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Once the bone was not sufficient, the only line of treatment available is the conventional removable denture. In this specific case, this denture was misplaced and further dental treatment was necessary in order to correct that.

Physical Therapy and Massage Therapy

This inadequate treatment caused, besides discomfort and pain, further problems in the muscles and stomatognatic system, which made it imperative to align the work of the dentist with the speech therapist. With such challenge in hands, it was decided to first make a bite plate in order to alleviate the pain and correct the position of the prosthesis and muscles. From that moment on, a plan was also developed with a speech therapist who recommended a list of exercises in order to adequate the stomatognathic system as well as speaking, the masticatory, and swallowing functions.

The interprofessional team, then, oriented the patient with exercises that improved intra-oral proprioception, augmented strength and re-taught the positions of the tongue and mandibular movements. The masticatory musculature was worked on and further treatment focusing on the simultaneous bilateral mastication was sought. In the end, the patient received a new pair of conventional complete dentures, which was supported by the bone, with the correct DVO. She reported high level of satisfaction with the results, no more pain, speaking and eating better, which even had an effect on her previous psychiatric diagnosis Figures This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Goodbye, With Love – Journal of Humanities in Rehabilitation

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Links Advanced knowledge sharing through global community… Read More. Take a look at the Recent articles. Department of Gerontology, University of Campinas, Brazil. Figure 1.

Interprofessional rehabilitation: a person-centred approach

Patient prior to the beginning of the treatment. Figure 2. Lower bone graft and complete denture positioned behind the bone. Figure 3. Lower bite plate.


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  • Figure 4. Final Complete Dentures Upper and Lower.

    Goodbye, With Love

    Figure 5. Sarah G Dean is a senior lecturer in health services research, based at the University of Exeter, UK, with a background in physiotherapy and health psychology. She has a particular interest in the psychology of exercise-based rehabilitation for people with long term conditions. Richard J Siegert has a background in clinical psychology and neuropsychology and a special interest in the application of psychometrics to measurement in rehabilitation settings.

    William J Taylor is an academic rehabilitation physician and rheumatologist in Wellington, New Zealand, where he teaches a postgraduate interdisciplinary course in rehabilitation and continues to work at the coal-face of clinical practice. Sarah G.


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