However, sometimes ridge augmentation would be indicated. If adequate alveolar height will remain after reduction of hypermobile tissue, then excision may be indicated. A common finding is that of the flabby ridge, which affects retention and stability of the maxillary complete denture. 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. However, little has been discussed in literature for impression making in flabby mandibular ridges. It is nothing but a hyperplastic soft tissue that has replaced the underlined resorbed bone. Pdf management of the flabby ridge using a modified. Management of a flabby ridge is mainly by three approaches. Management of flabby ridges using liquid supported denture. Management of the flabby ridge in complete denture.
Prosthodontic rehabilitation of patient with flabby ridges with. Removal of the fibrous material may also reduce the height of the ridge decreasing the chances of a stable denture. Management of the flabby ridge using a modified window technique and polyvinylsiloxane impression material article pdf available in saudi dental journal 301 october 2017 with 1,069 reads. Window impression technique for a single denture with. Management of flabby ridge midsr journal of dental research vol. The clinically significant problems associated with flabby maxillary ridge are that of insufficient retentionstability of the maxillary complete denture, leading to discomfort, and occlusal discrepancy which is due to tissue rebound in the flabby ridge area.
A simplified approach for management of flabby ridges a case report international dental journal of students research. There were various impression techni q ues used in the management of flabby tissue in the maxillary anterior ridge for a single denture cases. 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. 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. Flabby ridge is predominantly seen in the upper anterior region and is commonly associated with features of combination syndrome, as mentioned by kelly.
Prosthodontic management of flabby ridge can be achieved by surgical or nonsurgical methods 2. Clinical examination revealed maxillary and mandibular edentulous ridge with flabby ridge on the maxillary anterior region fig 6. Pdf management of the flabby ridge using a modified window. Managing a patient with flabby maxillary ridge can be a challenging problem. Current dentures have lost proper retention, seal, and stability accurate impressions are very difficult to capture the tissue is not at optimum health diagnosis upon palpation flabby ridges influence denture fit and ability to make an accurate.
Clinical morbidity and sequelae of treatment with complete. Nageswara rao siddhartha institute of dental sciences, andhra pradesh 2,3professor, dept. This is because the flabby tissues recoil when recorded in a displaced form and dislodge the dentures. Methods applied for flabby ridge management, include surgical removal and. Prosthodontic management of edentulous patient with bucket. Complete denture fabrication in clinically compromised situations such as flabby ridges is a challenging task for the clinician. A fibrous or flabby ridge is a superficial area of mobile soft tissue affecting maxillary or mandibular alveolar ridges.
Modified technique for the management of the difficulties in. This article describes some of the clinical problems, and suggests some management strategies. Epulis fissuratum is a benign hyperplasia of fibrous connective tissue which develops as a reactive lesion to chronic mechanical irritation produced by the flange of a poorly fitting denture. Prosthodontic rehabilitation of a patient with maxillary. Kelly1 in 1972 reported that mandibular anterior teeth cause trauma to maxillary anterior ridge as all occlusal forces are directed on to this area. Appreciate the challenges presented by a flabby ridge when constructing complete dentures. More simply, epulis fissuratum is where excess folds of firm tissue form inside the mouth, as a result of rubbing on the edge of dentures that do not fit. Pdf window impression technique for a single denture with. A new approach to manage flabby ridge a case report prosthodontic management of flabby ridges in completely edentulous patients poses a challenge to the clinician since the mobile tissue can cause transfer of undue forces to the ridge causing loss of retention, stability and support of the dentures and trauma to the underlying tissue. Fibrousor flabbyridge is a superficial area of mobile soft tissue affecting the maxillary or mandibular alveolar ridges. Dentures on flabby ridges have compromised stability, support, and retention unless adequate measures for its management are employed. Management of maxillary flabby tissue with two part tray. A single step impression technique of flabby ridges using.
Management of the flabby ridge using a modified window. Mar 11, 2006 having read this article, the reader will. Abstract prosthodontic rehabilitation of a patient with poorly resorbed ridges in a conventional manner is a difficult task. It can be developed when hyperplastic soft tissue replaces the alveolar bone and is a common finding, particularly in long term denture wearers. Ridge augmentation by subperiosteal injection of hydroxyapatite 15.
