Abstract merging or joining data sets is an integral part of the data consolidation process. Relating this to complete denture impression technique, we have been provided with a set of philosophies no pressure, minimal pressure. Liquid supported dentures combine both the features. If you dont want cookies, you can not use this website. Prosthodontic rehabilitation of patients with flabby. A snap will indicate that the impression coping is fully engaged and well adapted to the margin of the abutment. Fibrous knife edge unemployed lower ridge functional impressions, e. Case report comparison of different final impression.
Rationale behind it was that as the patient functioned, the denture would move forward, returning the tissues to original form 5 boucher introduced a method of impression technique selective pressure technique. Code of practice is dangerous and everchanging in todays world. This paper presents a case report of one of the impression making technique for edentulous patient with flabby alveolar ridge. In this way we get a good picture of you as a visitor and we can offer you optimal user experience. The result is a composite material exhibiting greater flowability and hence better recording of details. The special tray is close fitting and has a hole or window over the area corresponding to the flabby ridge. Impression procedures for compromised ridgescosmetic dentistry courses. Prosthodontic rehabilitation of patient with flabby ridges with different impression techniques rubina bansal, manjit kumar, rashim garg, rishi saini, shaveta kaushala department of prosthodontics and crown and bridge, genesis institute of dental sciences and research, moga ferozepur road, ferozepur, punjab, india. Management of the flabby ridge using a modified window technique. Unless managed appropriately by special impression techniques. You also agree to our terms and conditions, as well as our privacy notice. A number of modi ed impression techniques for resorbed mandibular ridge have been suggested by various authors such as admixed, functional, all green, and cocktail technique.
Nawaf labban, management of the flabby ridge using a modified window technique and polyvinylsiloxane impression material, the saudi dental journal, 30, 1, 89, 2018. Flabby ridge also called as brous ridge or displaceable ridge is mobile. First impression techniques 1461 n kingshighway st, cape girardeau, missouri 63701 rated 4. Combining conventional impressions and intraoral scans. The impression is then poured and a special tray is constructed on the model.
Many techniques have been developed to deal with problem of the compromised ridge. A single step impression technique of flabby ridges using. An impression technique is required which will compress the non flabby tissues to obtain optimal support and at the same time, will not displace the flabby tissues. It is inexpensive, can save time and impression material, can reduce gagging, and is useful when a sectional impression is needed. Numbers of impression techniques have been described in the literature for resorbed mandibular ridge 4, 16, 17. Comparison of different final impression techniques for management of resorbed mandibular ridge. Special impression techniques displaced flabby maxillary ridge unemployed mandibular ridge flat atrophic mandibular ridge covered with atrophic mucosa denture space impression neutrozone impression technique.
Later, this area was cut forming a window to expose flabby mass and recorded by syringing light body addition silicone material aquasil, dentsplycaulk figure 2. A physiologic impression technique for resorbed mandibular ridges manisha herekar1, megha sethi2, aquaviva fernandes3, harish kulkarni4 professor and head, 2postgraduate student, email. Allen, management of the flabby described a technique whereby two separate impression ridge. Prosthethic rehabilitation of the patient with flabby ridges has always been a difficult task for the prosthodontist. Indeterminate peripheral extensions denture space impressions, external impressions, e. A final impression of an edentulous mouth is the negative registration of an area over which the complete denture will be worn. Unless managed properly by special techniques, flabby ridge adversely affects support, retention and stability of denture. Modified impression techniques when used in this condition can record the flabby tissues in an undistorted form and thus help to fabricate a stable and functionally satisfying denture. Abstract the conventional method for impressions of flabby tissue uses. It is important to thoroughly examine the patients mouth and select the most. The relief wax was removed and multiple holes were drilled in the supporting tray figure 14. It can result in fewer occlusal adjustments during insertion of the restoration. Fabrication of new complete dentures was planned for the patient with recording of flabby tissue in undisplaced condition using hobkirk technique. The purpose of the study was to use a simplified impression technique, which is an alternative to the conventional method for complete denture fabrication.
A physiologic impression technique for resorbed mandibular. This article describes prosthodontic management options for dealing with the fibrous flabby anterior ridge. Functional impression selective pressure impression techniques. This technique aims to displace but not distort the flabby ridge as if in function. When visiting our website you agree that we place these cookies and thus collect data. Can i combine landscape and portrait pages into one file. Methods applied for flabby ridge management, include surgical removal and augmentation, special impression techniques, balanced. Prosthodontic solutions involve special impression techniques and the use of soft linings and it is vitally important to manage patient expectations in such cases. Use this technique if you have prepared and seated an abutment chairside or if the patient presents to you with a modified abutment in place. Within sas there are numerous methods and techniques that can be used to combine two or more data sets. Conventional mucostatic methods like employing a window tray technique, multiple relief holes, or double spacers can be employed when the flabby tissue is localized.
A spaced special tray for an impression compound impression is then constructed on this model. The anatomically difficult denture case dental update. Impression procedures for compromised ridgescosmetic. Make a pdf of each of the files, and then join them in acrobat or use some other joining applications out there.
