scholarly journals Neutral zone technique: An aid of the prosthodontist- A case series

2021 ◽  
Vol 9 (1) ◽  
pp. 36-41
Author(s):  
Soumya Rajdey ◽  
Harsh Parashar ◽  
Sapna Rani ◽  
Soorya Poduval
Keyword(s):  
Muscle Function ◽  
Case Series ◽  
Neuromuscular Control ◽  
Complete Denture ◽  
Neutral Zone ◽  
Complete Dentures ◽  
Alternative Approach ◽  
The Stability ◽  
Functional Movements ◽  
Mandibular Complete Denture

The area where the outward forces from the tongue and the inward forces from the lips and cheeks are nullified during the functional movements is referred to as the neutral zone. Therefore, the incorporation of neutral cone technique serves as an alternative approach in the fabrication of lower complete dentures specifically in ridges which are highly atrophic. The technique aims to construct a denture that is shaped by muscle function and is in harmony with the surrounding oral structures. It is rarely used because of the extra clinical step involved and some clinicians may find the detection of neutral zone difficult. This article describes a technique for improving the stability of mandibular complete denture for patients who have a resorbed mandibular residual ridge.This neutral zone impression technique is a useful technique when providing mandibular complete denture. It’s use can overcome some of the denture stability difficulties caused in some patients with a more powerful oral musculature, or in patients who have poor or altered neuromuscular control.

Neutral zone concept for unstable mandibular complete denture: A case report

2015 ◽  
Vol 7 (1) ◽  
pp. 45-47
Author(s):  
Nirmala Kumari ◽  
M. Kalavathi ◽  
Bhuvana Sachin ◽  
Jayesh Jain
Keyword(s):  
Case Report ◽  
Great Influence ◽  
Neuromuscular Control ◽  
Complete Denture ◽  
Neutral Zone ◽  
Tooth Position ◽  
Dental Practitioners ◽  
The Stability ◽  
Mandibular Complete Denture ◽  
Tissue Conditioner

Abstract The tooth position and flange contour have great influence on the stability of a denture. We should not be dogmatic and insist that teeth be placed over the crest of the ridge, buccal or lingual to the ridge. Teeth should be placed as dictated by the musculature, and this will vary for different patients. The neutral zone technique is the most effective way of improving the stability of complete denture especially for patients with atrophic ridges or diminished neuromuscular control. The technique involves recording neutral zone using tissue conditioner and fabrication of a denture which is in harmony with the surrounding oral musculature. This article aims to increase the awareness of dental practitioners to use neutral zone concept in case of denture stability difficulties. How to cite this article Sachin B, Jain J, Kalavathi M., Kumari N, Neutral zone concept for unstable mandibular complete denture: A case report, CODS J Dent 2015;7:45-47.

scholarly journals Functional Recording of Maxillo-mandibular Relationship Using Neutral Zone Technique- a Case Report

2019 ◽  
pp. 19-24
Author(s):  
Sonali Harjani ◽  
Deviprasad Nooji
Keyword(s):  
Case Report ◽  
Key Words ◽  
Complete Denture ◽  
Neutral Zone ◽  
Complete Dentures ◽  
Denture Teeth ◽  
Classical Technique ◽  
The Stability ◽  
And Function

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

TOOTH SUPPORTED OVER DENTURE - AN APPROACH TO PREVENTIVE PROSTHODONTIC: A CASE REPORT

2011 ◽  
Vol 3 (2) ◽  
pp. 31-33
Author(s):  
Manasali Bheema Setty ◽  
Nadiger K. Ramesh ◽  
Shaik A Saquib
Keyword(s):  
Elderly Patient ◽  
Case Report ◽  
Treatment Modality ◽  
Sensory Feedback ◽  
Complete Denture ◽  
Alveolar Ridge ◽  
Complete Dentures ◽  
Denture Base ◽  
The Stability ◽  
Mandibular Complete Denture

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.

scholarly journals Neutral Zone Technique for Rehabilitation of Resorbed Mandibular Ridge

2016 ◽  
Vol 1 (1) ◽  
pp. 35-38
Author(s):  
Avneet Kaur ◽  
Devendra Pal Singh Chhonkar ◽  
Aditi Sarawgi
Keyword(s):  
Muscle Function ◽  
Clinical Report ◽  
Neutral Zone ◽  
Complete Dentures ◽  
Mahatma Gandhi ◽  
Alternative Approach

ABSTRACT The neutral zone technique is an alternative approach for the construction of the complete dentures. It is most effective for cases where there is a highly atrophic ridge. The technique aims to construct a denture, i.e., shaped by muscle function and is in harmony with the surrounding oral structures. This clinical report describes the fabrication of complete dentures for a patient with poorly formed mandibular ridges. How to cite this article Kaur A, Padiyar N, Kaurani P, Meena S, Chhonkar DPS, Sarawgi A. Neutral Zone Technique for Rehabilitation of Resorbed Mandibular Ridge. J Mahatma Gandhi Univ Med Sci Tech 2016;1(1):35-38.

scholarly journals Influence of balanced occlusion in complete dentures on the decrease in reduction of an edentulous ridge

2012 ◽  
Vol 69 (12) ◽  
pp. 1055-1060 ◽  
Author(s):  
Srdjan Postic
Keyword(s):  
Longitudinal Study ◽  
Complete Denture ◽  
Alveolar Ridge ◽  
Complete Dentures ◽  
Test Results ◽  
Male And Female ◽  
Panoramic Radiographs ◽  
Edentulous Patients ◽  
The Stability ◽  
Artificial Teeth

