scholarly journals The Sandwich Denture—A Novel Way to reduce Ridge Resorption

Author(s):  
Siddharth Bansal ◽  
Meena Aras

ABSTRACT Many edentulous patients with severely resorbed ridge complain of loss of retention and discomfort with the use of conventional complete dentures. Basic principles of retention, stability and support are lost in these patients as overlying mucosa is thin and nonresilient. This article describes a case report of a 52-year-old completely edentulous female patient with severely resorbed mandibular ridge where a novel technique was used by sandwiching a layer of permanent soft resilient liner (Molloplast-B) between the denture teeth and denture base to reduce traumatic impact of masticatory forces on residual ridges and thereby reducing the residual ridge resorption. The resilient layer acts as a ‘shock absorber’ or ‘stress distributor’. How to cite this article Bansal S, Aras M, Chitre V. The Sandwich Denture—A Novel Way to reduce Ridge Resorption. Int J Prosthodont Restor Dent 2013;3(2):68-71.

2021 ◽  
Vol 11 (13) ◽  
pp. 5786
Author(s):  
Hwa-Jung Lee ◽  
Jeongho Jeon ◽  
Hong Seok Moon ◽  
Kyung Chul Oh

This technical procedure demonstrates a 4-step completely digital workflow for the fabrication of complete dentures in edentulous patients. The digital scan data of the edentulous arches were obtained using an intraoral scanner, followed by the fabrication of modeless trial denture bases using additive manufacturing. Using the trial denture base and a wax rim assembly, the interarch relationship was recorded. This record was digitized using an intraoral scanner and reversed for each maxillary and mandibular section individually. The digital scan data directly obtained using the intraoral scanner were superimposed over the reversed data, establishing a proper interarch relationship. The artificial teeth were arranged virtually and try-in dentures were additively manufactured. Subsequently, the gingival and tooth sections were additively manufactured individually and characterized. Thus, fabrication of digital complete dentures can be accomplished using digital data characteristics. The workflow includes data acquisition using an intraoral scanner, data processing using reverse engineering and computer-aided design software programs, and additive manufacturing.


2019 ◽  
Vol 12 (1) ◽  
pp. 72-74
Author(s):  
A Khanal ◽  
IK Limbu ◽  
PK Parajuli ◽  
P Suwal ◽  
RK Singh

Retention, stability and support are the basic principles on which the success of a complete denture relies on. Extreme resorption of the maxillary denture-bearing area leads to a narrower, constricted residual ridge with decreased supporting tissues and a larger restorative space between the maxillary and mandibular residual ridge. Rehabilitation in such cases may result in increased weight and height of the prosthesis further compromising its retention, support and stability. So, to prevent further resorption of ridges, the weight of the prosthesis needs to be reduced which can be achieved by making hollow prosthesis. This case report describes a novel technique of fabricating maxillary hollow maxillary complete denture.


Author(s):  
C Guna Sekar ◽  
Chitraputhrapillai Sabarigrinathan ◽  
Krishnamoorthy Vinayagavel ◽  
Karthikeyan Ramkumar ◽  
Muthuveeraganapathy Dhanraj

ABSTRACT Aim A technique to reproduce the exact natural anatomy of the palatal surface, known as “anatomical contour” in even thickness onto the maxillary permanent denture base. Background In constructing oral prostheses, dentists are pri- marily concerned with replacing structural losses. However, we are necessarily adding to regions having no structural loss, e.g., the hard palate region. When these structures are covered by a denture, the proprioceptive feedback mechanism is changed and, naturally, dentures affect phonetics, which causes a tem- porary change in the articulation of speech sounds. Technique A metal ring plate in standardized different thick- nesses (1.5, 2, and 2.5 mm), which adapt to dental flask lower base, is made and used in the routine fabrication method of denture base processing. Conclusion The quick and easy methods of replicated entire individualized natural anatomical palatal contour, in various even thicknesses in the permanent maxillary denture base, including the incisive papilla, palatine suture, and palatal rugae, can be employed to newly fabricate maxillary complete dentures. Clinical significance This is a comprehensive approach to utilize the collective factors of suggested methods, techniques, and conclusion by various authors for speech improvement with maxillary denture. How to cite this article Sekar CG, Sabarigrinathan C, Vinayagavel K, Ramkumar K, Dhanraj M. Novel Technique for Replication of Natural Palatal Anatomy onto the Maxillary Permanent Denture Base within an Even Thickness. Int J Prosthodont Restor Dent 2017;7(3):92-96.


