A case report of modified maxillary complete denture and fabricated mandibular complete denture in an edentulous patient

Abstract Aim The aim of this report is to present a clinical case of extensive alveolar resorption in the mental region of the mandible of a complete denture wearer for which capsaicin was used for alleviation and remission of posttraumatic painful peripheral neuropathy. Background Resorption of the residual ridge occurs in a chronic and progressive manner, altering the configuration of the ridge and the mucosa covering it and subsequently compromising the stability of the complete denture prosthesis. Individual variability associated with such factors as gender, age, edentulous period, nutrition, excessive load and compression on the ridge, parafunctional habits, occlusal instability, and maladaptation of the prosthesis may have a role in the rate and manner of bone loss. Report A 62-year-old woman, edentulous at the age of 30, presented with complaints of pain and spontaneous “electrical shocks” in the mucosa under her mandibular complete denture. The pain increased while chewing approximately two years ago due to the pressure of this denture on her supporting tissues. The patient indicated the level of pain corresponded to a score of ten out of ten on the Visual Analogical Scale (VAS). Treatment included denture replacement and topical application of capsaicin gel using a custom tray technique. Summary The review of the literature and the results obtained from the management of this case have served to emphasize how much neuropathic pain research has demonstrated the complexity of its neurophysiologic mechanism due to the lack of association with any somatic manifestation. During the fabrication of a new lower denture the topical application of capsaicin was shown to be effective in the relief and remission of the painful symptoms of the neuropathy as of this writing. Citation Pastre T, Faot F, Westphalen FH, da Rosa RS. Treatment of Painful Post-traumatic Peripheral Neuropathy with Capsaicin in an Edentulous Patient with Extreme Resorption in the Mental Region: A Case Report. J Contemp Dent Pract 2008 March; (9)3:106-113.

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Complete denture fabricated by Jiro Abe's method for edentulous patient with severe alveolar ridge resorption: a case report

The Journal of Korean Academy of Prosthodontics ◽

10.4047/jkap.2014.52.4.338 ◽

2014 ◽

Vol 52 (4) ◽

pp. 338

Author(s):

Daejeon Jun ◽

Dong-Hun Yang ◽

Mongsook Vang ◽

Hongso Yang ◽

Sangwon Park ◽

...

Keyword(s):

Case Report ◽

Complete Denture ◽

Alveolar Ridge ◽

Edentulous Patient

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Bar Attachement Retained Mandibular Complete Denture: A Case Report

Integrative Journal of Medical Sciences ◽

10.15342/ijms.7.235 ◽

2020 ◽

Vol 7 ◽

Author(s):

Afafe Taouili ◽

Yasmina Cheikh ◽

Samira Bellemkhannate

Keyword(s):

Case Report ◽

Bone Resorption ◽

Clinical Case ◽

Complete Denture ◽

Bearing Surface ◽

Mandibular Arch ◽

Physiological Conditions ◽

Laboratory Techniques ◽

Mandibular Complete Denture

The mandibular complete denture is a challenge for the dentist. Unfavorable anatomical and physiological conditions such low bearing surface and a significant bone resorption, often compromise the prosthetic retention.The exploitation of root stumps is a reliable alternative that leads to a better prosthetic integration by increasing the retention, if the total prosthesis is connected to these root stumps via axial ball or bar attachments.In addition, this prosthetic alternative considerably improves the patient's comfort and masticatory coefficient and favors the preservation of the bone capital, provided that the requirements of root preservation as well as clinical and laboratory techniques are respected.We would like to illustrate this by presenting a clinical case in which we used the connecting bar in the mandibular arch.

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Prosthodontic Management of a Completely Edentulous Patient with Microstomia and Flat Ridge Mandible: A Case Report

Acta Medica Philippina ◽

10.47895/amp.v53i6.703 ◽

2019 ◽

Vol 53 (6) ◽

Author(s):

Michael Josef Kridanto Kamadjaja ◽

Fatty Nada Pertiwi

Keyword(s):

Case Report ◽

Mouth Opening ◽

Complete Denture ◽

Edentulous Patient ◽

Limited Mouth Opening ◽

Proper Diagnosis

It is difficult to make impression and fabricate conventional dentures for patients with microstomia and flat ridge. This is a case report of 53-year-old female with limited mouth opening (25 mm) who had been wearing denture for 7 years and which was recently broken. Close mouth with suction impression method was used. Proper diagnosis and appropriate set of procedures and methods were needed for this patient. The conventional complete denture fitted with closed mouth method for this condition resulted in retentive and stable denture which was inserted and removed easily.

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A case report of complete denture fabrication using closed mouth impression to an edentulous patient with severe alveolar ridge resorption

Annals of Japan Prosthodontic Society ◽

10.2186/ajps.11.411 ◽

2019 ◽

Vol 11 (4) ◽

pp. 411-414

Author(s):

Miki Kikui

Keyword(s):

Case Report ◽

Complete Denture ◽

Alveolar Ridge ◽

Edentulous Patient

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Prosthodontic rehabilitation of compromised upper and lower residual alveolar ridges: A case report

IP Annals of Prosthodontics and Restorative Dentistry ◽

10.18231/j.aprd.2021.019 ◽

2021 ◽

Vol 7 (2) ◽

pp. 91-96

Author(s):

S Suganya ◽

K Sounder Raj ◽

Gagan Malode

Keyword(s):

Case Report ◽

Conventional Technique ◽

Complete Denture ◽

Favorable Prognosis ◽

Impression Technique ◽

Window Technique ◽

Bony Ridge ◽

Multiple Challenges ◽

Edentulous Patients ◽

Mandibular Complete Denture

Residual ridge resorption is the reduction in size of the bony ridge under the mucoperiosteum. Obtaining retention and stability in a severely resorbed ridges using a conventional technique is a tedious task. The resorption occurs at a faster rate in mandibular arch as compared to the maxillary arch. In order to have a favorable prognosis for the denture therapy, impression technique selected should be based on the present state of the basal tissue support for mandible. In this article neutral zone concept was incorporated in to impression making in an effort to achieve successful mandibular complete denture. The anterior region of maxilla is the most affected area in edentulous patients. Complete denture wearers with flabby ridges may face a number of difficulties, of which major complaints would be pain, compromised stability, support, and retention and an ill-fitting denture. Special impressions often involve window technique for static impression of flabby area, which present multiple challenges. This article presents a case report of modified widow impression technique for maxillary anterior flabby tissues along with a hollow maxillary complete denture in a patient with resorbed maxillary and mandibular ridges with increased interridge distance to reduce the weight of the prosthesis and thereby enhances the retention.

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