Impression technique guide 7 excellence through education seating and removal of the tray retract cheek bilaterally when seating, even for a triple tray impression, since a patient may favor the retracted side when closing and not close into centric occlusion. One of the methods used to solve this problem is the neutral zone technique. The history of complete denture impression procedures has been influenced largely by the development of impression materials from which new techniques and ideas arose. A physiologic impression technique for resorbed mandibular ridges.
Introduction edentulous ridges that are mobile or resilient with little evidence of underlying supportive bone, may give the appearance of being flabby. Window impression technique, flabby ridge, polyvinyl siloxane, hypermobile tissues, mucostatic, light body impression material. Management of flabby ridges using liquid supported denture. Modified functional impression technique for complete dentures. The degree of muscular activity and the region to which the denture can be extended without displacement are important aspects of any impression technique. Introduction as a result of improved dental treatment philosophies, increased awareness and advanced dental technology, number of patients who retain some or all of their natural teeth has increased 1. A modified window technique described in this report demonstrates an effective way for controlled application of light body pvs impression material, for a non.
Current dentures have lost proper retention, seal, and stability accurate impressions are very difficult to capture the tissue is not at optimum health diagnosis upon palpation flabby ridges influence denture fit and ability to make an accurate. 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. Comparison of different final impression techniques for. In these techniques, there is a need to modify the impression procedures because of perceived support problems. Definitive impression conventional technique selective pressure technique. For flabby ridge impressions, light body impression materials produce minimal tissue displacement however there uniform and controlled application is sensitive to operator technique. A window technique is used for impression of flabby ridge using a close fitting custom tray with a window watt et al.
Liddlelow described a technique whereby two separate impression materials are used in a custom tray using plaster of paris over the flabby tissues, and. Summary the dualarch impression is a very useful technique in fixed prosthodontics. This paper presents three case reports for prosthodontic rehabilitation of patient with flabby ridges with three different impression techniques. They are distributed in five upper and five lower sizes. Soft tissues displaced during conventional impression making tend to recoil. Various impression techniques have been described to overcome the problem of flabby tissue. Unless managed appropriately by special immpression techniques, such flabby ridge adversely affect the support, retention, and stability of complete dentures. This paper presents two case reports for prosthodontics rehabilitation of patient with flabby ridge using window technique. Special impression procedures controlled minimally displacive impression techniques, e. Flabby ridge, views of different dentists, and then the. The impression techniques following are the different impression techniques that can be used for resorbed mandibular ridges.
The use of conventional impression techniques on flabby ridges can lead to an unstable and unsatisfactory denture. Unless managed appropriately, such flabby ridges adversely affect the support, retention and stability of complete dentures. Osborne14 proposed a technique in which he used two impression trays to record normal and flabby tissue separately and later related them intraorally. Definitive impression making i massad edentulous tray a definitive impression making can be performed with a special stock tray specifically designed to meet the requirements of the edentulous patient.
Impression techniques for the effective management of flabby. Prosthodontic rehabilitation of patient with flabby ridges with. Crossref keyvan moharamzadeh, combination syndrome, diseases and conditions in dentistry, 6973, 2018. Pdf impact of various impression techniques on maxillary. Complete denture fabrication in clinically compromised situations such as flabby ridges is a challenging task for the clinician. Snappy abutment impression technique quick guide step 2 align the arrow on top of the impression coping with the facial groove on the abutment. Impression of the sound edentulous arch that can withstand the occlusal load made with pressure technique. Management of the flabby ridge using a modified window technique and polyvinylsiloxane impression material.
The maxillary preliminary impression was made using irreversible hydrocolloid tulip alginate impression material, cavex holland bv, holland in perforated edentulous tray and the primary cast was poured figures figures2a 2a and andb. A primary impression is taken in alginate loaded in a stock tray. Pdf stock tray modification for twostage impression. Pai, 1 vikramsimhareddy, 2 andrushadnarimanhosi 2 department of prosthodontics, manipal college of dental sciences, manipal university, manipal, mangalore. The aims to explain the window impression techni q ue for a single denture with flabby tissue area in maxillary anterior ridge in the form of case report. Impression techniques for the resorbed mandibular arch. For merging applications, dfsort uses the blockset and conventional techniques. This study also revealed that flabby ridge is more common in males compare to female patients figure 1. Pdf impression techniques for management of flabby. Pdf a single step impression technique of flabby ridges. Anterior window preparation in special trays for flabby ridges. The maxillary borders were recorded by selective pressure impression technique using green stick compound figure. The impression should have all the anatomical details for a successful tcs unbreakable.
It is maintained in the mouth without direct mechanical support of. An unsual approach for making impression in the flabby. In this paper, the authors have proposed a newer technique of impression making of the flabby tissues using a combination of readily available newer and older materials. In this technique he made a window in the custom tray. Many impression techniques have been proposed to help overcome this difficulty. A triangular ridge pattern with ridges that go in different directions above and below a triangle ridge pattern the recognizable pattern of the ridges found in the end joints of fingers that form lines on the surfaces of objects in a fingerprint. A single step impression technique of flabby ridges using monophase polyvinylsiloxane material. This technique is quite useful in poor ridge cases.
