PubMed · 5267973
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B A Blackburn. 1970. Duplicating denture cosmetics.. https://pubmed.ncbi.nlm.nih.gov/5267973/
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The parotid-masticatory salivary reflex has been studied in edentulous subjects. Salivary flow was recorded by siting a modified Lashley cup over the orifice of the parotid duct on one side of the mouth. Subjects chewed on small pieces of silicone rubber with their complete dentures for 1 min periods which resulted in a reflex secretion of parotid saliva. The secretion was greatest when the subject chewed on the same side of the mouth (ipsilateral) as the salivary flow was recorded. Less salivary flow resulted when the subjects chewed on the opposite side of the mouth (contralateral). Anaesthesia of the mucosa of the maxillary and mandibular denture-bearing area was achieved by placing a thin layer of anaesthetic ointment in the fitting surface of the dentures on the side ipsilateral to the Lashley cup. This resulted in a reduction of salivary flow in response to similar chewing cycles. The results confirmed the presence of a parotid-masticatory salivary reflex in edentulous subjects which appears similar in many respects to that of dentate subjects. It is likely that receptors in the oral mucosa are stimulated when an edentulous subject masticates with complete dentures and that activity in these mechanoreceptive neurones results in the reflex salivary secretion.
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The patient who presents to the physician with a history of facial pain can be a diagnostic challenge. The etiology can be elusive, and this problem is compounded by the subjective nature and the often multi-factorial causes of facial pain. The differential diagnoses to be considered include both local and systemic disorders such as neuropathy, myofascial pain, dentoalveolar pathoses, and psychological disturbances, among others. This paper presents the case of a patient with a history of left auricular pain that was managed for over 12 years with drug therapy with only limited success. A thorough head and neck evaluation revealed probable myofascial pain with a poorly occluding set of complete dentures as a potential etiology. Fabrication of a new set of dentures and modification of the patient's denture-wearing habits has produced an almost complete remission of the pain. This case demonstrates the importance of a dental consultation to rule out a possible oral-musculoskeletal and/or dental etiology in the management of the patient with facial pain.