Author(s):  
Sundeep Malla ◽  
Manas Vaishnav ◽  
Shalimar Shalimar ◽  
Kumble Seetharama Madhusudhan

AbstractRadiofrequency Ablation of subcapsular lesions poses a challenge due to the risks of tumour seeding along the track, hemorrhage and lower efficacy. “No touch ablation” is a relatively novel technique used in the ablation of subcapsular HCC with good results. This technique avoids direct puncture of the tumour by inserting more than one electrodes adjacent to and outside the tumor and activating them sequentially to perform ablation. The risk of track site seeding and haemorrhage is significantly reduced. We describe a case of a subcapsular HCC in a 65-year-old female patient which was successfully treated with this novel technique.


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


2019 ◽  
Vol 1 (1) ◽  
pp. 13
Author(s):  
Edy Machmud ◽  
Sitti Arpa

Objective: According to the manufacture, fewer than 1 in 10 capsule associated with overdentures on natural teeth separated from the denture base during an 8-year clinical trial; more interestingly, none experience loss of magnetic attraction.Methods: A 50 year old female patient came to Dental Hospital Makassar Hasanuddin University wanted to fix a loose denture, which has been used for 9 years. Chief complaint was a mobile mandibular denture. Treatment for the restoration of oral function, including mastication, using mandibular implant-retained overdenture with magnets in total edentulous. Implant supported retained with magnetic attachment constitute an accurate and predictable treatment option and achieve a higher patients satisfaction.Results: The surface of both magnet and attachment keeper were coated with titanium nitride (TiN). Self-curing resin was used for luting between  magnets and denture base resin.Conclusion: Magnetic attachments can be used to retain mandibular implant overdenture.Key words: Implant supported overdenture with magnets, resorbed alveolar ridge, total edentulous


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.


2020 ◽  
Vol 11 (SPL4) ◽  
pp. 1067-1070
Author(s):  
Diksha Agrawal ◽  
Priyanka Jaiswal ◽  
Prasad Dhadse ◽  
Kashish Mangal

Alveoloplasty is one of the common pre-prosthetic surgical procedure carried out in dental surgical practice setups. A. T. Willard in 1853 advocated reduction of the alveolar ridge to bring about the complete proximity of soft tissues over the alveolus. Sir O. T. Dean first proposed “Intra-septal alveoloplasty” in the American Dental Association journal in 1936 so, named as Dean's alveoloplasty. The objective of Pre-prosthetic surgeries provide adequate bony tissue support for the placement of complete dentures. the characteristics of ideal denture base are adequate bony support with proper soft tissue coverage, no undercuts, no sharp ridges. Preprosthetic surgical treatment must begin with a thorough history and physical examination of the patient. The aim of the alveoloplasty procedure is used for recontouring of bony irregularities at the time of extractions or after initial healing. This case report illustrates case of a 71 year old healthy male. On examination who revealed irregular bony spicules on the edentulous ridge. After complete evaluation, alveoloplasty procedure was performed to smoothen the ridge. Proper diagnosis of the condition of edentulous ridges are important for successful fabrication of complete dentures. Every effort should be made to ensure that both the hard and soft tissues are developed in a form that will enhance the patient's ability to wear a denture.


2020 ◽  
pp. 1-3
Author(s):  
Nidhi Beria ◽  
Rajeev Singh ◽  
Asha M. Rathod ◽  
Gaurang Mistry ◽  
Charusheela Sardar

Patients presenting with flabby or displaceable tissue continue to challenge even the most competent dental practitioners A fibrous or flabby ridge is a superficial area of mobile soft tissue affecting the maxillary or mandibular alveolar ridges. It can develop when hyperplastic soft tissue replaces the alveolar bone and is a common finding particularly in the upper anterior region of long-term denture wearers. Masticatory forces can displace this mobile denture-bearing tissue, leading to altered denture positioning and loss of peripheral seal. Under compression, the denture bearing area will exhibit localised mobility around the flabby tissue. Unless managed appropriately, such “flabby ridges” adversely affect the support, retention, and stability of complete dentures. Many impression techniques have been proposed to help overcome this difficulty Selective impression techniques have long been used in such cases, ensuring the displaceable tissue is recorded 'at rest'. Subsequently, the denture will maintain its peripheral seal during function This article presents a case report for prosthodontic rehabilitation of a patient with flabby ridge with a window tray impression technique, modified with dual trays.


2011 ◽  
Vol 2 (4) ◽  
pp. 346-349
Author(s):  
V Chandrakala

ABSTRACT A basic concern of edentulous patients is retention of their dentures. This has led to considerable experimentation and research in efforts to perfect dentures that compensate for the loss of natural teeth. The use of multiple miniature suction cups made from a soft material lining the denture satisfies the requirements of retention and stability. A technique describing the fabrication of a maxillary and mandibular multicup dentures which are more beneficial than conventional complete dentures is discussed below with case report.


Sign in / Sign up

Export Citation Format

Share Document