Liddlelow described a technique whereby two separate impression materials are used in a custom tray (using 'plaster of Paris' over the flabby tissues, and zinc oxide and eugenol over the 'normal' tissues). Saudi Dent J 2018;30:89. Open mouth 2. 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 ). REFERENCES 1. According to Taylor and colleagues, selective-pressure impression technique described provides the clinician with a method for improving the palatal adaptation of maxillary complete dentures. controlled lateral pressure technique. Pai UY, Reddy VS, Hosi RN. ABSTRACT Flabby ridges of mandible compromise the support, retension and stability of complete denture. Acta Odontol Scand 1997;55:306-13. A close fitting custom tray and high viscosity impression The impression technique modification reported here enabled us to make minimal-pressure impressions of flabby ridges at both the preliminary and the final impression stages. Loss of vertical height of the ridge. It was simple and economical to modify and increase the efficacy of an already-well-established impression technique. 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. 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. This present study describes an impression technique to rehabilitate patients with flabby ridge in pre-maxilla through complete dentures. The British Society for the Study of Prosthetic Dentistry. Unless managed appropriately, such “flabby ridges” adversely affect the support, retention, and stability of complete dentures. Dr.Yusr Mady 8,126 views. The neutral zone technique. This article describes an impression technique of highly resorbed mandibular ridge using an orthodontic wire and elastomeric impression materials, to gain maximum retention and stability. Special impressions often involve window technique for static impression of flabby area, which present multiple challenges. With modified impression techniques, these ridges can be managed effectively without any additional clinical visits as compared to patients with normal edentulous ridges. Note distortion of left alveolar ridge lingually due to pressure exerted by irreversible hydrocolloid impression material. Loading ... Special Tray Fabrication ( minimum pressure impression technique ) - Duration: 26:08. Minimal pressure technique 3. Techniques for making impressions of edentulous ridges are classified as non-pressure, pressure, and selective pressure impressions (8)(9)(10)(11)(12) (13) (14). denture. Green.J.W – developed technique to handle flabby ridges by recording it with impression compound. 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 Controlled lateral pressure technique has been advocated by … æ©jE Pressure technique 2. Fibrous or flabby ridge is a mobile or extremely resilient alveolar ridge which becomes displaceable due to fibrous tissue deposition. Objectives: This paper aims to explain an impression technique on flabby ridge anterior mandibular using modified final impression … impression technique avoids side effects of flabby ridges and with its use we can make a complete denture with supported retention and stability. This technique will be ... compound so that flabby areas recorded in pressure … The use of selective pressure or minimally displaced impression techniques should help to overcome some of these limitations. This article will describe five steps in maximising the success when producing a retentive and stable removable prosthesis for flabby ridges. Fibrous or flabby ridge is a mobile or extremely resilient alveolar ridge which becomes displaceable due to fibrous tissue deposition. IDA J 2013;46:87-93. Open mouth 2. Inadequate support, stability and retention of complete denture are the problems encountered in these patients. Br Dent J 2006;200:258-61. The selective pressure impression technique combines aspects of both mucostatic and functional impression techniques. Close mouthc) Based on the method of manipulation for border molding. Impression technique for Flabby ridge: Flabby ridge: a ridge that becomes displacable due to fibrous changes. Firm healthy mucosal covering over the ridge Mucostatic Impression Technique is indicated for options B,C and D. Firm healthy mucosal covering over the ridge Mucostatic Impression Technique is indicated for options B,C and D. 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 to ensure an accurate and easy impression of these tissues. 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. Management of the flabby ridge: Using contemporary materials to solve an old problem. 12-17 Subsequently, the denture will maintain its peripheral seal during function. It involves making of a primary impression by mixing impression compound and Greene stick compound in the ratio of 3:7. This article describes three different impression techniques for recording flabby resorbed ridges, viz Hobkirk Technique, [5] Massad’s Technique, [6] FOR EFFECTIVE MANAGEMENT OF FLABBY RIDGE- AN OVERVIEW ASHISH R. JAIN 1* ... • Selective pressure impression technique: In this technique, during impression making pressure Indian J Dent 2014;5:110-3. https://www.ijohsjournal.org/text.asp?2018/8/2/104/247807, © International Journal of Oral Health Sciences | Published by Wolters Kluwer -. McCord JF, Grant AA. 12-17 Impression of residual ridge deals with. * Mucodisplacive impression technique, with the aim of compressing the loose flabby tissue to allow functional support from it by replicating the contour of the ridge during compression by occlusal forces. The selective pressure impression technique where denture bearing tissues are selectively displaced and relieved. Accurate impressioning of these tissues plays a major role in ensuring a well-fitting prosthesis. 1st technique – it was of muco compressive type compound impression which displaced the flabby tissue paratally. 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. 8. A review of prosthodontic management of fibrous ridges. 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. Many impression techniques have been proposed to help overcome this difficulty. Therefore, a primary impression was performed with irreversible hydrocolloid with a dual impression. The admixed technique. 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. Complete denture fabrication in clinically compromised situations such as flabby ridges is a challenging task for the clinician. Keywords: Flabby ridge, hyperplastic soft tissue, McCord and Ahmad technique. Firm healthy Mucosal covering over the ridge B. Flabby ridges C. Knife edge with movable mucosa D. When sharp bony spicules are present in the ridge Ans: A. Clinical morbidity and sequelae of treatment with complete dentures. Minimal pressure technique 3. 