Rhinorrhea induced by loading of dental implants supporting an obturator prosthesis: a clinical report.
This clinical report describes an unusual situation of nasal discharge that was initially considered to be caused by a leaking obturator prosthesis in a partially repaired cleft palate patient. Ultimately, the diagnosis was rhinorrhea induced by the loading of dental implants that supported the obturator. The differential diagnoses of nasal irritation, blocking of nasal drainage posterior or anterior through a premaxillary defect, vasomotor rhinitis, and gustatory rhinorrhea are presented and discussed, as well as the measures taken to reach the final diagnosis.
Shifman
Arie
A
Department of Oral Rehabilitation, The Maurice and Gabriela Goldshleger School of Dental Medicine, Tel Aviv University, Israel. drshifman@gmx.net
Finkelstein
Yehuda
Y
D000368:Aged; D002972:Cleft Palate / Q000534:rehabilitation; D015921:Dental Implants / Q000009:adverse effects; D003827:Denture, Complete, Upper / Q000009:adverse effects; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D009297:Nasal Mucosa / Q000378:metabolism*; D015508:Nasal Obstruction / Q000175:diagnosis; D010158:Palatal Obturators / Q000009:adverse effects; D012220:Rhinitis / Q000175:diagnosis; D012223:Rhinitis, Vasomotor / Q000175:diagnosis; D013314:Stress, Mechanical; D016474:Weight-Bearing
D015921:Dental Implants