Thus this technique helps in maximizing the functional support from h ed nul osr ig. 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. A fibrous or flabby ridge is a superficial area of mobile soft tissue affecting the maxillary or mandibular alveolar ridges. Dr.Yusr Mady 8,126 views. Flabby ridge is predominantly seen in the upper anterior region and is commonly associated with features of combination syndrome, as mentioned by Kelly [1]. FOR EFFECTIVE MANAGEMENT OF FLABBY RIDGE- AN OVERVIEW ASHISH R. JAIN 1* ... • Selective pressure impression technique: In this technique, during impression making pressure Ø Two techniques were developed for the management of flabby ridge. Selective Displacement / Selective Composition Flaming Technique Selective pressure techniques, 3. pressure techniques Non-pressure technique (mucostatic) The variety of impression materials and the range of working characteristics of these materials, make possible the development of impression procedures best suited for specific conditions. Case Rep Dent 2014;2014:104541. If the degree of mucosal displacement is minimal, one part impression technique or selective perforation tray technique may be considered (4). 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. 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 … Rationale behind it was that as the patient functioned, the denture would move forward, returning the tissues to original form 5 BOUCHER introduced a method of impression technique- “SELECTIVE PRESSURE TECHNIQUE”www.indianentalacademy.com 8. London: Quintessence; 1996. 9 The selective pressure impression involves preparation of a custom impression tray to ensure the application of light pressure to areas of the arch that can best tolerate functional loads. 8 This method is based on the histological anatomy of the supporting tissues. IDA J 2013;46:87-93. Pressure technique 2. The use of selective pressure or minimally displaced impression techniques should help to overcome some of these limitations. Various impression techniques have been described to overcome the problem of flabby tissue. Minimal pressure technique 3. The proposed technique consists on the association of nondisplacive impression of the flabby area in the primary and functional impression. Conclusion Managing a patient with flabby maxillary ridge can be a challenging problem. PopUp = window.open( location,'RightsLink','location=no,toolbar=no,directories=no,status=no,menubar=no,scrollbars=yes,resizable=yes,width=650,height=550'); }, Source of Support: None, Conflict of Interest: None. Objectives: This paper aims to explain an impression technique on flabby ridge anterior mandibular using modified final impression … J. … Therefore, a primary impression was performed with irreversible hydrocolloid with a dual impression. Keywords: flabby ridges, complete denture, window impression technique 1. Extension for maximum coverage within tissue tolerance. In this simple technique for making wash impression of highly displaceable maxillary anterior ridge with low-viscosity polyvinyl siloxane and zinc oxide eugenol, impression material is explained. Impression is basically an interaction between tissues and impression material. palatal splinting using a two-part tray system. impressions in distal extension partial denture ensuring a stable and uniform contact on the buccal shelf area, which in this case is the primary stress bearing area. This technique will be ... compound so that flabby areas recorded in pressure … Controlled lateral pressure technique has been advocated by … Step by step procedure for final impression including border moulding using sectional manual technique and wash impression with ZnOE impression paste. The selective pressure impression technique combines aspects of both mucostatic and functional impression techniques. Step by step procedure for final impression including border moulding using sectional manual technique and wash impression with ZnOE impression paste. Department of Prosthodontics and Crown and Bridge, Bapuji Dental College and Hospital, Davangere, Karnataka, India, Correspondence Address:Disha PatelRoom No - 7, Department of Prosthodontics and Crown and Bridge, Bapuji Dental College and Hospital, Davangere, Karnataka IndiaSource of Support: None, Conflict of Interest: NoneCheckDOI: 10.4103/ijohs.ijohs_41_18 function RightsLinkPopUp () { var url = "https://s100.copyright.com/AppDispatchServlet"; var location = url + "?publisherName=" + encodeURI ('Medknow') + "&publication=" + encodeURI ('IJOH') + "&title=" + encodeURI ('Management of flabby ridge case: An arduous task in undergraduate practice') + "&publicationDate=" + encodeURI ('Jul 1 2018 12:00AM') + "&author=" + encodeURI ('Chiplunkar J, Tumbil M, Chethan M D, Nandeeshwar D B, Patel D') + "&contentID=" + encodeURI ('IntJOralHealthSci_2018_8_2_104_247807') + "&orderBeanReset=true" 12-17 University, Varanasi, Uttar Pradesh, India 2 Post Graduate Student, Department of The impression technique modification reported here enabled us to Prosthodontics, Faculty of Dental Sciences, make minimal-pressure impressions of flabby ridges at both the Institute of Medical Sciences, Banaras Hindu preliminary and the final impression stages. Prosthodontic rehabilitation of patient with flabby ridges with different impression techniques Rubina Bansal , Manjit Kumar , Rashim Garg , Rishi Saini , and Shaveta Kaushala Department of Prosthodontics and Crown and Bridge, Genesis Institute of Dental Sciences and Research, Moga Ferozepur Road, Ferozepur, Punjab, India for selective pressure impressions for total dentures’ treat- ... 4 women and 4 man, had flabby mucosa on different places of the alveolar ridges of the both jaws (the first group), 3 women had mucosal folds in the fron- ... technique to minimize distortion of ridge and border tissues. Patients with flat ridge have less retention and stability for full denture. Inadequate support, stability and retention of complete denture are the problems encountered in these patients. 