scholarly journals Alternative impression technique for edentulous anterior maxillary flabby tissue

2020 ◽  
Vol 9 (10) ◽  
pp. e3269108621
Author(s):  
Aretha Heitor Veríssimo ◽  
Anne Kaline Claudino Ribeiro ◽  
Rachel Gomes Cardoso ◽  
Laércio Almeida de Melo ◽  
Adriana da Fonte Porto Carreiro

This present study describes an impression technique to rehabilitate patients with flabby ridge in pre-maxilla through complete dentures. The proposed technique consists on the association of nondisplacive impression of the flabby area in the primary and functional impression. Therefore, a primary impression was performed with irreversible hydrocolloid with a dual impression. The impression material was removed at the region corresponding to the flabby area, characterizing a window, where a re-impression was conducted with the same material in a more fluid consistency. The functional impression was executed with a custom tray with perforations at the flabby area fabricated over a primary anatomic cast previously relieved. As a result, an anatomic impression with reduced compression over the flabby ridge was obtained. Moreover, an accentuated decrease of the mucosa compression was obtained through the material overflow from the custom tray perforations at the functional impression. After the acrylization of the prosthetic piece, a delimited box corresponding to the flabby mucosa in the prosthesis base was verified. Thus, it is concluded that the association of techniques proposed in this study reduced the compression over the flabby ridge area resulting in a complete denture copying anatomically the flabby area at rest. Thereby, in this case through a precise negative reproduction, a more favorable retention of the maxillary complete denture was obtained in patients with flabby ridge at the pre-maxillary area. 

Author(s):  
Shital Jalandar Sonune ◽  
Shivkumar Singh ◽  
Shankar Dange

ABSTRACT Displaceable tissue on edentulous ridges may present a considerable clinical challenge to dental practitioners when providing complete dentures. Displaceable, or ‘flabby ridges’, present a particular difficulty and give rise to complaints of pain or looseness relating to a complete denture that rests on them. If the flabby tissue is compressed during conventional impression making, it will later tend to recoil and dislodge the resulting overlying denture.   A careful consideration and application of the principles of complete denture construction for such condition can provide a palliative form of treatment. This article describes reports of three such clinical cases, and demonstrates the use of a suitable impression technique. How to cite this article Sonune SJ, Singh S, Dange S. Displaceable Tissue: A Clinical Challenge treated with Palliative Approach. Int J Prosthodont Restor Dent 2012;2(1):34-37.


2018 ◽  
Vol 1 (2) ◽  
pp. 96-99
Author(s):  
Brijesh Maskey ◽  
S.R.B. Mathema ◽  
A. Bhochhibhoya

Flabby maxillary ridge is the most commonly encountered clinical condition during routine dental practice. The presence of these displaceable denture-bearing tissues often poses difficulty during fabrication of complete dentures resulting in compromised support, retention and stability. Many impression techniques and materials have been proposed in various literatures to help overcome this difficulty. These techniques vary in philosophies but are often quite time-consuming to perform, and rely on materials not commonly in use in contemporary dental practice. The purpose of this paper is to describe an impression technique for flabby ridges, using conventional impression material.


2018 ◽  
Vol 14 (2) ◽  
pp. 75-80
Author(s):  
Amar Bhochhibhoya ◽  
Binod Acharya ◽  
Samskar Bickram Rana ◽  
Rinu Sharma ◽  
Jemish Acharya ◽  
...  

ABSTRACTBackground: Impression making is one of the critical factors in determining success or failure of complete denture therapy. The precise reproduction of edentulous foundation is essential for retention, stability, and support of the removable prosthesis. Evidence suggests that there is variability in materials and techniques regarding impressions making for complete dentures. There is little published information on studies conducted among Nepalese Prosthodontists. The purpose of this study was to evaluate current materials andmethods for impressions for complete denture prosthodontics in Nepal. Materials & Methods: A questionnaire based survey was conducted among Nepalese Prosthodontists. Ethical approval for the beginning of the study was obtained via Institutional Review Committee, Nepal Medical College. A self-administered anonymous questionnaire was distributed to the participants. Data were analyzed by using frequency distribution.Results: Majority of responses indicated use of irreversible hydrocolloid in stock metal tray for making the preliminary impression. The selective pressure was the predominantly used impression philosophy (78.3%). The most common material for the fabrication of custom trays was autopolymerizing acrylic resin (96.7%). All respondents border molded the custom tray prior to making the final impression. The final impression materials used were zinc oxide eugenol impression paste (73.3%), polyvinylsiloxane (11.7%), polyether (11.7%) and polysulphide (3.3%). Conclusion: Although there is variability in impression materials andtechniques used by Prosthodontists in Nepal for the fabrication of complete dentures, the results showed interesting trends. Most practitioners followed the traditional techniques of complete denture impression procedures.Keywords: complete denture; custom tray; edentulism; impression.


