{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T19:10:10Z","timestamp":1756321810470,"version":"3.44.0"},"reference-count":12,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,1,3]]},"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>A man in his late 50s was referred by a speech and language therapist for consideration of a palatal lift prosthesis (PLP) to improve his speech intelligibility. He presented with hypokinetic dysarthria characterised by reduced loudness, breathy voice and hypernasality. The patient had a diagnosis of progressive muscular dystrophy and mobilised in a motorised wheelchair. He was dependent for dressing and bathing, but independent for grooming. He had no cognitive impairment and provided his own consent. He was partially dentate and presented with generalised periodontal loss. This case report details the provision of a PLP in an individual with a terminal diagnosis to improve speech quality despite a poor periodontal state and worsening physical disability.<\/jats:p>","DOI":"10.1136\/bcr-2024-263574","type":"journal-article","created":{"date-parts":[[2025,1,28]],"date-time":"2025-01-28T11:56:18Z","timestamp":1738065378000},"page":"e263574","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Improving quality of life in palliative care: palatal lift prosthesis in a patient with periodontal disease"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8018-0635","authenticated-orcid":false,"given":"Pritam Daniel","family":"Sundaresan","sequence":"first","affiliation":[{"name":"Sedation and Special Care Dentistry, Guy's and St Thomas' Hospitals NHS Trust, London, UK"},{"name":"Maxillofacial Surgery, Waikato Hospital, Hamilton, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Williams","sequence":"additional","affiliation":[{"name":"Maxillofacial Surgery, Waikato Hospital, Hamilton, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,1,28]]},"reference":[{"key":"2025082711493182000_18.1.e263574.1","unstructured":"Wiseman M . 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