Skip to content
  • Basic research
  • Dental materials
  • Endodontics
  • Imaging
  • Implants
  • Infection control
  • Medically compromised and patients with special needs
  • Oral and maxillofacial surgery
  • Oral hygiene
  • Orthodontics
  • Other
  • Pediatric and preventive dentistry
  • Periodontics and oral medicine
  • Pharmacology
  • Prosthodontics
  • Restorative and aesthetic dentistry

Select Issue

  • Online First
  • 2023
    • VOL 27 – ISSUE 1
  • 2022
    • VOL 26 – ISSUE 1
    • VOL 26 – ISSUE 2
    • VOL 26 – ISSUE 3
  • 2021
    • VOL 25 – ISSUE 1
    • VOL 25 – ISSUE 2
    • VOL 25 – ISSUE 3
  • 2020
    • VOL 24 – ISSUE 1
    • VOL 24 – ISSUE 2
    • VOL 24 – ISSUE 3
  • 2019
    • VOL 23 – ISSUE 1
    • VOL 23 – ISSUE 2
    • VOL 23 – ISSUE 3
  • 2018
    • VOL 22 – ISSUE 1
    • VOL 22 – ISSUE 2
    • VOL 22 – ISSUE 3
  • 2017
    • VOL 21 – ISSUE 1
    • VOL 21 – ISSUE 2
    • VOL 21 – ISSUE 3
  • 2016
    • VOL 20 – ISSUE 1
    • VOL 20 – ISSUE 2
    • VOL 20 – ISSUE 3
  • 2015
    • VOL 19 – ISSUE 1
    • VOL 19 – ISSUE 2
    • VOL 19 – ISSUE 3
  • 2014
    • VOL 18 – ISSUE 1
    • VOL 18 – ISSUE 2
    • VOL 18 – ISSUE 3
  • Issue Archive
Skip to content
  • Balkan Stomatological Society
balkan.dentistry@hotmail.com
  • Facebook
Submit Manuscript
  • Facebook
Balkan Journal of Dental Medicine

Balkan Journal of Dental Medicine

Official Publication of the Balkan Stomatological Society

Submit Manuscript
  • Home
  • For Authors
    • Author Guidelines
    • Submit Your Manuscript
  • Articles and Issues
    • Online First
    • Issue Archive
      • 2023 YEAR
        • VOL 27 – ISSUE 1
      • 2022 YEAR
        • VOL 26 – ISSUE 1
        • VOL 26 – ISSUE 2
        • VOL 26 – ISSUE 3
      • 2021 YEAR
        • VOL 25 – ISSUE 1
        • VOL 25 – ISSUE 2
        • VOL 25 – ISSUE 3
      • 2020 YEAR
        • VOL 24 – ISSUE 1
        • VOL 24 – ISSUE 2
        • VOL 24 – ISSUE 3
      • 2019 YEAR
        • VOL 23 – ISSUE 1
        • VOL 23 – ISSUE 2
        • VOL 23 – ISSUE 3
      • 2018 YEAR
        • VOL 22 – ISSUE 1
        • VOL 22 – ISSUE 2
        • VOL 22 – ISSUE 3
      • 2017 YEAR
        • VOL 21 – ISSUE 1
        • VOL 21 – ISSUE 2
        • VOL 21 – ISSUE 3
      • 2016 YEAR
        • VOL 20 – ISSUE 1
        • VOL 20 – ISSUE 2
        • VOL 20 – ISSUE 3
      • 2015 YEAR
        • VOL 19 – ISSUE 1
        • VOL 19 – ISSUE 2
        • VOL 19 – ISSUE 3
      • 2014 YEAR
        • VOL 18 – ISSUE 1
        • VOL 18 – ISSUE 2
        • VOL 18 – ISSUE 3
      • Issue Archive
  • Categories
    • Oral and maxillofacial surgery
    • Periodontics and oral medicine
    • Pediatric and preventive dentistry
    • Restorative and aesthetic dentistry
    • Prosthodontics
    • Endodontics
    • Medically compromised and patients with special needs
    • Basic research
    • Orthodontics
    • Uncategorized
  • About Us
    • Aims and Scope
    • Editorial Board
    • Publication Policy
  • Contact Us

