Oral Implantology for the Traumatic Brain Injured Patient: A Case Report
Edentulous traumatic brain injured dental patients may be treated with dental implant–supported and retained acrylic–based complete dentures. Intraoral components should be minimized to present less of a surface area for plaque accumulation and to facilitate daily cleansing. A zero degree or lingualized occlusal scheme should be used. Prostheses may be truncated for patient comfort and gustatory function, so the potential for swallowing a prosthesis should be evaluated in each patient.

Figure 1. Maxillary implant abutments. Figure 2. The palate was removed from the maxillary complete denture to enhance patient comfort and to facilitate gustatory function. A clinical evaluation was done to assess the potential for the patient to swallow the truncated maxillary denture. Figure 3. The intaglio of the maxillary denture shows the embedded coping crowns and retention housings. Figure 4. Mandibular retainer abutments.

Figure 5. The intaglio of the mandibular complete denture. Figure 6. Facial view. Figure 7. Right-side view.
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