The neutral zone is the area where the displacing forces of the lips cheeks and tongue are in balance. Nov 19, 2014 sectional impression techni ue window technique. Case report a single step impression technique of flabby. This impression technique is used when the upper ridge is flabby in one area.
Impression procedures for compromised ridges authorstream. Buffington developed this technique the objective of which was to reduce the stress on any given tissue by increasing load bearing area. This was introduced to reduce the number of patient visits, operator time, as well as to compare the efficacy of a simplified impression technique single appointment impression with the. A particular problem is encountered if a flabby ridge is present within an otherwise normal denture bearing area. They have told that the shape of the osseous structures in these patients offers little possibility of retention and stability of complete dentures. Pdf impression techniques for management of flabby ridges. A delicate treatment modality for flabby ridges kaur j. Making accurate final impression for complete dentures is a multistage process that involves a preliminary impression, a customized final impression tray and a final border impression 4,5. This article describes three different impression techniques for recording flabby resorbed ridges, viz hobkirk technique, 5 massads technique, 6.
From them 8 patients, 4 women and 4 man, had flabby mucosa on different places of the alveolar ridges of the both jaws the first group, 3 women had mucosal folds in the fron. Neutral zone impression technique the loose and unstable lower complete denture is one of the most common problems faced by denture patients. Prosthodontic literature has documented various impression techniques for overcoming the problem of the flabby ridge. Zinc oxide eugenol impression paste is first used for making impression and then tissue is painted using impression plaster onto the displaceable tissue. The purpose of this paper is to describe an impression technique for flabby ridges that makes use of polyvinylsiloxane impression dental materials routinely available in general dental practice. Jaw relations were recorded and face bow transfer was completed. Escape holes are made in maxillary arch for refined impressions. Stock tray modification for twostage impression technique for recording flabby ridges. A primary impression is taken in a mucostatic impression material e. Casereport open access management of maxillary flabby. This study was conducted to determine the effect of various impression techniques on the displacement of flabby tissues overlying the edentulous maxillary ridge.
W developed technique to handle flabby ridges by recording it with impression compound. A singlestep impression technique of flabby ridges using monophasepolyvinylsiloxane material. Impression making of flabby ridge results in displacement of fibrous tissue which later on recoils to its original position and dislodges the denture. Methods applied for flabby tissue management include surgical removal and augmentation, special impression techniques such as window technique, balanced distribution of occlusal loads. Five steps to flabby ridge success british dental journal. Management of the flabby ridge using a modified window.
Impression procedure for flabby ridge objectives impression of the flabby area made with pressure free technique. Then take a counterimpression and a bite registration. Dealing with a highly resorbed mandibular ridge requires clinical skills and knowledge. Window impression technique for a single denture with. Impression making for complete dentures dentures human. It involves making of a primary impression by mixing impression compound and greene stick compound in the ratio of 3. In a flabby ridge condition, an ideal denture should be able to withstand masticatory forces and have flexible tissue.
Placement of multiple relief holes was done to ensure prevention of pressure buildup in the flabby area thereby leading to inadvertent tissue. Ijcdc july dec 2017 vol 7 issue 2 indian journal of. Introduction fibrous or flabby ridge is an area of superficial area of mobile soft tissue affecting the maxillary or mandibular alveolar ridges. Flabby tissues present a challenging clinical scenario for the clinician to ensure a wellfitting prosthesis. For final impression of maxillary ridge, the technique was selected aiming at recording the flabby tissue in an undisplaced or in an undistorted. Under compression, the denture bearing area will exhibit localised mobility around the flabby tissue. Knowledge,attitude and practice of various impression. The purpose of this paper is to describe an impression technique for making impressions of denture bearing areas con taining flabby ridges, which uses a simpli. Functional impression can be used very effectively to create stability in cases exhibiting extreme resorption. California occidental consultants, anchorage alaska. The literature reveals that the mucostatic impression technique is one of the treatment options in this scenario.
A multitude of impression techniques have been described for overcoming the problem of the flabby ridge. Forces exerted during the act of impression making can result in distortion of the mobile tissue. Definitive impression making i massad edentulous tray. The clinical examination showed the maxillary complete edentulous ridge with flabby ridge area in the maxillary anterior region opposing the anterior natural teeth in the mandibular. Unless managed appropriately by special impression techniques, such flabby ridges adversely affect the support, retention and stability of complete dentures. Prosthodontic rehabilitation of patient with flabby ridges. For maxillary, the flabby area was marked in the patients mouth and transferred on the tray. Tryde et al 4 treated a number of patients with extreme resorption of the mandibular residual ridge.
The table shows the result of knowledge, attitude and practice of various impression techniques available for flabby ridge in edentulous patients among interns. After border molding is completed, the next clinical procedure is making final impressions. In 1961, chase7introduced the use of elastic impression material to relieve traumatised tissue. It is seen most commonly in the anterior part of the maxilla, particularly when there are remaining anterior teeth in the mandible, and is probably the sequel of excessive load of the residual ridge and unstable occlusal conditions.
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