Exploring factors influencing complete denture management of patient with Myasthenia Gravis

Balkan Journal of Dental MedicineOctober 14, 2022October 14, 2022

Download Article

Kamalakidis Savvas, Papaemmanouil Georgios, Anastassiadou Vassiliki

Aristotle University, Faculty of Health Sciences, School of Dentistry, Department of Prosthodontics, Thessaloniki, Greece

Summary

Background/Aim: The purpose of this literature review and case report was to highlight the oral symptoms and the pathophysiology of Myasthenia Gravis (MG). MG is an autoimmune, antibody-mediated neuromuscular disorder. It is characterized by fluctuating fatigability and weakness affecting ocular, bulbar and (proximal) limb skeletal muscles. Case report: The case of an edentulous 72-year-old female patient with MG, and in need of removable prostheses was reported. The dental management of a complete denture wearer with MG required special attention and treatment protocols, as described in the present case report. Conclusions: Dental treatment, especially complete denture rehabilitation, of patients diagnosed with MG presents a challenge to the oral health care provider. Clinicians must be aware of the patients’ health status in order to preserve their natural dentition. Implant-supported overdentures must be the treatment of choice in cases of edentulism coupled with MG. In cases where a complete denture is the treatment option, the prosthesis should be placed in the zone of minimum conflict (neutral zone) for optimal neuromuscular coordination.

Keywords: complete denture; Myasthenia Gravis; neutral zone

Reference

AlHelal, A., Jekki, R., Richardson, P.M., Kattadiyil, M.T. (2016) Application of digital technology in the prosthodontic management of a patient with myasthenia gravis: A clinical report. J Prosthet Dent, 115(5): 531-536

Becker, C.M., Swoope, C.C., Guckes, A.D. (1977) Lingualized occlusion for removable prosthodontics. J Prosthet Dent, 38(6): 601-608

Beresin, V.E., Schiesser, F.J. (1976) The neutral zone in complete dentures. J Prosthet Dent, 36(4): 356-367

Berrih-Aknin, S., Frenkian-Cuvelier, M., Eymard, B. (2014) Diagnostic and clinical classification of autoimmune myasthenia gravis. J Autoimmun, 48-49: 143-148

Bottomley, W.K., Terezhalmy, G.T. (1977) Management of patients with myasthenia gravis who require maxillary dentures. J Prosthet Dent, 38(6): 609-614

Cagna, D.R., Massad, J.J., Schiesser, F.J. (2009) The neutral zone revisited: From historical concepts to modern application. J Prosthet Dent, 101(6): 405-412

Cook, R.J., Mcparland, H., Escudier, M. (2008) An unusual primary presentation of myasthenia gravis. Br J Oral Maxillofac Surg, 46(6): 494-496

Dawson, P.E. (1989) Evaluation, diagnosis, and treatment of occlusal problems. St. Louis: Mosby, pp: 35-47

Deniz, D.A., Kulak, O.Y. (2013) The influence of occlusion on masticatory performance and satisfaction in complete denture wearers. J Oral Rehabil, 40(2): 91-98

Drachman, D.B. (1994) Myasthenia Gravis. N Engl J Med, 330(25): 1797-1810

Grob, D., Brunner, N., Namba, T., Pagala, M. (2008) Lifetime course of myasthenia gravis. Muscle Nerve, 37(2): 141-149

Jacobson, T.E., Krol, A.J. (1983) A contemporary review of the factors involved in complete denture retention, stability, and support: Part I: Retention. J Prosthet Dent, 49(1): 5-15

Jamal, B.T., Herb, K. (2009) Perioperative management of patients with Myasthenia Gravis: Prevention, recognition, and treatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 107: 612-615

