Management of Xerostomia Patient with Salivary Reservoir Designed in Upper Complete Denture and Lower Cast Partial Denture

Abstract

Xerostomia is a common complaint found often among older adults. Dry mouth has multiple oral health consequences and affects quality of life. It can produce serious negative effects on the patient's quality of life by affecting dietary habits, nutritional status, speech, taste and tolerance to dental prosthesis and increasing the risk of oral infection, including candidiasis and susceptibility to dental caries, periodontal disease and tooth loss. Saliva protects oral mucosa and teeth against harmful substances, lubricates the mouth to facilitate chewing, swallowing and speech, and reduces tissue trauma. Presence of adequate amounts of saliva within denture and tissue interface is essential. Without enough saliva, a denture will inadequately adhere to tissues, partly through loss of surface tension. Sometimes, the cause may easily be eliminated but, in many instances, it is not possible, and the condition is persistent and often progressive. There are several approaches to manage dry mouth. In this article, a palatal reservoir design for upper complete denture and lower cast RPD with salivary reservoir has been described, which completely satisfies the patient need for long time.