An impression technique is required which will compress the non flabby tissues to obtain optimal support and. Management tissue rest option 1 mucocompressive impression technique option 1 mucostatic impression of flabby area mucocompressive impression of remaining palatal area. Limitations of the surgical approach are that most of the patients in. Forces exerted during the act of impression making can result in distortion of the. This case report described management of flabby tissue in maxillary anterior ridge area with a liquidsupported denture and using window impression technique. The aims to explain the window impression techni q ue for a single denture with flabby tissue area in maxillary anterior ridge in the form of case report. The purpose of this study was to compare the retention of complete dentures made by using different impression techniques like conventional, admixed, all green, and functional techniques. Prosthodontic literature has documented various impression techniques for overcoming the problem of the flabby ridge. On average, rrr is greater in mandible than maxilla. Unless managed appropriately by special immpression techniques, such flabby ridge adversely affect the support, retention, and stability of complete dentures. It involves making of a primary impression by mixing impression compound and greene stick compound in the ratio of 3.
A particular problem is encountered in the conventional impression making if a flabby ridge is present within an. Management of flabby ridges using liquid supported denture. Sep 09, 2017 clearly, an impression technique is required which will compress the non flabby tissues to obtain optimal support, and, at the same time, will not displace the flabby tissues. Unless managed appropriately by special impression techniques, such flabby ridges adversely affect the support, retention and stability of complete dentures. A simplified approach for management of flabby ridges a case report international dental journal of students research. Other than modifying impression technique to manage fibrous ridge, various other approaches can also be considered such as surgical exicison of the flabby tissue, use of dental implants and fabricating a liquid supported denture. Management of the flabby ridge using a modified window. Zafrulla khan has described one such technique of taking impressions in such scenarios. Fibrous or flabby alveolar ridges pose significant problems for the provision of.
In this paper, the authors have proposed a newer technique of impression making of the flabby tissues using a combination of readily available newer and older materials. The impression is then poured and a special tray is constructed on the model. A window technique is used for impression of flabby ridge using a close fitting custom tray with a window watt et al. Pdf impression techniques for management of flabby. Window impression technique for a single denture with.
A flabby ridge is one which becomes displaceable due to fibrous tissue deposition. This paper presents case report for prosthodontic rehabilitation of a patient with flabby ridge with mccord and ahmad impression technique. This article presents a modified custom tray design and single impression technique for the management of maxillary flabby ridge using a case report. Pdf window impression technique for a single denture with. The degree of muscular activity and the region to which the denture can be extended without displacement are important aspects of any impression technique. Impression of the sound edentulous arch that can withstand the occlusal load made with pressure technique. This article describes three different impression techniques for recording flabby resorbed ridges, viz hobkirk technique, 5 massads technique, 6. Thus, over the years, several impression techniques have been suggested for the impression of a flabby tissue ridge which will support the flabby tissue but at the same time will not displace it. Flabby ridge that causes pain or looseness ridge is a superficial area of hyperplastic soft tissue affecting maxillary or mandibular alveolar. When making final impressions of highly displaceable ridge tissues, an impression technique is required that will compress rigid tissues that are still capable of bearing a load so that they can be used for retention and absorbing.
Pdf stock tray modification for twostage impression. Stock tray modification for twostage impression technique for recording flabby ridges. Atrophic ridge, physiologic impression, spacer design. A technique which uses two separate impression materials flabby tissues and zinc oxide eugenol over the normal tissues technique where two separate impression trays and materials were used by osborne to separately record the flabby and normal tissues and then related intraorally 5. Notably, it is a referred, highly indexed, online international journal with high impact factor. Impression techniques for the resorbed mandibular arch. Modified impression techniques when used in this condition can record the flabby tissues in an undistorted form and thus help to fabricate a stable and functionally satisfying denture. An impression technique is required which will compress the non flabby tissues to obtain optimal support and at the same time, will not displace the flabby tissues. P singh3 and jasleen saini4 1associate professor, faculty of dentistry.
Accurate impressioning of these tissues plays a major role in ensuring a wellfitting prosthesis. This report presents a modified window technique for the impression of anterior maxillary flabby ridge using pvs impression material. Modified technique for the management of the difficulties in. Flabby tissues present a challenging clinical scenario for the clinician to ensure a wellfitting prosthesis. This paper describes the modified impression technique for the fabrication. Case described in this article uses alternate stock metal trays edentulous, perforated to record the flabby tissue using. A proper impression technique is required to overcome such situations. The purpose of this paper is to describe an impression technique for flabby ridges that makes use of polyvinylsiloxane impression dental materials routinely available in general dental practice. This article attempts to present a modified physiologic impression technique using contemporary materials and suitable spacer design for atrophic mandible. Special impressions often involve window technique for static impression of flabby area, which present multiple challenges.
