Hypermobile ridges or flabby edentulous ridges are a common occurrence in edentulous patients. The literature reveals that the mucostatic impression technique is one of the treatment options in this scenario. Conventional mucostatic methods like employing a window tray technique, multiple relief holes, or double spacers can be employed when the flabby tissue is localized. 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 mucostatics. This presentation is a clinical report of a patient with a generalized flabby maxillary edentulous ridge opposing a partially edentulous mandibular arch. A split two-part special tray using the principle of magnetic attraction for self retention was fabricated. This self retention ruled out finger pressure during impression making, helping to achieve mucostatics.
This study was done to determine the relationship between interalar width and inter commissural width on circumferential arc width of maxillary anterior teeth in dentulous subjects between the age groups of 20-50 years. The study involved 300 subjects, in whom measurements were made from the distal aspect of each maxillary canine, across the facial surfaces of the six anterior teeth, using brass wire and a Vernier calliper. Interalar and inter commissural width were recorded after placing two points and measured with a Vernier calliper. Results were statistically analyzed using unpaired t test, Kolmogorov-Smirnov and Pearson's correlation coefficient test. This study confirmed the reliability of interalar width to determine the circumferential arc width which can be used as a reference in edentulous patients.
The rationale for doing full mouth rehabilitation are, when occlusal forces become traumatic hampering the health of periodontal tissues, extensive occlusal diseases, trauma, temporomandibular joint disease and congenital disorders with malformed dentition. Literature exposes that full mouth fixed rehabilitation is one of the taxing procedures in the field of Prosthodontics. A critical aspect for successful occlusal rehabilitation is to determine the aetiology, correct sequence of treatment and most importantly the occlusal vertical dimension and centric relation in which to plan the treatment. A systematic approach in managing these patients can lead to a predictable and favourable prognosis. This article presents the stages of prosthodontic rehabilitation, from diagnosis to final treatment and follow-up, of a bruxer patient with severely worn dentition.
Restricted mouth opening of a patient presents a great challenge in prosthodontic rehabilitation, especially with complete dentures. Making an adequate border molded secondary impression is crucial in the success of such prostheses. Numerous techniques exist for making impressions in cases of microstomia. All of them involve sectional impressions and extraoral reorientation of the segments. Peripheral seal is compromised in these procedures. This article is laid out to explain how preserving border seal by using single-stage impression is by far the best technique found in the Prosthodontic literature to eliminate the cumbersome sectional impression method. A new method of preserving the seal by means of an impression recorded at a single stage is proposed.
Repairs of the cleft nose, lip, and palatal deformity remain challenging endeavors for reconstructive surgeons. Postsurgical nasomaxillary hypoplasia is a common finding in patients with extensive clefts. This complex deformity has a pronounced impact on the social behavior and self image of the subject. Esthetic and functional rehabilitation of this postsurgical defect is scarcely reported in the literature. Support in the form of prostheses or stents to prevent tissue collapse is usually required in these patients following surgery. This clinical case presentation discusses the fabrication of an internal nasal stent for a cleft nose, lip, and palate patient following surgical reconstruction. Two prostheses using two prosthetic materials (Polymethyl methacrylate, flexible resin) were prepared to compare their efficacy. The final prostheses improved the patient's appearance, making the postsurgical defect less conspicuous.
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