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ORIGINAL ARTICLE
Year : 2007  |  Volume : 7  |  Issue : 3  |  Page : 126-131

Role of prosthodontist with regard to impacted esophageal dentures from an ENT perspective


Department of Otolaryngology, Head and Neck Surgery, Calcutta National Medical College, Kolkatta, West Bengal, India

Correspondence Address:
Abhishek Jaswal
C/O Mr. Asoke Kumar Jana, Model Town, Garia, Balia, Kolkatta - 700 089, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-4052.37656

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Aims: The study tries to elucidate the contributing factors responsible for cases of denture impaction with regard to the events preceding the impaction, types of denture responsible for impaction, duration of the use of denture, age and sex distribution, presenting signs, symptoms, diagnosis and complications with an idea of providing an ENT perspective of the problem, thereby underlining the need for preventive measures and doctor/patient education. Based on the results, a few suggestions are made to serve these purposes. Settings: A tertiary hospital of a developing country. Study Design: A retrospective chart review. Materials and Methods: A retrospective analysis of 106 cases of denture impaction presenting to the Otorhinolaryngology Department over a period of 5 years (September 2000 to September 2005). Statistical Analysis Used: The statistical package for social sciences (SPSS) 10.0 windows compatible program. Results and Conclusion: Denture impaction was most prevalent in elderly persons (>50 years) using dentures for more than 5 years. The upper single tooth and double teeth nonhooked acrylic dentures were the most common types of denture responsible for impaction. The most common preceding event was the wrong manner of drinking water. The most common location of impaction was in lower one-third of the esophagus with rigid esophagoscopy being a fairly safe technique for management. The rate of complications was directly proportional to the duration of presentation. The current modalities of the localization of impacted denture were largely ineffective or high costs were involved for the routine use of radio-opaque materials and the alternative coloring of the denture. Hence, education of the doctor and patient regarding the availability of such materials and proper use of dentures should be given paramount importance.


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