Residual ridge reduction the reduction of residual ridges is chronic, progressive, irreversible, and cumulative. An impression technique is required which will compress the non flabby tissues to obtain optimal support and at the same time, will not displace the flabby. The use of conventional impression techniques on flabby ridges can lead to an unstable and unsatisfactory denture. Pdf impact of various impression techniques on maxillary. Introduction as a result of improved dental treatment philosophies, increased awareness and advanced dental technology, number of patients who retain some or all of their natural teeth has increased 1. In this study ten completely edentulous maxillary arches patients with. In this paper, the authors have proposed a newer technique of impression making of the flabby tissues using a combination of readily available newer and. Pdf impression techniques for management of flabby ridges in. Quantifying flabby ridge tissue displacement during impressionmaking for patients with combination syndrome. Management of the flabby ridge using a modified window technique. The history of complete denture impression procedures has been influenced largely by the development of impression materials from which new techniques and ideas arose. Numbers of impression techniques have been described in the literature for resorbed mandibular ridge 4, 16, 17. A modified physiologic impression technique for atrophic.
Introduction as a result of improved dental treatment philosophies, increased awareness and advanced dental. Prosthodontic rehabilitation of patient with flabby ridges. A physiologic impression technique for resorbed mandibular ridges manisha herekar1, megha sethi2, aquaviva fernandes3, harish kulkarni4 professor and head, 2postgraduate student, email. Flabby ridge, hyperplastic soft tissue, mccord and ahmad technique. Zafrulla khan has described a commonly used technique in impression making of flabby tissue. Case report a single step impression technique of flabby. The result is a composite material exhibiting greater flowability and hence better recording of details. Introduction flabby ridge or movable tissue is most. Impression of flabby displaced maxillary ridge in all areas clinical appearance fabrication of custom tray custom tray with adhesive tape completed pop impression. Window impression technique, flabby ridge, polyvinyl siloxane, hypermobile tissues, mucostatic, light body impression material. It was recorded in rest position by injecting light body addition silicone material aquasil, dentsplycaulk.
The clinical examination showed the maxillary complete edentulous ridge with flabby ridge area in the maxillary anterior region opposing the anterior natural teeth in the mandibular. A physiologic impression technique for resorbed mandibular. Case report a sixty year old female patient, reported to the department of prosthodontics including and. Pai, 1 vikramsimhareddy, 2 andrushadnarimanhosi 2 department of prosthodontics, manipal college of dental sciences, manipal university, manipal, mangalore, karnataka, india. The mandibular ridge was very poor and needed equal attention like maxillary ridge figure 1. For the mandibular impressions, a cast framework replacing the missing teeth was tried and adjusted. In the present case, the impression technique adopted for making of the final impression of the maxillary arch was first described by osborne in 1964 for use in the mandible. Pai, 1 vikramsimhareddy, 2 andrushadnarimanhosi 2 department of prosthodontics, manipal college of dental sciences, manipal university, manipal, mangalore. Five steps to flabby ridge success british dental journal. International journal of science and research ijsr is published as a monthly journal with 12 issues per year. Management of maxillary flabby tissue with two part tray. This study was conducted to determine the effect of various impression techniques on the displacement of flabby tissues overlying the edentulous maxillary ridge. Maxillary flabby ridge zafrulla khans window technique.
Pdf a single step impression technique of flabby ridges. When making final impressions of highly displaceable ridge tissues, an impression technique is required that will compress rigid tissues that are still capable of bearing a load so that they can be used for retention and absorbing the forces of mastication and, at the same time, displace flabby tissues minimally. Considering patients health, willingness for surgical procedures, financial status, and extent of mobile tissue, liquidsupported denture option was chosen. As the flabby tissues are easily distorted while impression making steps, the dentures fabricated. Prosthodontic rehabilitation of patient with flabby ridges with different impression techniques case reports.
However, there is no evidence to support that one particular impression technique will provide a stable and retentive denture on flabby ridges as compared to others mccord and grant, 2000. This paper presents a case report of one of the impression making technique for edentulous patient with flabby alveolar ridge. Case report management of flabby ridges in complete. Prosthodontic management of flabby ridge from modified impression to denture pooja arora1, vipin arora2, s.
