scholarly journals An innovative technique for palatal reservoir construction in complete dentures: A case report

2018 ◽  
Vol 12 (3) ◽  
pp. 227-231
Author(s):  
K S Bharanija ◽  
V Ashok ◽  
Anandapandian Ponsekar Abraham

The retention and comfort of wearing prosthesis mainly depends on saliva. In reduced saliva conditions, such as xerostomia or radiation therapy, the oral mucosa tends to become dry and ulcerated, leading to the patient's inability to retain the prosthesis. Various techniques have been reported in the literature regarding the use of a reservoir with holes in dentures. The results have not been satisfactory because the flow of the salivary substitute could not be controlled and with frequent cleaning of the denture being necassary to maintain the patency of the reservoir holes. A newer technique for incorporation of a palatal reservoir with controlled artificial salivary flow in complete denture is being explained in this article, which improved the denture retention, comfort, mastication and speech of the patient.

2021 ◽  
Vol 7 (4) ◽  
pp. 195-199
Author(s):  
Neha Pathania ◽  
Sabat Un Noor ◽  
Rahul Kumar ◽  
Archana Nagpal ◽  
Rajeev Gupta

The retention, stability and comfort of wearing denture is greatly influenced by the flow, quantity and consistency of saliva. Insufficient salivary output results especially in old-aged edentulous patients may result in denture sores because of lack of lubrication by saliva, thus, reducing patient’s ability to retain the prosthesis. Various approaches have been concernes with the use of reservoir with holes have been described in the literature. However the flow of salivary substitute is very difficult to control. Moreover the frequent cleaning of the denture required to maintain the patency of the reservoir holes poses various challenges to the patient. This article explains a novel technique for the incorporation of a reservoir with controlled salivary flow in complete denture to enhance the retention of the prosthesis and thus, improving the comfort of wearing denture and the speech of patient.


2021 ◽  
Vol 13 ◽  
pp. 56-59
Author(s):  
Dr. Sreelakshmi G ◽  
Dr. Divya Hegde ◽  
Dr. Sajan Shetty ◽  
Dr. Sanjana Shah ◽  
Dr. Khushboo Mishra ◽  
...  

Aim: To describe an ingenious technique for the fabrication of light-weight complete denture in severely resorbed ridges. Background: Prosthetic rehabilitation of severely atrophic ridges has always been an ordeal for the clinician. The restorative space between the maxillary and mandibular residual ridges is increased due to severe resorption. The prosthesis overloads the underlying hard and soft tissues exacerbating ridge resorption. Retention, stability, and support are the essential principles on which the success of an entire denture is based. To prevent further resorption of the ridges, the weight of the prosthesis needs to be reduced which can be achieved by making a hollow prosthesis. This case report describes an innovative technique to fabricate a hollow denture-incorporating catheter. Conclusion: The prosthesis developed through the technique was light in weight and eliminated the need for a spacer


2003 ◽  
Vol 17 (4) ◽  
pp. 356-361 ◽  
Author(s):  
Marco Antonio Compagnoni ◽  
Raphael Freitas de Souza ◽  
Cláudio Rodrigues Leles

The mucosa that covers the residual ridges of edentulous patients may present some distortion or displacement when occlusal loading is applied in complete dentures. This distortion and movement of the denture can result in acceleration of residual ridge resorption and loss of retention and stability. The aim of this study was to analyze the pattern of upper complete denture movement related to underlying mucosa displacement. A sample of 10 complete denture wearers was randomly selected, which had acceptable upper and lower dentures and normal volume and resilience of residual ridges. The kinesiographic instrument K6-I Diagnostic System® was used to measure denture movements, according to the method proposed by Maeda et al.7, 1984. Denture movements were measured under the following experimental conditions: (A) 3 maximum voluntary clenching cycles and (B) unilateral chewing for 20 seconds. The results showed that under physiological load, oral mucosa distortion has two distinct phases: a fast initial displacement as load is applied and a slower and incomplete recovery when load is removed. Intermittent loading such as chewing progressively reduces the magnitude of the denture displacement and the recovery of the mucosa is gradually more incomplete.


2019 ◽  
pp. 19-24
Author(s):  
Sonali Harjani ◽  
Deviprasad Nooji

One of the most challenging cases dentists face is the rehabilitation of atrophic mandibular residual alveolar ridges. Such ridges present with a multitude of problems such as decrease in the denture foundation, retention and stability. Instability of denture bases can also give rise to an error in the maxillo-mandibular registrations. The neutral zone concept aims at the construction of complete dentures in the potential denture space, which ensures optimal denture contours and physiological arrangement of denture teeth as determined by the patient’s oral musculature, to enhance the stability and function of the prosthesis. This article presents a classical technique of recording the patient’s neutral zone with an improvised clinical step to record the patient’s maxillo-mandibular relation functionally. This technique can be practised routinely in cases of atrophied mandibular residual ridges to provide the patients with optimal complete denture therapy. Key Words: Neutral zone, resorbed mandibular ridges, maxillo-mandibular records, denture stability


Author(s):  
Geeta Paul ◽  
Dhaniram Talukder ◽  
Suprabha Rathee ◽  
Ajai Gupta ◽  
Mansi Jain ◽  
...  

