Management of resorbed ridges pdf download

Residual ridge resorpion with management bone dentures. Tissue expansion prior to augmentation of resorbed edentulous. The residual ridges which are high and wellrounded for several years will continue to do so. A female patient aged about 45 years reported with a completely edentulous and severely resorbed mandibular ridge figure 1.

Dentures on flabby ridges have compromised stability, support, and retention unless adequate measures for its management are employed. But this case report provides various methods of treatment that cater to both the need of xerostomia and lack of retention due to resorbed ridges in completely edentulous patients. The management of such highly resorbed ridges has always posed a difficulty to the prosthodontist. Advances in health care have increased longevity, resulting in a large number of long term denture wearers. Jan 04, 2019 for cases with a resorbed mandibular alveolar ridge, the mental foramen may be positioned high towards the crest of the ridge. A physiologic impression technique for resorbed mandibular ridges manisha herekar1, megha sethi2, aquaviva fernandes3, harish kulkarni4 professor and head, 2postgraduate student, email. Functional impression can be used very effectively to create stability in cases exhibiting extreme resorption. The consequent weight of the processed denture only compromises them further. A fullthickness flap was reflected exposing the lateral aspect of the ramus. Clinical management of highly resorbed mandibular ridge without fibrous tissue veeramalai n devaki 1, paramasivam manonmani 1, kandasamy balu 1, ramraj jayabalan aravind 2 1 department of prosthodontics, vivekananda dental college, tiruchengode, tamil nadu, india 2 department of oral surgery, vivekananda dental college, tiruchengode, tamil nadu, india. One of the options for rehabilitating posterior maxillary resorbed ridges was the use of posterior cantilever on implant prosthesis.

Implant options for maxillary posterior resorbed ridges. This article describes rehabilitation procedure of a patient with resorbed ridge with maximal areas of coverage to improve support and neutral zone arrangement of teeth to improve stability of denture. Download pdf introduction a socalled fibrous or flabby ridge is a superficial area of mobile soft tissue affecting the maxillary or mandibular alveolar ridges. Impression making in patients with severely resorbed ridges, lack of ideal amount of supporting structures decreases support and the encroachment of the surrounding mobile tissues onto the denture border reduces both stability and retention. The management of a severely resorbed edentulous maxilla. Clinical management of highly resorbed mandibular ridge without fibrous tissue veeramalai n. The management of a severely resorbed edentulous maxilla using a bone graft and a cadcamguided immediately loaded definitive implant prosthesis. Residual ridge resorption in complete denture wearers. Mar 11, 2006 the performance of a complete denture is often a reflection of its support and retention. Management of severly resorbed mandibular ridge using neutral. If it has resorbed in short time, it will resorbs at a higher rate.

Residual ridge resorption of the jaws is also more rapid in increasing age group, depleted bone being prone to the injurious impact of mechanical forces. Stability of mandibular dentures in highly resorbed ridges is a great challenge and one of the deciding factors in the failure or success of the complete denture. Just havent seen the complications described, still remove epuli and flabby tissue from dentures sitting on resorbed ridges. The history of complete denture impression procedures has been influenced largely by the development of impression materials from which new techniques and ideas arose. Management of severly resorbed mandibular ridge using.

A physiologic impression technique for resorbed mandibular ridges. Hybrid prosthesis on tilted implants are simple solution for these kinds of patients. Following are the different impression techniques that can be used for resorbed mandibular ridges. This article describes rehabilitation procedure of a patient with resorbed ridge with maximal areas of coverage to improve support and neutral zone arrangement of. Devaki, paramasivam manonmani, kandasamy balu, and ramraj jayabalan aravind 1 department of prosthodontics, vivekananda dental college, tiruchengode, tamil nadu, india. The other factor to be considered is the density of the ridge. These clinical scenarios still exist the principles are the same. The most popular theory of how osteoporosis occur in females is based on the central role of oestrogen in bone remodelling. The factors, such as the position and quantitative changes in the morphology of denture bearing areas of. She was treated with occlusal splint to alleviate signs and symptoms of. Case management under local anesthesia with intravenous sedation, an incision was performed in the posterior mandible following the external oblique line in the right mandible. Clinical management of highly resorbed mandibular ridge without fibrous tissue. Patients presenting with severe resorption of the residual alveolar ridges are relatively common today in both private practices and teaching institutions.

