Arora R, Sharma RK, Tewari S, Kapoor H. Periodontal surgery in a stage II Parkinson’s disease patient: Report of a case with special considerations. World J Neurol 2017; 7(2): 24-27 [DOI: 10.5316/wjn.v7.i2.24]
Corresponding Author of This Article
Dr. Ritika Arora, Lecturer, Department of Periodontology, Subharti Dental College, Meerut-Haridwar Bye Pass Road, Meerut 250005, Uttar Pradesh, India. drritika44@gmail.com
Research Domain of This Article
Clinical Neurology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Neurol. Jun 28, 2017; 7(2): 24-27 Published online Jun 28, 2017. doi: 10.5316/wjn.v7.i2.24
Periodontal surgery in a stage II Parkinson’s disease patient: Report of a case with special considerations
Ritika Arora, R K Sharma, Shikha Tewari, Himanshu Kapoor
Ritika Arora, Department of Periodontology, Subharti Dental College, Meerut 250005, Uttar Pradesh, India
R K Sharma, Shikha Tewari, Department of Periodontology, Post Graduate Institute of Dental Sciences, Rohtak 124001, Haryana, India
Himanshu Kapoor, Department of Pedodontics and Preventive Dentistry, Subharti Dental College, Meerut 250005, Uttar Pradesh, India
Author contributions: All authors contributed to the completion of case, writing, and revision of this manuscript.
Institutional review board statement: This case report was exempt from the Institutional Review Board standards at Pandit B.D Sharma University of Health Sciences, Rohtak.
Informed consent statement: The patient involved in this study gave his written informed consent authorizing use and disclosure of his protected health information.
Conflict-of-interest statement: All the authors have no conflicts of interests to declare.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Dr. Ritika Arora, Lecturer, Department of Periodontology, Subharti Dental College, Meerut-Haridwar Bye Pass Road, Meerut 250005, Uttar Pradesh, India. drritika44@gmail.com
Telephone: +91-89-37023519
Received: September 27, 2016 Peer-review started: September 29, 2016 First decision: October 31, 2016 Revised: February 22, 2017 Accepted: March 13, 2017 Article in press: March 13, 2017 Published online: June 28, 2017 Processing time: 271 Days and 8.2 Hours
Abstract
Parkinson’s disease (PD) is an idiopathic progressive neurological disorder characterised by resting tremor, restrictions in mobility and muscular rigidity that can lead to problems in maintaining oral health. Here we report a case where crown lengthening surgeries were successfully performed in a PD patient for complete oral rehabilitation. Certain special considerations that are required before and during periodontal surgery in such patients are also elucidated. Often dentists and PD patients are reluctant to embark on complex dental procedures resulting in a compromised outcome. However, early intervention along with proper education and motivation of these patients can aid in achieving satisfactory results.
Core tip: Parkinson’s disease (PD) is a degenerative disorder of the central nervous system. Diagnosis of PD is often made after careful history taking, physical examination and observing a positive continued response to dopaminergic medications. Laboratory tests and imaging studies are not used routinely. The problems encountered during the dental treatment of a PD patient include the patient’s inability to keep his mouth open, uncontrolled movements of head and tongue and excessive salivation. This case report lays emphasis on various considerations that are required while doing periodontal surgery in these patients.
