抄録
The study describes a case of ill-fitting dentures caused by long-term polypharmacy.
Patient: 55 year old female office worker.
First examination: March 26, 1996.
Chief symptoms: Difficulty fitting lower denture.
Therapeutic history: The patient gradually lost her lower teeth, except for a single canine, after breaking her leg in a fall. Several sets of dentures were made but the patient was unable to keep them correctly positioned.
Present status: The patient walks with difficulty and has the characteristic moon-face induced by chronic steroid administration. The alveolar membrane was frail and inelastic. The remaining canine was very mobile and was removed with minimal damage. However, bleeding continued for longer than was expected and healing was delayed. She was advised to stop taking steroids, non-steroidal anti-inflammatory drugs, anti-allergic drugs (anti-histamines?) and anxiolytics which had been prescribed by different clinics over a period of several years. She also received counselling and was informed that the problems with ill-fitting dentures would be resolved. This was indeed the case. Her alveolar membrane and psychological well-being also improved.
