ABSTRACT
The disorder of Bell's palsy can adversely affect oral infections and dental caries, especially in diabetic patients. This occurs primarily due to xerostomia and weakness of the facial muscles, both of which are closely linked to food impaction in the area between the cheeks and teeth. Alongside the fact that patients with neuromuscular disorders are unable to maintain proper oral hygiene. Moreover, research has shown that the survival of dental implants is minimally affected by diabetes that is effectively managed. This study introduces a case of a patient with diabetes and Bell's palsy who underwent treatment for several dental implants. The study includes a 23-month follow-up on this treatment, focusing on oral hygiene assessments and explanations of findings. A 49-year-old female patient presented at the King Abdulaziz University dental clinics to have her missing posterior prosthesis replaced. The patient was diagnosed with type II diabetes a decade ago and with Bell's palsy two decades ago. Her dissatisfaction with her teeth had a detrimental effect on her quality of life. Restorative care, endodontic retreatment, and prosthetic replacement using fiber post-placement, zirconia, lithium disilicate, porcelain fused metal crowns, and a two-stage implants placement method were included in the treatment. After 23 months of examination, there were encouraging results and a successful dental implant procedure in a patient with all these difficult circumstances. However, it was determined that in order to manage these instances and avoid their detrimental consequences on oral health, oral care practitioners should be aware of the oral symptoms of various conditions. However, it was highly recommended to give oral hygiene instructions (OHI) and to keep an eye on the issue by scheduling follow-up sessions on time.