2014 ◽  
Vol 21 (1) ◽  
pp. 78
Author(s):  
Helmi Fathurrahman ◽  
Titik Ismiyati ◽  
Suparyono Saleh ◽  
Haryo Mustiko Dipoyono

Defek telinga unilateral ataupun bilateral dapat disebabkan oleh berbagai faktor, diantaranya trauma, kelainan pertumbuhan, atau prosedur pengangkatan kanker. Kondisi ini akan mempengaruhi psikologis pasien karena telinga merupakan organ vital yang membentuk estetika wajah. Salah satu perawatan rehabilitasi pada defek telinga adalah dengan pembuatan protesa telinga. Tahapan penting dari pembuatan protesa telinga adalah mendapatkan cetakan yang akurat untuk membuat pola malam. Teknik pencetakan dalam pembuatan prothesa telinga diantaranya metode reversible hydrocolloid dengan sendok cetak malam, irreversible hydrocolloid dengan sendok cetak kaku dan metode pencetakan tiga lapis. Keunggulan teknik pencetakan tiga lapis adalah mudah di lakukan dan akurasi hasil pencetakan yang baik. Tujuan laporan kasus ini adalah mengaplikasikan teknik pencetakan tiga lapis dalam pembuatan prothesa telinga.Perawatan dilakukan pada seorang pria berusia 14 tahun yang mengalami defek kongenital telinga dextra (unilateral). Langkah pertama dalam pembuatan prothesa yaitu pencetakan telinga normal dan defek, dilanjutkan pembuatan pola malam dan basis protesa, kemudian tahap try in pola malam, processing silikon, dan insersi. Prosedur pencetakan telinga dengan teknik tiga lapis yaitu mengaplikasikan irreversible hidrocolloid pada regio post aurale (lapisan pertama), regio pra aurale, permukaan internal, (lapisan kedua), dan permukaan luar telinga (lapisan ketiga). Hasil pencetakan telinga dengan teknik tiga lapis adalah tiga lapisan irreversible hidrocolloid yang solid dan mudah untuk dipisahkan sehingga menjamin akurasi hasil pengecoran. Kesimpulan laporan kasus ini adalah teknik pencetakan tiga lapis dapat diaplikasikan dalam pembuatan prothesa telinga.Triple Layer Impression Method For Auricular Prosthesis. An unilateral or bilateral auricular defect can be caused by several factors including trauma, congenital malformation or surgical removal of neoplasm. These condition will affect patient psycologic because ear is a vital part of facial aesthetic. One of rehabilitation care of auricular defect is an auricular prosthesis. Important stage of making auricular prosthesis is to obtain accurate impression to make wax pattern. Impression technique including method of reversible hydrocolloid with wax collar, irreversible hydrocolloid with rigid tray and triple layer impression method. The excellence of the triple layer impression technique are easy to do and accuracy of good impression result. The aim of this case report is to apply triple layer impression method in the making of auricular prosthesis. The treatment was done in 14 years old male patient with chief compain of congenitally defect of external dextra ear. First step of making auricular prosthesis is making an impression of defect area and opposite ear, making prothesa basis and wax pattern, try in the wax pattern, sillicone processing, and insertion the prothesa. Triple layer impression method was done in three step, first the impression material was injected to post aurale region (first layer), than injected to internal surface of ear (second layer). Subsequently, the third layer of impression material was partially filled into the tray and external surface of ear.The result of triple layer impression method in the making of auricular prosthesis is triple layer of solid irreversible hydrocolloid but separatable completly. Conclusion of this case report is the triple layer impression method is suitable for making an auricular prosthesis.


2017 ◽  
Vol 9 (1) ◽  
pp. 5-14
Author(s):  
Anil K. Subhash ◽  
Deviprasad Nooji ◽  
Dr. Pranav V. Mody ◽  
Nishna Pradeep ◽  
Faris Mohammed Shafi ◽  
...  

INTRODUCTION: Study aimed to investigate the influence of mandibular residual ridge shape on masticatory efficiency in complete denture wearer. MATERIAL & METHODS: Twenty-eight complete denture wearers of age group 45-65 who received their complete dentures and who had no complaints in daily use of them were selected for the study. The mandibular residual ridge was evaluated by using a replica of the ridge obtained using silicone impression material The basal area of the replica was measured by a Cercon eye scanner. The volume and the height of the replica were then mathematically calculated. Masticatory efficiency in each subject was measured by the sieving method. The data obtained were analysed through Karl Pearson’s coefficient of correlation. RESULTS: The results of this study showed significant correlation of the masticatory efficiency to the basal seat area, volume as well as to the height of the mandibular residual ridges. Among the three parameters, the basal area showed the strongest correlation. CONCLUSION: From this study, it was concluded that the basal area of the denture foundation greatly influenced the masticatory efficiency when compared to the volume and height of the mandibular residual ridge.


2012 ◽  
Vol 38 (5) ◽  
pp. 617-619 ◽  
Author(s):  
Tuncer Burak Ozcelik ◽  
Burak Yilmaz

Several implant impression techniques with different materials have been described in the literature. Generally, border molding, functional, and final impressions have been made with 3 different materials, which makes the procedure technique-sensitive and time-consuming. A combination of open-tray and functional impression techniques is described in this technical report. Border molding and functional impression procedures are made at the same time using a vinyl polysiloxane impression material, which makes this technique a simple and time-efficient alternative for clinicians.


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