The neutral zone is the potential space between the lips and cheeks on one side and the tongue on the other, that area or position where the forces between the tongue and cheeks or lips are equal. Implants were placed in patients exhibiting seibert. For cases with a resorbed mandibular alveolar ridge, the mental foramen may be positioned high towards the crest of the ridge. Management of a severely resorbed mandibular ridge with. A clinical report author links open overlay panel ansgar c. Resorbed mandibular ridge compromises the support, retention and stability of complete dentures.

Comparison of different final impression techniques for management of resorbed mandibular ridge. As osseous structures in resorbed ridges offer little possibility of retention and stability and also the muscle attachments are located near the crest of the residual ridge so. Clipping is a handy way to collect important slides you want to go back to later. Flabby ridge is a common clinical finding affecting the alveolar ridges of the mandibular or maxillary arches. Department of prosthodontics and crown and bridge, hitkarini dental college and hospital, jabalpur, madhya pradesh, india. Primary wound closure is essential for successful regeneration of bone. Psicopatologia y semiologia psiquiatrica ricardo capponi 1 cuadernillo del millon. She appears to weigh about 100 lbs, is frail, has a rather slow gait, and indicates she has no health contraindications, is only taking some vitamins, but does have some slight hearing problems. Management of resorbed ridges pdf download mailservice wertgutachten schuldschein militaerische personen photos. Notably, it is a referred, highly indexed, online international journal with high impact factor. Management of severely resorbed maxillary ridge with a.

The bony remodelling that subsequently takes place occurs in two phases. A hollow complete denture for severely resorbed mandibular ridges. Apos trends in orthodontics interdisciplinary management. An impression procedure should be such that it gains maximum coverage.

Soft liners are materials that can be advocated successfully to manage clinical situations like atrophic edentulous ridges with flabby displaceable tissues and in cases of severely resorbed ridges which adversely affect the retention and stability of complete dentures and further enhance bone loss. Salvation of a severely resorbed mandibular ridge with a. Saxena aged 65 years presented to the department of prosthodontics with completely edentulous and severely resorbed mandibular ridge. Simple treatment plan for severe atrophic alveolar ridges. Comparison of different final impression techniques for. International journal of science and research ijsr is published as a monthly journal with 12 issues per year. A hollow complete denture for severely resorbed mandibular. The design of prostheses to replace lost teeth and resorbed ridges is largely determined by the position and amount of morphological change in the denture bearing area of the jaws 2. Abstract prosthodontic rehabilitation of a patient with poorly resorbed ridges in a conventional manner is a. The severely resorbed mandibular ridge is more challenging to impress than is the maxillary ridge. Liquidsupported denture a boon to flabby ridges radhika shrivastava, suryakant c deogade.

Management of residual ridge reduction rrr free download as powerpoint presentation. Periodontal diseases and wearing dentures for extended periods cause the atrophy of the alveolar ridges. Younger patients have better ridges andor coordination and can usually wear mandibular dentures successfully, no matter how poorly they are made. Clinical management of highly resorbed mandibular ridge. Management of severely resorbed maxillary ridge with a modified lightweight hollow complete denture and monoplane teeth. Optimum retention and stability of dentures is more problematic to achieve in severely resorbed ridges. Retention, stability and support are the basic principles on which the success of a complete denture relies on. In cases like this where you want to install implants and want to visualize the surgical site with a full thickness flap, how do you lay the flap without damaging the mental nerve. In the past the hollow maxillary complete denture was fabricated using the two flask technique described by fattore et al.

Removable dentures are hard to manage for these kinds of patients. The management of a mandibular resorbed ridge with a neutral zone technique using an impression compound mixed with a green stick in the ratio of 3. The rate of reduction in size of the residual ridge is maximum in the first three months and then gradually tapers off. A 21yearold female patient presented with temporomandibular disorder, skeletal class ii, angle class ii division 2 malocclusion, gummy smile, and incomplete overbite was managed successfully by splint therapy and orthodontic camouflage with miniscrew anchorage and extraction. Introduction residual ridge is term used to describe the shape of. Liquidsupported denture a boon to flabby ridges open. Lost salt technique for severely resorbed alveolar ridges.

