Sharma Swati, Ravi Kiran Sarat, Shankar Rama
Dentistry, Tata Main Hospital, Jamshedpur, IND.
Oral and Maxillofacial Surgery, Tata Main Hospital, Jamshedpur, IND.
Cureus. 2024 Jun 13;16(6):e62345. doi: 10.7759/cureus.62345. eCollection 2024 Jun.
Edentulism can be treated with a removable or fixed prosthesis to improve aesthetics, comfort, and function. The firmness of the residual ridge is crucial for providing sufficient support for soft tissue. However, a flabby ridge lacks adequate tissue support, which poses challenges for clinicians during impression-making and prosthesis fabrication. Conventional prosthodontic approaches are typically used to manage flabby ridges. This article describes two methods for recording flabby ridges: surgical and unique impression techniques. In the first case, the patient was partially edentulous with a flabby ridge in the lower anterior region. This was removed surgically, and a prosthesis was made conventionally. There has been no relapse in treatment after a follow-up of almost one year. In the second case, the flabby ridge was there in the upper anterior region, which was first excised surgically, but the residual ridge was there; hence, the impression was made by the window technique. After a follow-up of almost nine months, there was a relapse in treatment where a flabby ridge was present in the anterior as well as posterior regions. Hence, again, a window impression was recorded, and a new prosthesis was given to the patient, which yielded satisfactory results. In this article, we have presented two cases of flabby ridges that were successfully treated with surgical and non-surgical techniques followed by special impression techniques. Such analogous cases provide dental professionals with insight into the different lines of treatment, relapse, and further management.
无牙颌可以通过可摘或固定修复体进行治疗，以改善美观、舒适度和功能。残余牙槽嵴的坚固性对于为软组织提供足够的支撑至关重要。然而，松软牙槽嵴缺乏足够的组织支撑，这给临床医生在取印模和制作修复体时带来了挑战。传统的口腔修复方法通常用于处理松软牙槽嵴。本文介绍了两种记录松软牙槽嵴的方法：手术和独特的印模技术。在第一个病例中，患者下颌前部部分无牙且有松软牙槽嵴。通过手术将其切除，然后按常规制作修复体。经过近一年的随访，治疗没有复发。在第二个病例中，上颌前部存在松软牙槽嵴，首先通过手术切除，但残余牙槽嵴仍在；因此，采用开窗技术取印模。经过近九个月的随访，治疗出现复发，前部和后部区域均出现了松软牙槽嵴。因此，再次记录开窗印模，并给患者制作了新的修复体，取得了满意的效果。在本文中，我们展示了两例松软牙槽嵴病例，通过手术和非手术技术以及特殊印模技术成功进行了治疗。此类类似病例为牙科专业人员提供了对不同治疗方法、复发情况及进一步处理的深入了解。