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. used if marked flabbiness exists ( advanced flabbiness) primary impression taken with alginate. Impression is basically an interaction between tissues and impression material. Selective pressure techniques, 3. pressure techniques Non-pressure technique (mucostatic) Conclusion Managing a patient with flabby maxillary ridge can be a challenging problem. A spaced special tray for an Impression Compound Impression Is then constructed on this model. for a flabby ridge the patient would usually complain of poor comfort and a “loose” denture. 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. The maxillary borders were recorded by selective pressure impression technique using green stick compound (Figure 13). selective pressure impression techniques for flabby ridge impressions by modifying custom tray by window cut through, vent holes, spacer or combination. Conclusion Managing a patient with flabby maxillary ridge can be a challenging problem. Impression techniques may be classified depending on: Amount of pressure used 1. A flabby ridge is a superficial area of mobile soft tissue affecting the maxillary or mandibular alveolar ... part impression Technique (Selective perforation tray technique) for this patient. The selective pressure or minimally displacive impression techniques with the use of holes, windows and wax relieve reduces the hydraulic pressure, should help to overcome some of these situations as they minimize the displacement of the bearing flabby tissues and apply pressure on other stress bearing areas. 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. A primary Impression Is taken in a mucostatic Impression material (e. g. Impression plaster or alginate) and cast in stone. impression technique can be overcome by selective pressure or minimally displacive impression technique. 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. Author information: (1)Department of Prosthodontics, University of Connecticut School of Dental Medicine, Farmington, CT 06030-1615, USA. Duncan JP(1), Raghavendra S, Taylor TD. 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. SELECTIVE IMPRESSION 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. This paper presents case report for prosthodontic rehabilitation of a patient with flabby ridge with McCord and Ahmad impression technique. 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. The resulting complete- Crawford RW, Walmsley AD. Impression making. Many impression techniques have been proposed to overcome these difficulties. Selective Displacement / Selective Composition Flaming Technique Patients with flat ridge have less retention and stability for full denture. Extension for maximum coverage within tissue tolerance. Earlier studies show that prevalence of flabby ridges vary in either arches, with edentulous maxillae prevalence being 24% and edentate mandibles 5% [2, 3]. Oral status and prosthetic factors related to residual ridge resorption in elderly subjects. London: Quintessence; 1996. J Prosthet Dent 1998;79:17-23. Hand manipulation 2. 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. 8 This method is based on the histological anatomy of the supporting tissues. The purpose of this paper is to describe an impression technique for mandibular flabby ridges. the effect of impression technique and impression material on denture ... 1. 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. But in some clinical situations where the mucosa over the ridge or the palate is hyperplastic or flabby, severe undercuts, tori, etc. This technique aims to displace but not distort the flabby ridge as If In function. two part impression technique: mucostatic selective composition flaming. 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. Various impression techniques have been described to overcome the problem of flabby tissue. New Impression Technique Of Flabby Tissue Hadeel Adnan. Impression techniques may be classified depending on:a) Amount of pressure used 1. soft tissue large area wet dynamic not reproducible. III. A fibrous or flabby ridge is a superficial area of mobile soft tissue affecting the maxillary or mandibular alveolar ridges. In literature, there are many impression techniques for flabby ridges. Conflicts of interest Selective pressure technique: where some denture bearing tissues are displaced, & others are not. Figure 8: Final impression except flabby ridge area ... placement of the stock impression tray with finger pressure caused excess tissue displacement of maxillary residual ridge. 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. Inadequate support, stability and retention of complete denture are the problems encountered in these patients. ; an additional layer of wax can be added in these regions. presence of flabby ridge tends to create a difficulty while making complete dentures. Neutral zone impression technique. Making of final impression of flabby tissue with minimal or no displacement of tissue and better stability of denture. A major consideration of treating flabby tissues is impression making, two theories have been suggested for impression making: * Mucodisplacive impression technique, with the aim of compressing the loose flabby tissue to allow functional support from it by replicating the contour of the ridge during compression by occlusal forces. The use of selective pressure or minimally displacive impression techniques should help to overcome some of these limitations. special tray is made with 2 mm spacing. selective pressure impression techniques for flabby ridge impressions by modifying custom tray by window cut through, vent holes, spacer or combination. Selective pressure technique Based on the position of the mouth while making impression 1. impression procedures for flabby ridges: one part impression technique (sÉlective perforation tray). 4. Window opening of impression tray. impression technique Kawabe, divided into 2 stages: (1) preeliminary impression is made using a technique which is mucostatic charateristic or non-pressure impression, and (2) the physiological impression uses selective pressure impression technique. relieve displaceable areas, and load primary stress bearing areas peripheral seal ... flabby tissue NVS bundles thin mucosa knife edge ridges. 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