Background/Aim. Balanced occlusal arrangement of artificial teeth and balanced occlusion is a specific type of occlusion that preserves the stability of complete dentures. Balanced occlusion comprises realization of tooth contacts at the working side as well as at the balancing side, at the same time. The aim of this study was to assess the influence of balanced occlusal arrangement of artificial teeth on the decrease in reduction of edentulous alveolar ridge. Methods. A longitudinal study on 91 fully edentulous patients was conducted using their panoramic radiographs and parameters of vertical dimension of edentulous ridges. All the patients were clinically examined by the same and a qualified dental practitioner. Numerical values of parameters of vertical dimensions of edentulous ridges and lines were statistically processed and compared using the Student?s t-test. Results. Vertical dimensions and heights of edentulous ridges were different after comparison of parameters in complete denture wearers with balanced occlusion and complete denture wearers without bilaterally balanced occlusion, as well as between male and female edentulous patients. Statistically significant differences of heights were established in complete denture wearers? with a set of artificial teeth without balanced occlusion, at the baseline and 12 months after wearing of complete dentures. Conclusion. Balanced occlusion is a favored occlusal design in setting of artificial teeth in conventional complete dentures, which preserves edentulous ridge and influence the stability of dentures.

scholarly journals Management of Edentulous Resorbed Mandibular Residual Ridge in Malaysian Geriatric Patients: 2-Year Clinical Study

2013 ◽  
Vol 3 (2) ◽  
pp. 83-86
Author(s):  
Ammar A Mustafa
Keyword(s):  
Clinical Study ◽  
Geriatric Patients ◽  
Complete Denture ◽  
Polished Surface ◽  
Neutral Zone ◽  
Age Group ◽  
Complete Dentures ◽  
Significant Difference ◽  
Improve Stability

ABSTRACT Objectives A combination of the neutral zone and the polished surface impression techniques is a useful method to reserve the functional and physiological forms of the underlying mandibular residual ridge by enhancing both retention and stability in Malaysian geriatric patients (2-year clinical study). Materials and methods A total of 25 Malaysian geriatric patients have participated in the current study. Two sets of dentures were served to the patients. The first set was constructed according the conventional method of complete denture construction whereas the second set was constructed by using neutral zone and polished surface impression techniques. Results The patients were followed up for 2 years and the obtained results showed that all patients have stopped using the conventional dentures and continued with the test dentures. The comparative analysis exhibited significant difference (p < 0.05) in favor of test dentures. Conclusion Combination of the neutral zone and the polished surface techniques can impart a physiological reservation to the underlying residual ridge without changes. Statement of problem It is common for completely edentulous geriatric patients to have resorbed mandibular residual ridge because of the process of aging. Some surgical interactions are contraindicated for this age group of patients, so, neutral zone technique and/or polished surface impression verified effective in improving stability for lower complete dentures. In spite of the fact that the above mentioned methods often used to enhance stability of complete denture, most of the studies were relying on only one of those methods to improve stability rather than retention. Researcher hypothesis stated that a combination of the neutral zone and the polished surface impression techniques should be performed together to enhance both stability and retention and henceforth reservation of the residual ridge under mandibular complete dentures issued to the patients with a constant follow-up for two consecutive years. How to cite this article Mustafa AA. Management of Edentulous Resorbed Mandibular Residual Ridge in Malaysian Geriatric Patients: 2-Year Clinical Study. Int J Prosthodont Restor Dent 2013;3(2):83-86.

Complete denture fabrication using piezography concept-a case report

2018 ◽  
Vol 10 (2) ◽  
pp. 25-31
Author(s):  
Sqn Ldr K S Naveen ◽  
Col M Viswambaran
Keyword(s):  
Case Report ◽  
Health Status ◽  
Complete Denture ◽  
Good Stability ◽  
Neutral Zone ◽  
Complete Dentures ◽  
Patient Health Status ◽  
Recent Treatment ◽  
Patient Health ◽  
Implant Dentistry

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.

An Contemporary Techniques for Recording Severely Resorbed Mandibular Ridge: A Case Report

2021 ◽  
Vol 9 (1) ◽  
pp. 10-15
Author(s):  
Shivani Kotewar ◽  
Nazish Baig ◽  
Vivek Jadhav ◽  
Prasad Adhapure ◽  
Vishkha Patil
Keyword(s):  
Case Report ◽  
Metabolic Disorders ◽  
Neuromuscular Control ◽  
Functional Approach ◽  
Complete Denture ◽  
Vertical Dimension ◽  
Neutral Zone ◽  
History Taking ◽  
Artificial Teeth

Resorption of mandibular ridges is a multifactorial and biomechanical disease that is chronic, progressive,irreversible, and cumulative leading to loss of sulcular depth, vertical dimension loss, and decreased lowerfacial height. Some common neurological, hormonal, and metabolic disorders affect the adaptability ofdentures, and this can be diagnosed by a trained prosthodontist with proper history-taking and clinicalexamination. The denture becomes passive due to complex neuromuscular control and causes difficultiesin impression-making, mastication, and swallowing, which in turn leads to loss of retention and stability incomplete dentures. The loose and unstable lower complete denture is one of the most common problemsfaced by denture patients. One of the methods used to solve this problem is the neutral zone technique.Neutral zone technique is long being used for the management of severely resorbed mandibular ridges. Thepiezography technique, a special functional approach is described in order to overcome the difficulties of themandibular denture. Piezography, prosthetic space recorded by pronunciation, can be used as a reference forarrangement of artificial teeth and polishing surface of a denture.

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