<p class="abstract">Labial ridge undercut is more commonly seen in maxilla than mandible in completely edentulous individuals and it possess a great threat to the final esthetic outcome. Construction of a labial flange in conventional manner might compromise the facial support and muscles of facial expression, limit function, and compromise aesthetics for a better prognosis, an unconventional approach is needed for the construction of complete denture. This case report describes an innovative, economical, nonsurgical treatment option for fabrication of complete denture in a patient with a prominent labial undercut to enhance the facial aesthetics of the patient.</p>


2021 ◽  
Vol 45 (6) ◽  
pp. 421-427
Author(s):  
Alix Maria Gregory Sawaya de Castro ◽  
Maria Salete Nahás Pires Corrêa ◽  
Fernanda Nahás Pires Corrêa ◽  
Cristiane de Almeida Baldini Cardoso ◽  
Stella Ferreira do Amaral ◽  
...  

Background: This case report presents the dimensional changes in dental arches in a patient with hypohidrotic ectodermal dysplasia (HED) after complete denture rehabilitation, with an 18-year follow-up period. Case report: The patient had complete anodontia and was successfully rehabilitated with conventional complete dentures at 3, 4, 5, 7, 9, 12, 16, and 21 years of age. Each successive denture was larger and contained more and larger teeth so as to accommodate for the increase in the size of the developing jaw. A series of diagnostic casts were used to measure the dimensional changes in the arch length and width of the alveolar ridge. Cast analysis revealed that there was an increase in arch length and width in both the maxilla and mandible over time. Cephalometric analysis of craniofacial development was performed at 21 years of age, and suggested protrusion of the maxilla and mandible. Conclusions: The absence of teeth due to HED did not affect the dimensional changes in dental arches after complete denture rehabilitation from childhood to adulthood. The prosthetic treatment improved the patient’s social integration and enabled the development of normal dietary habits, speech, and facial esthetics, which in turn led to improved quality of life.


2018 ◽  
Vol 10 (2) ◽  
pp. 25-31
Author(s):  
Sqn Ldr K S Naveen ◽  
Col M Viswambaran

Providing denture service in a completely edentulous situation especially to a patient with poor mandibular foundation is a challenge to the skills of the operator. Recent treatment methodologies like implant supported prosthesis have considerably mitigated the problems faced in such patients. But, implant dentistry may not be feasible in all situations due to certain anatomic limitations and compromised patient health status. Conventional complete dentures with advanced techniques are the only answer in such situations. In the process of fabricating complete denture for a patient with poor mandibular foundation, the placement of the teeth, and contouring of flanges has been debated by various doyens of the science. The piezography technique using the Neutral Zone concept has emerged a strong forerunner in providing good stability and retention in patients having poor mandibular foundation.


2011 ◽  
Vol 3 (2) ◽  
pp. 31-33
Author(s):  
Manasali Bheema Setty ◽  
Nadiger K. Ramesh ◽  
Shaik A Saquib

ABSTRACT Over denture is favoured treatment modality for an elderly patient with few remaining teeth, because of adaptation to wearing is facilitated. Roots maintained under the denture base preserve the alveolar ridge, provide sensory feedback and improve the stability of the dentures. In comparison with complete dentures, overdentures may provide better functions. The most common problem of mandibular complete denture is retention & stability and alveolar ridge resorption; hence care must be taken to preserve it.


2013 ◽  
Vol 01 (02) ◽  
pp. 121-124
Author(s):  
Monica Sharma ◽  
Jagmohan Lal ◽  
Ravneet Kaur ◽  
Mandeep Kumar ◽  
Bhavna Sharma

AbstractA patient with malunited fracture of mandible require preprosthic reconstructive surgery followed by implant-assisted overdentures. In this case report, conventional complete dentures were fabricated for the patient as he refused any invasive treatment. The fabrication procedure of the denture was carefully modified according to anatomical and functional situation of the patient to achieve adequate retention and stability. Complete dentures thus fabricated provided comfort and sufficient function to the patient.


2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Tarcisio José de Arruda Paes-Junior ◽  
Sâmia Carolina Mota Cavalcanti ◽  
Daniela Fernandes Figueira Nascimento ◽  
Guilherme de Siqueira Ferreira Anzaloni Saavedra ◽  
Estevão Tomomitsu Kimpara ◽  
...  

The aim of this study was to present a case report of the surgical removal of hyperplasia in the oral cavity, using carbon dioxide (CO2) laser radiation and rehabilitation with a complete denture. Epulis fissuratum occurs in complete denture patients, because a constant irritative action induces the mucosa to grow under poorly fitting dentures. These lesions must be removed, and to avoid a relapse, new complete dentures should be made to maintain healthy surgical tissues. The clinical sequence presented in this case shows a completely edentulous patient with epulis fissuratum on the lower alveolar ridge extending to the vestibular sulcus of the anterior region of mandible. Immediate complete dentures were made prior to the lesion removal with CO2 laser radiation, providing satisfactory results in oral function and tissue health.


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