[Prosthodontic treatment in delayed pressure urticaria].
The purpose of the presentation was to draw attention to a possible complication of a minimally invasive therapy outlining the complex role of the systemic etiologic factors. A patient with dermal pressure urticaria and polyvalent anaphylactic reactions showed up at our Dental Clinic. Urticaria was also present in the oral cavity. The main objective of the treatment plan was to find out how the edentulous alveolar ridge can be loaded and the selective support haw can be distributed on the abutment teeth. After the preventive and conservative phase of our comprehensive treatment lower and upper removable partial dentures were designed based on the selective support principles. In the maxilla a full denture while in the mandible a partial metal plate was made. After the metal framework having been tried in a second functional impression was taken to maximally utilize the advantages of the mixed (dental and mucogingival) support. The upper and lower alveolar mucosa could tolerate the denture plates after the insertion and only minute oedema occurred on the upper jaw along the post dam region which could be eliminated by small adjustments. It was concluded that in case of a known pressure urticaria the occlusal load of the edentulous mucosa can be kept on a tolerable level. Especially on the soft tissues with thick submucous layer can developed sever oedema (giant oedema, Quincke--oedema) that can lead to breathing difficulties, suffocation or even death.
Szabó
Gyula
G
Pécsi Tudományegyetem Altalános Orvostudományi Kar Fogászati és Szájsebészeti Klinikája, Pécs.
Farkas
Beatrix
B
D003779:Denture Design; D003828:Denture, Overlay; D003832:Denture, Partial, Removable; D005260:Female; D006801:Humans; D008875:Middle Aged; D011312:Pressure; D013997:Time Factors; D014581:Urticaria / Q000209:etiology / Q000628:therapy*