A case of fixed prosthetic treatment in a difficult clinical situation due to severe vomiting

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  • Nakanishi Kazuyo
    Division of Fixed Prosthodontics and Oral Implantology, Department of Oral Rehabilitation, School of Dentistry, Health Sciences University of Hokkaido

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  • 嘔吐反射による治療困難患者に対し欠損補綴処置を行った一症例
  • オウトハンシャ ニ ヨル チリョウ コンナン カンジャ ニ タイシ ケッソン ホテツ ショチ オ オコナッタ イチ ショウレイ

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Abstract

<p>Patient: The patient was a 53-year-old male who presented with the chief complaint of masticatory disturbance due to fracture of a maxillary denture. The patient received fixed prosthodontic treatment consisting of a dental implant procedure for missing teeth under sedation or general anesthesia in consideration of a severe gagging reflex. The patient was extremely satisfied by the greatly improved esthetics and functionality resulting from the treatment.</p><p>Discussion: The patient was hesitant to undergo treatment due to a severe gagging reflex, but showed a positive response when consulted about intravenous sedation or general anesthesia.</p><p>Conclusions: Using sedation or general anesthesia was effective in overcoming a severe gagging reflex while carrying out prosthodontic treatment including an implant-supported fixed denture.</p>

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