If the alveolar ridges of the patient are severely resorbed, the. Management of severly resorbed mandibular ridge using neutral zone technique a case report. Wax shim has been placed over the denture teeth area of first flask figure 4. Vertical and horizontal ridge augmentation of a severely. Dec 10, 2005 download pdf introduction a socalled fibrous or flabby ridge is a superficial area of mobile soft tissue affecting the maxillary or mandibular alveolar ridges. Obtaining consistent mandibular denture stability has longbeen a challenge for dental profession. Discussion there is a specific area within the denture space where the function of the musculature will not unseat the denture, and. Case report comparison of different final impression. Management of resorbed mandibular ridge using neutral zone concept pai et al.

Two locators will provide retention only, if the posterior ridges are atrophic they dont supply much support. Management of the flabby ridge using a modified window. Fabrication of complete dentures for a patient with. Pdf comparison of different final impression techniques for. In order to construct fixed prostheses for these patients, complicated surgeries are necessary for implant placement. Various materials are used in recording neutral zone, which have their own advantages and disadvantages. Residual ridge resorpion with management free download as powerpoint presentation. Tissue expansion prior to augmentation of resorbed edentulous ridges. The anterior region of maxilla is the most affected area in edentulous patients.

Pdf comparison of different final impression techniques. Now customize the name of a clipboard to store your clips. But cantilever are avoided for they lead to, screw loosening, fracture and bone loss. Soft liner provides a cushioning effect and distributes uniform. How do you treat a severely resorbed mandibular ridge. Fabrication of complete dentures for a patient with resorbed. But the density at any given moment does not signify the current metabolic activity of the bone, and bone can be resorbed by.

A simplified approach for recording neutral zone springerlink. Clinical results of implant placement in resorbed ridges. Pdf how do you treat a severely resorbed mandibular ridge. The simplest approach often is to extend the denture base adequately for proper use of all. Liquidsupported denture a boon to flabby ridges radhika shrivastava, suryakant c deogade, sneha s mantri and sumathi k. Management of a severely resorbed mandibular ridge with the. Abstract prosthodontic rehabilitation of a patient with poorly resorbed ridges in a conventional manner is a difficult task. The purpose of this study was to compare the retention of complete dentures made by using different impression techniques like conventional, admixed, all green, and functional techniques. The performance of a complete denture is often a reflection of its support and retention. Cheng bds, ms a neo teekhin bds, ms b chan siewluen bds, mds c helena lee bds, msc d alvin g. This article describes a case report of an edentulous patient with resorbed ridges where a simplified technique of fabricating a hollow maxillary complete denture using lost salt technique was used for preservation of denture bearing areas.

Hence, an attempt to reduce the weight of denture is required for better retention. Aug 04, 20 just havent seen the complications described, still remove epuli and flabby tissue from dentures sitting on resorbed ridges. Modified technique of soft liner application bmj case. Incorrect tooth placement and arbitrary shaping of the polished surfaces may have an adverse effect on the success of the prosthesis. Tissue expansion prior to augmentation of resorbed. Scribd is the worlds largest social reading and publishing site. Prosthodontics management of xerostomic patient has been a challenging task for the dentist.

Materials and method a yearold male patient presented with the chief complaint of di culty in mastication, loosening of upper and lower dentures, and poor esthetics for the past years. The neutral zone technique is an alternative approach for the construction of complete dentures with such kind of challenges. A hollow complete denture for severely resorbed mandibular ridges this pdf is available for free download from a site hosted by medknow publications. Management of resorbed mandibular ridge using neutral zone. Soft liner provides a cushioning effect and distributes uniform occlusal forces to compromised. Casereport open access management of maxillary flabby tissue. A physiologic impression technique for resorbed mandibular. A patient, aged 78, presents for a partial denture examination. Modified technique of soft liner application bmj case reports. Articles journal of dentistry and oral health jscholar.