Abstract
Bell's palsy disorder may have a bad significance on oral infections and dental caries predominantly in diabetic patients, mainly through xerostomia experience and facial muscles weakness which were highly associated with food impaction in the vestibule between cheeks and teeth. In addition to that fact of neuromuscular disorders patient's disability to perform good oral hygiene. Moreover, literature has shown that well-controlled diabetes has no or little effect on dental implant survival. This study reports a case of multiple dental implants treatment in bell's palsy and diabetic patient, with 23 months follow-up of this treatment considering oral hygiene evaluation and findings explanation. A 49 years old female patient presented to King Abdulaziz university dental clinics to replace the missing posterior prosthesis. The patient was diagnosed with diabetes type II 10 years ago, and Bell's palsy 20 years ago and she was not satisfied with her teeth which is adversely affected her life quality. The treatment combined restorative treatment, endodontic retreatment, and prosthetic replacement using fiber post-placement, zirconia, lithium disilicate, porcelain fused metal crowns, and two-stage implants placement approach. After 23 months of evaluation, there were positive findings and successful dental implants treatment in such a patient with all these challenging factors. Nevertheless, it was concluded that oral care providers should be aware of the oral manifestations of different disorders to be able to manage the cases and avoid their unfavorable impacts on oral health. Although, oral hygiene instructions (OHI) and monitoring with regular follow-up appointments were highly recommended.