Kaloyannides, A., Kapari, D., Pissiotis, A., Anastassiadou, A. (1996) Complete denture final impression using tissue conditioner and light body addition silicone. Stoma (Heidelb), 24: 219-222

Keesey, J.C. (2004) Clinical evaluation and management of myasthenia gravis. Muscle Nerve, 29(4): 484-505

Melzer, N., Ruck, T., Fuhr, P., Gold, R., Hohlfeld, R., Marx, A., Melms, A., Tackenberg, B., Schalke, B., Schneider-Gold, C., Zimprich, F., Meuth, S.G., Wiendl, H. (2016) Clinical features, pathogenesis, and treatment of myasthenia gravis: A supplement to the Guidelines of the German Neurological Society. J Neurol, 263(8): 1473-1494

Mioche, L., Bourdiol, P., Peyron, M. (2004) Influence of age on mastication: Effects on eating behaviour. Nutr Res Rev, 17(1): 43-54

Mioche, L., Hiiemae, K.M., Palmer, J.B. (2002) A postero-anterior videofluorographic study of the intra-oral management of food in man. Arch Oral Biol, 47(4): 267-280

Müller, F. (2014) Interventions for edentate elders: What is the evidence?. Gerodontology, 31: 44-51

Okada, A., Honma, M., Nomura, S., Yamada, Y. (2007) Oral behavior from food intake until terminal swallow. Physiol Behav, 90(1): 172-179

Patil, P.M., Singh, G., Patil, S.P. (2012) Dentistry and the myasthenia gravis patient: A review of the current state of the art. Oral Surg Oral Med Oral Pathol, 114: e1-e8

Patton, L.L., Howard, J.F. (1997) Myasthenia gravis: Dental treatment considerations. Spec Care Dentist, 17(1): 25-32

Phoenix, R.D., Engelmeier, R.L. (2010) Lingualized occlusion revisited. J Prosthet Dent, 104(5): 342-346

Sasakura, Y., Kumasaka, S., Takahashi, T., Shindo, J. (2000) Myasthenia gravis associated with reduced masticatory function. Int J Oral Maxillofac Surg, 29(5): 381-383

Shirani, M., Mosharraf, R., Shirany, M. (2014) Comparisons of patient satisfaction levels with complete dentures of different occlusions: A randomized clinical trial. J Prosthodont, 23(4): 259-266

Tamburrini, A., Tacconi, F., Barlattani, A., Mineo, T.C. (2015) An update on myasthenia gravis, challenging disease for the dental profession. J Oral Sci, 57(3): 161-168

Yarom, N., Barnea, E., Nissan, J., Gorsky, M. (2005) Dental management of patients with myasthenia gravis: A literature review. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 100:158-163

Balkan Journal of Dental Medicine, 2020, vol. 24, br. 2, str. 113-117

Post navigation

Previous: Observation of double mandibular canals and types of bifid canals in dry skulls
Next: Noonan syndrome in 12-year-old male: Case report and orthodontic management of the occlusion

