Possible Modifications for Removable Prosthodontics in Bell’s Palsy Patients: Systematic Review

Abstract

Objectives:Oral rehabilitation of bell’s palsy patients have a great prosthodontic concern. This study aims to systematically review the challenge to determine the more effective prosthodontic modifications, improving esthetics and function.

Methods: The MEDLINE, ScienceDirect, ScholarGoogle and ResearchGate electronic databases were searched with included peer-reviewed publications in English language, clinical studies reporting on Management of bell’s palsy patient with oral prosthesis from 2006 to 2016.The search strategies was carried out depending on the choice of related studies.the presuggested inclusion and exclusion criteria determined the related studies included in the research.The scanned articles typically discuss the modifications of prosthodontics and its management in bell’s palsy patients. Finally, thirteen studies were selected for analysis.

Results: There were significant modifications and new fabrications in prosthodontics as a treatment of a patient's chief complain in bell’s palsy. All the modification in denture might be intraoral or extraoral that depends on the case and

chief complain. Modification of denture buccal flange by increasing the thickness and make the cusps more flat to improve the lost masticatory, esthetic and phonetics which are the key points in achieving patients satisfaction.

conclusions:The inclusion of neutral zone principle being achieved in impression procedures to obtain durable denture. Patients need to follow up with denture weekly at least for six months.