[Only a denture sore? Causes of a possible denture sore from a maxillary complete denture].
This case presentation documents the treatment sequence of a 74 years old patient who complained about a sore spot of the palatal mucosa underneath the complete denture. The intraoral examination revealed a dark spot, redness and swelling of the mucosa around this spot and halitosis. The mucosa exhibited a perforation of 3 x 10 mm in diameter. A radiographic 3-D picture showed an impacted canine tooth, which was partly covered by the palatal bone. Firstly the denture base was relieved and the swelling gradually disappeared. Then a biopsy was taken for histological analysis to exclude any malignant process. In local anesthesia the tooth was extracted, which exhibited a deep carious lesion of the entire crown. After surgery a visible collapse of the jaw crest was observed. During a period of two months the denture was relined with a soft material to improve its fit and to enhance the healing process. With a final rebasement, the existing denture could be adapted again and the patient continued to wear it.
Klinik für Zahnarztliche Prothetik Zahnmedizinische Kliniken der Universität Bern. dominic.albrecht@zmk.unibe.ch
Dominic
D
Albrecht
Mericske-Stern
MS
Regina
Jorgen
J
Zix
D000368:Aged; D003827:Denture, Complete, Upper / Q000009:adverse effects*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D019226:Oral Ulcer / Q000209:etiology*; D021362:Palate, Hard / Q000473:pathology; D013282:Stomatitis, Denture / Q000209:etiology; D014095:Tooth, Impacted / Q000150:complications* / Q000601:surgery