Categories

  • Basic research
  • Dental materials
  • Endodontics
  • Imaging
  • Implants
  • Infection control
  • Medically compromised and patients with special needs
  • Oral and maxillofacial surgery
  • Oral hygiene
  • Orthodontics
  • Other
  • Pediatric and preventive dentistry
  • Periodontics and oral medicine
  • Pharmacology
  • Prosthodontics
  • Restorative and aesthetic dentistry
  • situs panen77
  • b88 slot
  • s77 resmi
  • daftar slot88
  • judi slot online pulsa
  • slot online gacor
  • info rtp slot gacor
  • keluaran togel hari ini
  • daftar panengg
  • agen slot300
  • situs b88
  • sbobet login
  • rtp slot online
  • judi slot gacor online
  • slot deposit pulsa
  • poker online terpercaya
  • situs slot online
  • result hk lengkap
  • slot deposit dana
  • agen sbobet terpercaya
  • rtp live slot online
  • slot gacor gampang menang
  • slot deposit pulsa
  • judi poker online
  • daftar slot online
  • daftar sbobet
  • rtp slot gacor online
  • slot gacor hari ini
  • slot pulsa tanpa potongan
  • slot300 resmi
  • link alternatif b88
  • slot gacor hari ini
  • rtp live slot
  • rtp slot online
  • totoslot login
  • togel online
  • toto macau
  • daftar slot gacor
  • slot joker123
  • demo slot pragmatic play
  • rtp slot tereprcaya
  • sabung ayam sv388
  • situs slot deposit pulsa
  • slot deposit pulsa tanpa potongan
  • result togel online
  • sbobet wap
  • rtp live slot
  • slot gacor resmi
  • slot gacor
  • judi slot gacor terpercaya
  • rtp live slot gacor
  • daftar joker123
  • situs judi bola
  • slot pulsa tanpa potongan
  • keluaran togel online
  • daftar sultan188
  • agen sultan188
  • sultan188 resmi
  • sultan188
  • sultan188 terpercaya
  • situs panengg
  • slot gacor
  • slot online terpercaya
  • sultan69 login
  • daftar sultan69
  • sultan69 login
  • daftar sultan69
  • sultan69 slot
  • indoxx1
  • lk21 indoxxi
  • situs sultan69
  • sultan69 login
  • sultan69
  • slot69 slot
  • slot online terbaik
  • sultan188 slot
  • b88 login
  • prediksi sgp hari ini
  • togel hk
  • prediksi sgp hari ini
  • paito hongkong
  • erek-erek 2d
  • slot online
  • rtp slot online
  • judi online
  • slot gacor hari ini
  • slot deposit pulsa
  • joker123 gaming
  • agen sbobet
  • idn poker online terpercaya
  • slot pulsa
  • togel online
  • slot pulsa tanpa potongan
  • idn poker terpercaya
  • slot300 slot
  • slot300
  • link alternatif slot300
  • slot88 login
  • prediksi sgp hari ini
  • prediksi hongkong
  • prediksi hongkong malam ini
  • prediksi hongkong
  • prediksi sydney
  • prediksi sgp hari ini
  • erek erek 3d gambar
  • buku mimpi 2d gambar
  • buku mimpi 4d gambar
  • prediksi macau hari ini
  • togel hongkong terpercaya
  • togel sgp
  • togel malaysia terpercaya
  • slot138 login
  • panen138 slot
  • panen138 login
  • lk21 indoxxi
  • indoxxi terbaru
  • nonton film
  • slot300 login
  • slot300 slot
  • panengg slot
  • panengg login
  • panen77 slot
  • b88 slot
  • s77 slot
  • sbobet
  • rtp slot
  • slot gacor hari ini
  • slot138 login
  • situs slot138
  • daftar slot138
  • panen138 login
  • panen138
  • lk21
  • panengg
  • sultan188 slot
  • daftar slot138
  • slot138 terpercaya
  • rtp slot138
  • agen slot138
  • panen77 slot
  • panen137 resmi
  • daftar sultan69
  • situs sultan69
  • login panen138
  • panen138
  • daftar panen138
  • agen panen138
  • panen138 slot
  • rtp panen138
  • bonanza368
  • situs bonanza368
  • daftar bonanza368
  • bonanza368 slot
  • bonanza368 terpercaya
  • situs mbs168
  • daftar mbs168
  • mbs168
  • agen mbs168
  • mbs168 slot
  • kingzasia slot
  • situs kingzasia
  • agen kingz asia
  • kingz asia terpercaya
  • daftar kingzasia
  • situs slot138
    • Facebook
    • Author Guidelines
    • Publication Policy
    • Editorial Board
    • Submit Manuscript
    • Contact us
    All Rights Reserved | Theme: BlockWP by Candid Themes.
    Go to Balkan Stomatological Society