Rehabilitation of Edentulous Patient with Customized Functional Palatal Contours

Abstract

Abstract To restore the stomatognathic system of the patient with an edentulous span of 12–13 years who presents flabby tissue in the maxillary tuberosity region, severe resorption in the mandible along with reduced masticatory efficiency, and speech impairments in his old dentures. Complete denture rehabilitation helps patients cope with the significant psychological and social consequences of tooth loss. In today’s image-conscious culture, dentures help sufferers reconnect with the world and re-establishes normal form, function, and esthetics. The most common complaints about prostheses are chewing, as well as poor esthetics and phonetics. Prosthetic rehabilitation for denture wearers should include more than just replacing missing teeth. The ultimate goals should be phonetics, esthetics, and oral function restoration. This article describes a simple, low-cost, practical, and beneficial procedure for the rehabilitation of people with complete dentures who have speech impairment, bone resorption, and flabby tissue. A 71-year-old male patient who is a teacher by profession and has a 30-year habit of chewing kharra paid a visit to the Department of Prosthetic Dentistry at Sharad Pawar Dental College and Hospital in Sawangi, Wardha. He was dissatisfied with his previous dentures because they did not provide adequate chewing quality, pronunciation, or esthetics. After compiling his dental history, it was discovered that he had previously worn dentures for 12 years and had missing teeth due to periodontal disease for 12–13 years. The case report affirms a simple and unique technique for the fabrication of dental prostheses. Palatograms are common, but the technique described in the case report is simple to implement. We achieved both form and function by resolving the issues of residual ridge resorption in the mandibular arch and flabby tissue in the maxillary arch. To summarize, deviations from natural speech immediately following complete denture rehabilitation are completely normal, and a pretreatment speech diagnosis is required for a more accurate comparison. Accustoming the patient to such instantaneous speech deviations must improve his adaptability. Palatograms are useful in identifying these deviations and confirming corrected palatal contours. Simple and low-cost, it is ideal for patients with total dentures and speech disorders.