Mendez Maritza, Lee Christina
Gen Dent. 2013 Nov-Dec;61(7):e14-5.
Many edentulous patients who wear complete dentures have alveolar ridge resorption. While retention is a concern in both arches, the mandibular arch presents more of a challenge due to less available bone. Mini-implants may not be an option in a case with knife-edge ridges. Lingual undercuts in the posterior mandibular region of the retromylohyoid eminence can be used to increase retention. A permanent soft denture liner is ideal for this application. It is softer than the acrylic denture material that is typically utilized, thus there is less discomfort when the patient inserts or removes the denture. A literature search indicates underutilization or lack of knowledge of this technique. This article presents a case involving a patient who could not tolerate traditional dentures. A silicone-based permanent soft denture liner was placed over the knife-edge ridge and retromylohyoid areas of the mandible.
许多佩戴全口义齿的无牙颌患者存在牙槽嵴吸收。虽然上下颌弓的固位都是需要关注的问题,但由于可用骨量较少,下颌弓面临的挑战更大。在刃状牙槽嵴的病例中,微型种植体可能不是一个选择。下颌后区舌骨后隆起处的舌侧倒凹可用于增加固位。永久性软质义齿衬垫非常适合这种应用。它比通常使用的丙烯酸义齿材料更柔软,因此患者插入或取下义齿时不适感更小。文献检索表明该技术未得到充分利用或缺乏相关知识。本文介绍了一例无法耐受传统义齿的患者。在下颌刃状牙槽嵴和舌骨后区域放置了硅酮基永久性软质义齿衬垫。