PROSTHETIC REHABILITATION OF A NEUROFIBROMATOSIS PATIENT WITH COMPLETE DENTURE: A CASE REPORT

Dr. Pallavi Patil*, Dr. Shivakumar Puranik, Dr. Anand Mangalagi, Dr. Smitha M., Dr. Ashwini, Dr. Chandan B. L.

ABSTRACT

Neurofibromatosis is a genetically inherited neurocutaneous disorder characterized by the development of multiple neurofibromas involving the skin, peripheral nerves, and oral and maxillofacial structures. Oral manifestations such as soft tissue enlargement, vestibular obliteration, mucosal nodules, macroglossia, and facial asymmetry may adversely affect mastication, speech, esthetics, and prosthetic rehabilitation. Prosthodontic management of these patients is often challenging because of altered denture-bearing tissues, reduced vestibular depth, tissue compressibility, and compromised facial support. This case report describes the prosthetic rehabilitation of an edentulous patient with neurofibromatosis involving the upper labial region using conventional complete dentures. Comprehensive clinical examination and meticulous treatment planning were performed to overcome the anatomical and functional limitations associated with the condition. Special emphasis was placed on atraumatic impression techniques, selective relief of affected tissues, controlled border molding, and modification of denture flange extension to accommodate the enlarged and compressible soft tissues. The fabricated complete dentures demonstrated satisfactory retention, stability, esthetics, phonetics, and masticatory efficiency without causing trauma to the involved tissues. Post-insertion follow-up revealed significant improvement in oral function, facial appearance, speech, and psychological confidence. This case highlights the importance of individualized treatment planning and careful clinical execution in successful prosthodontic rehabilitation of patients with neurofibromatosis.

Keywords: Neurofibromatosis Type 1, Complete Denture Rehabilitation, Prosthodontic Management, Edentulous Patient, Oral Manifestations, Vestibular Obliteration, Soft Tissue Enlargement.