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

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.

2015 ◽  
Vol 7 (1) ◽  
pp. 45-47
Author(s):  
Nirmala Kumari ◽  
M. Kalavathi ◽  
Bhuvana Sachin ◽  
Jayesh Jain

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.


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


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.


2015 ◽  
Vol 05 (02) ◽  
pp. 069-073
Author(s):  
Vinaya Bhat ◽  
D Prasad Krishna ◽  
Shipra Kant

AbstractOne of the most commonly faced problems among long term denture wearers is the reduction in the denture foundation. Prosthetic rehabilitation of a patient with severely resorbed ridge is the most challenging therapy a prosthodontist can undertake. In order to have a favourable prognosis for the denture therapy, impression technique selected should be based on the present state of the basal tissue support. This article presents the application of neutral zone concept being incorporated in impression making to achieve successful complete denture therapy.


2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Danny Omar Mendoza Marin ◽  
Andressa Rosa Perin Leite ◽  
Norberto Martins de Oliveira Junior ◽  
Marco Antonio Compagnoni ◽  
Ana Carolina Pero ◽  
...  

The assessment and reestablishment of the occlusal vertical dimension (OVD) are considered important factors in the treatment of complete denture wearers. The long-time use of a complete denture can result in jaw displacement due to abrasion of the artificial teeth and residual ridge resorption, causing esthetic complications. Most patients with old dentures and incorrect OVD accept reestablishment of the OVD with new complete dentures, even if they were used to their old dentures. The present clinical report describes a method of gradual reestablishment of OVD using a diagnostic acrylic splint on artificial teeth in old complete dentures before the manufacture of new complete dentures.Clinical Significance. The use of a reversible treatment for reestablishment of the OVD in old complete dentures with a diagnostic occlusal acrylic splint allows for the reestablishment of the intermaxillary relationship, providing physiological conditions of masticatory performance associated with the recovery of facial esthetics in edentulous patients.


2021 ◽  
Vol 12 (3) ◽  
pp. 55-58
Author(s):  
Shantanu Mulay ◽  
Chetan Modgi ◽  
Gulab Baid ◽  
Bhagyashri Mulay

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