12-17 Tunnel technique-mainly for mandibular flabby ridges. Open mouth 2. Flabby Ridge. Window opening of impression tray. impression procedures for flabby ridges: one part impression technique (sÉlective perforation tray). denture. Accurate impressioning of these tissues plays a major role in ensuring a well-fitting prosthesis. Lynch CD, Allen PF. special tray is made with 2 mm spacing. Pai UY, Reddy VS, Hosi RN. With modified impression techniques, these ridges can be managed effectively without any additional clinical visits as compared to patients with normal edentulous ridges. Methods applied for flabby ridge management, include surgical removal and augmentation, special impression techniques, balanced distribution of occlusal loads and implant therapy. By displacing the tissues of the palate and effectively creating a deeper vault on the definitive cast, the technique compensates for the shrinkage of the polymethylmethacrylate. Selective Pressure Impression (Boucher) In this technique, the impression is made to extend over as much denture-bearing area as possible without interfering with the limiting structures at function and rest. The selective pressure technique makes it possible to confine the forces acting on the denture to the stress-bearing areas. Making of final impression of flabby tissue with minimal or no displacement of tissue and better stability of denture. selective pressure impression techniques for flabby ridge impressions by modifying custom tray by window cut through, vent holes, spacer or combination. 6. This paper presents case report for prosthodontic rehabilitation of a patient with flabby ridge with McCord and Ahmad impression technique. ... also known as selective pressure technique. Effect of mucostatic and selective pressure impression techniques on residual ridge resorption in individuals with different bone mineral densities: A prospective clinical pilot study. Tripathi A(1), Singh SV(2), Aggarwal H(3), Gupta A(4). Standard mucocompressive impression techniques are likely to result in an unretentive and unstable denture as the denture constructed on a model of the flabby tissue in a distorted state. Note distortion of left alveolar ridge lingually due to pressure exerted by irreversible hydrocolloid impression material. impression technique can be overcome by selective pressure or minimally displacive impression technique. It was simple and economical to modify and increase the efficacy of an already-well-established impression technique. This technique is quite useful in poor ridge cases. Ideas of impression making are based, particularly for hypermobile tissues, on principle of pressure (6). 1. McCord JF, Grant AA. A definitive impression technique using both impression wax and vinyl polysiloxane impression material for displaceable mandibular residual ridges is described. Complete denture fabrication in clinically compromised situations such as flabby ridges is a challenging task for the clinician. This article describes a selective-pressure impression technique for the edentulous maxilla that is intended to compensate for the polymerization shrinkage of heat-polymerized polymethyl methacrylate resin and provides improved palatal adaptation of the definitive denture base. Author information: (1)Department of Prosthodontics, University of Connecticut School of Dental Medicine, Farmington, CT 06030-1615, USA. Selective impression techniques have long been used in such cases, ensuring the displaceable tissue is recorded 'at rest'. presence of flabby ridge tends to create a difficulty while making complete dentures. This technique aims to displace but not distort the flabby ridge as If In function. Selective pressure technique. Selective pressure technique Based on the position of the mouth while making impression 1. to compress the loose flabby tissue to allow functional support from it by replicating the ridge contour of the ridge during compression by occlusal forces. Masticatory forces can displace this mobile denture-bearing tissue, leading to altered denture positioning and loss of peripheral seal. The purpose of this paper is to describe an impression technique for mandibular flabby ridges. Earlier studies show that prevalence of flabby ridges vary in either arches, with edentulous maxillae prevalence being 24% and edentate mandibles 5% [2, 3]. Green.J.W – developed technique to handle flabby ridges by recording it with impression compound. It involves making of a primary impression by mixing impression compound and Greene stick compound in the ratio of 3:7. It also acts as a stopper for the tray in the nal impression procedure. The selective-pressure impression technique combines aspects of both techniques, as pressure is applied to certain tissues while other areas are captured with minimal pressure. techniques, flabby ridge adversely affects support, retention and stability of denture. A primary Impression Is taken in a mucostatic Impression material (e. g. Impression plaster or alginate) and cast in stone. Xie Q, Närhi TO, Nevalainen JM, Wolf J, Ainamo A. Close mouthc) Based on the method of manipulation for border molding. and selective pressure techniques.3 Dynamic impression ... A Physiologic Impression Technique for Resorbed Mandibular Ridges Manisha Herekar1, Megha Sethi2, ... helps in recording finer details of the ridge. Br Dent J 2005;199:715-9. A multitude of impression techniques have been described for overcoming the problem of the flabby ridge. In literature, there are many impression techniques for flabby ridges. Loss of vertical height of the ridge. Hand manipulation 2. This article will describe five steps in maximising the success when producing a retentive and stable removable prosthesis for flabby ridges. 1st technique – it was of muco compressive type compound impression which displaced the flabby tissue paratally. The use of selective pressure or minimally displacive impression techniques should help to overcome some of these limitations. Many authors have proposed selective pressure impression techniques for flabby ridge impressions by modifying custom tray by window cut through, vent holes, and spacer or combination. Conflicts of interest A review of prosthodontic management of fibrous ridges. A not-yet-reported attempt was made at recording the flabby ridge in its undistorted form, by means of a two-stage impression technique, with window modification made in stock and custom trays. 2nd technique – it was advocated by Greene Brothers, which captured the tissue in its passive form. A Single Step Impression Technique of Flabby Ridges Using Monophase Polyvinylsiloxane Material: A Case Report UmeshY.Pai, 1 VikramSimhaReddy, 2 andRushadNarimanHosi 2 ... remaining borders of impression were recorded by selective pressure technique using green stick compound (Pinnacle tracing stick, DPI, Mumbai, India) ( Figure ). ABSTRACT Flabby ridges of mandible compromise the support, retension and stability of complete denture. The denture will maintain its peripheral seal flabby area in the primary and functional impression modification. Q, Närhi to, Nevalainen JM, Wolf J, Ainamo a and sequelae treatment. Particularly for hypermobile tissues, on principle of pressure used 1 of a patient with flabby ridge. Is described be a challenging problem overcome by selective pressure impression technique ( sÉlective perforation tray ) help overcome... Functional support from H ed nul osr ig H ( 3 ), Gupta (. 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