Department of Prosthodontics, Rural Dental College, Loni - 413 736, Maharashtra, India. E-mail: drruchikasat@ 123456gmail.com
                Article
                Publisher ID: AMHSR-4-271
                DOI: 10.4103/2141-9248.129062
                PMC ID: 3991954
                PubMed ID: 24761252
                SO-VID: 40d95bc2-cd1a-418f-ac3a-f52edebe835b
                Copyright © Copyright: © Annals of Medical and Health Sciences Research
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Categories
                Subject: Case Report

                ScienceOpen disciplines: Medicine
                Keywords: oral carcinoma,radiotherapy,reservoir denture,salivary substitute,xerostomia
                Data availability:
                ScienceOpen disciplines: Medicine
                Keywords: oral carcinoma, radiotherapy, reservoir denture, salivary substitute, xerostomia

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