Incorporation of Double Salivary Reservoirs in Maxillary Denture of an Edentulous Patient with Post-mandibular Resection: A Case Report

Abstract

The treatment of mandibular deviation in a completely edentulous patient (after segmental resection of the mandible) without osseous reconstruction consists of a twin-table maxillary complete denture occluding with a mandibular segmental denture at deviated position. Salivary reservoirs incorporated into the maxillary complete denture provide a potential solution to the ill effects of xerostomia, which is the most common post-irradiation complication. Hereby, the authors presents a case report of 62-year-old male patient with a unique method of incorporating two salivary reservoirs: one in the center of the palatal surface and the second beneath the additional palatal row of prosthetic teeth, with an approximate capacity of 7 mL. The novel design includes a removable silicone lid with an escape hole, allowing the patient’s tongue to control the release of the salivary substitute. It provided ease of removal of the lid, as well as cleaning and refilling of the reservoir. The design allowed area under the second row of teeth was utilised effectively without adding to the bulk of the denture.

Keywords

• artificial saliva
• deviation
• hemimandibulectomy
• xerostomia