A primary impression is taken in alginate loaded in a stock tray. A singlestep impression technique of flabby ridges using monophasepolyvinylsiloxane material. This technique aims to displace but not distort the flabby ridge as if in function. Management of the flabby ridge using a modified window technique and polyvinylsiloxane impression material. A fibrous or flabby ridge is a superficial area of mobile soft tissue affecting the. Modified technique for the management of the difficulties. Prosthodontic rehabilitation of patient with flabby ridges with.
This study also revealed that flabby ridge is more common in males compare to female patients figure 1. It is developed when hyperplastic soft tissue replaces the alveolar bone. Ijcdc july dec 2017 vol 7 issue 2 indian journal of. The special tray is close fitting and has a hole or window over the area corresponding to the flabby ridge. A simplified approach for management of flabby ridges a case report ravikanth anne1, prakash manne2. Comparison of different final impression techniques for.
These problems are more pronounced in mandible due to lesser denture bearing area and other anatomical limitations. This paper presents three case reports for prosthodontic rehabilitation of patient with flabby ridges with three different impression techniques. Mar 11, 2006 if the flabby tissue is compressed during conventional impression making, it will later tend to recoil and dislodge the resulting overlying denture. Quantifying flabby ridge tissue displacement during. A single step impression technique of flabby ridges using monophase polyvinylsiloxane material. Allen, management of the flabby described a technique whereby two separate impression ridge. Special impression techniques displaced flabby maxillary ridge unemployed mandibular ridge flat atrophic mandibular ridge covered with atrophic mucosa denture space impression neutrozone impression technique. Nov 19, 2014 sectional impression techni ue window technique.
Management of flabby ridge using modified window technique. Zinc oxide eugenol impression paste is first used for making impression and then tissue is painted using impression plaster onto the displaceable tissue. Case report management of flabby ridges in complete denture. Preliminary impression was made in a stock tray with irreversible hydrocolloid impression material. Knowledge,attitude and practice of various impression. This presentation is a clinical report of a patient with a generalized flabby maxillary edentulous ridge opposing a partially edentulous. Casereport open access management of maxillary flabby. A female patient aged 40 years reported to the department of prosthodontics with the chief complaint of loose upper denture and wanted fabrication of a new denture. Case report a single step impression technique of flabby ridges using monophase polyvinylsiloxane material. Under compression, the denture bearing area will exhibit localised mobility around the flabby tissue. An altered cast impression technique was used to get the master cast. The biggest advantage of this technique is that we can refill the hollow cavity with glycerine in case of leakage. But in cases of generalized flabbiness of the residual ridge, even the manual placement and manipulation of a custom tray may distort the tissues, violating the principle of.
A particular problem is encountered if a flabby ridge is present within an otherwise normal denture bearing area. A single step impression technique of flabby ridges using. Window impression technique for a single denture with maxillary anterior flabby ridge objective. Selective impression techniques have long been used in such cases, ensuring the displaceable. Massads technique, final impression making is performed with a special stock tray specifically designed to meet the patients requirement. Various impression techniques have been described to overcome the problem of flabby tissue. The table shows the result of knowledge, attitude and practice of various impression techniques available for flabby ridge in edentulous patients among interns. The literature reveals that the mucostatic impression technique is one of the treatment options in this scenario. Theaims to explain the window impression technique for a single denture with flabby tissue area in maxillary anterior ridge in the form of case report. Many impression techniques have been proposed to help overcome this difficulty. Pdf window impression technique for a single denture. Fabrication of new complete dentures was planned for the patient with recording of flabby tissue in undisplaced condition using hobkirk technique.
Conventional mucostatic methods like employing a window tray technique, multiple relief holes, or double spacers can be employed when the flabby tissue is localized. For final impression of maxillary ridge, the technique was selected aiming at recording the flabby tissue in an undisplaced or in an undistorted. Conclusion managing a patient with flabby maxillary ridge can be a challenging problem. Impression procedure for flabby ridge objectives impression of the flabby area made with pressure free technique. The purpose of this paper is to describe an impression technique for making impressions of denture bearing areas con taining flabby ridges, which uses a simpli. Liquid supported denture fabricated using modified window impression technique can stand a better option in case of flabby ridges. Thus this case report presents a modified impression technique for flabby tissues in the anterior maxillary region.
Impression techniques for the effective management of flabby. This technique is quite useful in poor ridge cases. Complete denture fabrication in clinically compromised situations such as flabby ridges is a challenging task for the clinician. Impression making plays critical role in complete denture fabrication. Pdf impression techniques for management of flabby ridges.
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