Displaceable Tissue: A Clinical Challenge treated with Palliative Approach (original) (raw)
Related papers
Displaceable Tissue: A Clinical Challenge for a Prosthodontist
Asian Pacific Journal of Health Sciences, 2014
A fibrous or flabby ridge is a superficial area of mobile soft tissue affecting the maxillary or mandibular alveolar ridges. Restoration of such ridges often requires special consideration in impression making. Masticatory forces can displace this mobile denture-bearing tissue, leading to altered denture positioning and loss of peripheral seal. Forces exerted during the act of impression making can result in distortion of the mobile tissue. Unless managed appropriately by special impression techniques, such 'flabby ridges' adversely affect the support, retention and stability of complete dentures. This paper describes a technique especially applicable for mandibular edentulous flabby ridges. The choice of the impression material, as well as the design of the impression tray, focuses on preventing distortion of the displaceable residual ridges during impression making. The use of this technique helps in maintaining the contour and capturing the detail of the tissues, as well as in accurately determining the extent of the muccobuccal denture extensions.
Making of a final impression of flabby tissue with minimal or no displacement of tissue and better stability of the denture. A fibrous or flabby ridge is a mobile or extremely resilient alveolar ridge that becomes displaceable due to fibrous tissue deposition. Inadequate support, stability, and retention of a complete denture are the problems encountered in these patients. This article represents a review of different impression techniques for the management of flabby ridge in complete dentures. These impression techniques helped in recording flabby tissue with minimal displacement and hence enhanced the stability, support, and retention of the denture.
J Cont Med Dent, 2022
Flabby tissue is not an uncommon occurrence, especially in old denture wearers with a misfit denture. Frequent denture movements during function initiates a hyperplastic tissue reaction and thus the tissue grows. As the tissue grows further away from the bone, it loses its resiliency and natural normal clinical characteristics. The tissue no longer becomes suitable to support a prosthesis. Historical approaches in managing such cases have been mainly surgical, till it was realized that the tissue growth is reversible which paved way for conservative prosthetic managements. With the advent of elastomeric impression materials, the techniques became numerous and currently there are many techniques described in the literature. With a background of strong basic sciences, this article in the form of case series reviews four commonly used techniques and discusses the pros and cons of each in the light of applied sciences. Four techniques critically analyzed are the putty reline, palatal splinting, sectional impression and window technique. The basis of this critique is the fundamental physical, rheological and clinically relevant properties of each material used with a particular technique. In the light of recent evidence, different techniques have been analyzed and wherever possible, the preferred material or alternative technique has been mentioned.
Alternative impression technique for edentulous anterior maxillary flabby tissue
Research, Society and Development
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. A...
Management of Flabby Ridges using Liquid Supported Denture
Polytechnic Journal
The concept of conditioning edentulous ridge mucosa has gained momentum over the last several years. Frequent relining of the complete denture may be required because of soft tissue changes arising from underlining bone resorption. Patients with the maxillary flabby ridge had difficulty in tolerating hard denture, inadequate retention, and stability of a complete denture are often encountered, so the denture can be made more comfortable using soft liner. Hardening of the soft liner with time, harboring of bacteria, and debonding from denture base is a major drawback of soft lining materials. Introduction of liquid-supported dentures, to be an alternative to conventional complete denture prosthesis in cases suffered from inflamed tissues and severely resorbed edentulous ridges. A liquid supported denture provides an alternate treatment option due to its soft and flexible intaglio surface allows better distribution of masticatory load stress since in such cases. Liquid supported acryl...
Management of Maxillary Flabby Tissue & Highly Resorbed Mandibular Ridges
Citation: Krishna Lahoti (2016) Management of Maxillary Flabby Tissue & Highly Resorbed Mandibular Ridges. J Dent Oral Health 1: 1-5. Abstract Prosthodontic rehabilitation of a patient with poorly resorbed ridges in a conventional manner is a difficult task. Modifications in the treatment procedures should be considered to fulfill the patient's functional and esthetic desires. The key to successful denture therapy lies in precise execution of the treatment plan formulated by evaluation of a detailed comprehensive history and thorough examination. Such a treatment is based on M Muller Devan's principles of preservation of what already exists than the mere replacement of what is missing [1]. This article provides detailed treatment planning for poorly resorbed eden-tulous ridges.
Means Beyond Surgeries & Implants; For Atrophic Ridges-A Case Report
IOSR Journals , 2019
The ultimate objective of dentistry is to help and support patients to keep all their teeth throughout their lives in healthy and comfortable condition. However, if teeth are lost despite the efforts to save them, a restoration must be made in such a manner that it functions efficiently and comfortably in harmony with the muscles of the stomatognathic system and temporomandibular joints. Since it is difficult to achieve this harmony in highly atrophic mandible so in order to have a favourable prognosis in such conditions, the impression technique selected must to be based on the present state of the basal tissue support and the biometric denture space should be respected. This paper presents a case report, whereby a complete denture has been shaped by muscle function in harmony with the surrounding oral structures and special impression technique is used to record atrophic ridges to increase the retention and stability of the denture besides maintaining the facial aesthetics.
Designating and Managing the Flabby Ridges: A Case Series
2018
A fibrous flabby and movable ridge is a superficial area of soft tissue in the anterior region of the maxillary or mandibular alveolar ridge affecting patient comfort and oral health including the hard and soft tissues of the ridges and ultimately leading to chronic irritation and resorption. These consequence leads to loss of retention, stability and support. It usually occurs when natural teeth opposes an edentulous ridge. It could also arise as a result of unplanned or hysterical dental extractions. Displaceable, hyperplastic or flabby tissues are commonly seen in combination syndrome reported by Kelly in 1972 or when extensive bone resorption has occurred.1,2 The reported prevalence for this condition also varies among investigators, but it has been observed in up to 24% of edentulous maxillae, 5% of edentulous mandible and in both jaws most frequently in the anterior region.3 Flabby ridges are typically composed of mucosal hyperplastic and loosely arranged fibrous connective ti...
Flabby tissue– revisited: Case report
International journal of applied dental sciences, 2021
The success of complete denture is enhanced by achieving the objectives of impression making, that is preservation of underlying tissue, retention, stability, support and esthetics. Flabby tissue is a common clinical finding affecting the alveolar ridges of both mandibular or maxillary arches. The use of conventional impression techniques for recording flabby tissues can lead to unstable and unsatisfactory denture. But some modification in the impression techniques can record the flabby tissues in an undistorted form and thus help to fabricate a stable denture. The problem with conventional denture is rigidity of material which comes in contact with tissue surface, leading to uneven distribution of load. A liquid supported denture allows uniform stress distribution due to its flexible tissue surface and provides improved patient's acceptance.