[Mixed maxillofacial prosthesis: dental prosthesis and facial prosthesis in the same patient].
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Positive ECT results were found in 29 out of 70 patients (41%) tested for suspected denture sore mouth syndrome. 11 of them reacted to nickel (16%), 4 to benzoyl peroxide, 4 to mercury chloride, but only 3 out of 38 patients reacted to their own prosthetic material. A follow-up study covered a group of 31 patients with dentures. 20 of them had mechanical or material changes made, but only 4 because of ECT results (1 nickel, 1 benzoyl peroxide, 1 own prosthetic material). After elimination of the suspected allergen, these 4 patients showed improvement, but the symptoms did not completely clear. A similar beneficial effect was seen in 13 of the 20 patients, whose dentures were only mechanically adapted; but 6 out of 11 patients without any dental correction showed improvement, as well. Our results suggest that clinically relevant contact allergies are rare in patients with burning mouth syndrome. Mechanical, microbial, and psychic factors have to be taken into consideration, as well.
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Ingested or aspirated dental prostheses may cause dysphagia and respiratory obstructions. We present the case of a patient with dementia who had a dental prosthesis lodged in his hypopharynx. This patient had routine radiologic studies and diagnostic scans to rule out primary and metastatic disease, was placed on total parenteral nutrition, and underwent several endoscopies before his dysphagia was related to aspiration of a dental prosthesis. The prosthesis was evident on radiologic examination, but was overlooked by the admitting service in the patient's differential diagnosis. After removal of the appliance, the patient had an uneventful recovery and was discharged after a 22-day hospital stay. Early diagnosis and definitive patient treatment depends on prompt recognition. The importance of recognizing the radiographic appearance of a dental prosthesis is emphasized.
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The possible influence of complete or partial dental prosthesis when detecting breath alcohol by means of the breath alcohol analyser "Alcomat" was investigated in a study. During the study, volunteers were asked to rinse their mouths with different types of alcohol such as beer, wine, schnapps and sweets containing alcohol. No influence of the dental prosthesis on the results could be detected. A dental prosthesis neither prolongs the duration of residual alcohol detection, nor does it affect the period of false positive breath alcohol detection. In individual cases the waiting period of 15 minutes between the last alcohol consumption and the breath alcohol test--as legally enforced in Austria--has proved to be too short.
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