D3 Patient Case Report

Patient JO

Chart Number 88215

 

Written By: Regina Murdakhayeva

Student ID: 19349

Clinic: Dr. Penugonda and Associates
5AB-B

 

 

 

 

INTRODUCTION

 

 

There are
many systemic conditions that impact the function and appearance of the oral
cavity. In order to provide successful dental treatment to a patient, a dentist
has to have a good understanding of the patient’s medical history as well as
social habits. Parkinson’s Disease is one such systemic disease which has
several oral manifestations as well social implications for those affected.

Parkinson’s
disease is the second most common neurodegenerative disease in America.
Patients with Parkinson’s disease have many motor and non-motor complications
which interfere with daily activities, such as tremors in the tongue and involuntary
movements of the mandible which make mastication rather difficult.
Additionally, these patients often present with depression, anxiety and fatigue.
(Ribeiro, 2017)

JO presented
to the dental clinic at NYU College of Dentistry accompanied by a friend in
June of 2017. During his first appointment, we thoroughly reviewed his medical
history and after a clinical exam obtained necessary radiographs. He had a
complete upper denture which he was not completely satisfied with and a
partially edentulous mandible except for two remaining incisors. He mentioned
that he had a lower denture made recently which he did not find comfortable
wearing and eventually lost. It was evident that the involuntary mandibular
movements and tongue tremors were impeding his speech patterns and overall
function. As a result, his medical condition would have to be a big influencing
factor in compiling a comprehensive treatment plan.

 

LITERATURE
REVIEW

 

PICO

P

Patients
with Parkinson’s disease

I

Removable prosthesis

C

No removable prosthesis

O

Improved oral masticatory function

 

Clinical
question

 

Do removable prosthesis in patients
with Parkinson’s disease improve oral masticatory function?

 

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