Management of fl abby ridge using metal occlusal a case report. Introduction fibrous or flabby ridge is a superficial area of mobile soft tissue affecting the maxillary or mandibular alveolar ridges. Excessive tissue is usually the result of the resorption of the underlying bone. Casereport open access management of maxillary flabby tissue. Using contemporary materials to solve an old problem article pdf available in british dental journal 2005. Upon radiographic examination, it was found that there was a malunion of the fractured part with full. The nonsurgical method involves impression techniques that help in recording the flabby tissue in undisplaced or static form and the denture bearing tissues in compressed state for optimal support.
Dentures on flabby ridges have compromised stability, support, and retention unless. Rehabilitation of patients with flabby ridges poses a great amount of difficulty for a prosthodontist. If the ridge is atrophic and the bone is thin and sharp, excision may result in a greater deficiency. Management of the flabby ridge using a modified window technique. Pdf a simplified approach for management of flabby ridges. Apr 27, 2014 flabby ridge also called as fibrous ridge or displaceable ridge is mobile soft tissue present on the superficial aspect of the alveolar ridge. Accurate impressioning of these tissues plays a major role in ensuring a wellfitting prosthesis. Prosthodontic management of a patient with a flabby maxillary ridge can be a challenging problem. There is also the risk that the flabby ridge may recur. Keywords complete denture, flabby ridge, impression technique. The three main approaches to the management of the. Pdf flabby ridge is a common clinical finding affecting the alveolar ridges of the mandibular or maxillary arches. A socalled fibrous or flabby ridge is a superficial area of mobile soft tissue affecting the maxillary or mandibular alveolar ridges.
Flabby ridge or movable tissue is most commonly seen in the maxillary anterior region. Five steps to flabby ridge success british dental journal. Prosthodontic rehabilitation of patient with flabby ridges. Surgical methods include removal of flabby ridge using scalpel surgery or by injecting a sclerosing agent prior to fabrication of complete denture pai et al.
Prosthodontic management of a patient with a flabby maxillary ridge can be challenging problem and taking care to consider the influence of both the impression surface and occlusal surface detail in paramount. Impression technique for effective management of flabby ridge an overview. Prosthodontic management of a patient with a flabby maxillary ridge can be challenging problem and taking care to consider the influence of both the impression surface and occlusal surface detail in. A fibrous or flabby ridge is a superficial area of mobile soft tissue affecting the. Unless managed appropriately, such flabby ridges adversely affect the support, retention and stability of complete dentures.
Understand the various techniques and materials available when. Pdf impression techniques for management of flabby ridges in. Maru, et al prosthodontic management of edentulous patient with bucket handle fracture 177 international journal of scientific study july 2015 vol 3 issue 4 residual ridge, anterior to the scar tissue, severely resorbed figure 1. The treatment should be chosen according to patients health and need, flabby tissue extent, financial capacity and dentist skill. Making the unstable stablea case series of management of the. Standard mucocompressive impression techniques distort the flabby tissues which results in an unretentive and unstable denture. Case report management of flabby ridges in complete denture. Retention, stability, and support are considered the 3 most important factors for the clinical success of complete dentures. It has been stated that while the flabby ridge may provide poor retention for a denture, it is better than no ridge as could occur following surgical excision of the flabby tissues. Nov 19, 2014 there is also the risk that the flabby ridge may recur.
Abstract prosthodontic rehabilitation of a patient with poorly resorbed ridges in a conventional manner is a. Impression making plays a major role in complete denture fabrication. Multiple techniques for the management of flabby ridges have been proposed lynch and allen, 2006. Pdf a simplified approach for management of flabby. Case studies dental science india volume 7 issue 5, may 2018. Conventional prosthodontics without surgical intervention. A fibrous or flabby ridge is a superficial area of mobile soft tissue affecting the maxillary or mandibular alveolar ridges. Management of flabby highly displaceable ridge poses a challenge to the operator. The prevalence studies have shown that it most commonly affects the upper anterior region in denture wearers and affects edentulous maxilla 24% and edentulous mandible 5% when alveolar bone is replaced by hypertrophic. This clinical report describes the prosthodontic management of a patient with flabby ridge. A new approach to manage flabby ridge a case report.
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