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用于义齿制作的松软牙槽嵴修复:牙科专业人员面临的一个难题。

Rehabilitation of Flabby Ridges for Denture Fabrication: An Enigma for Dental Professionals.

作者信息

Sharma Swati, Ravi Kiran Sarat, Shankar Rama

机构信息

Dentistry, Tata Main Hospital, Jamshedpur, IND.

Oral and Maxillofacial Surgery, Tata Main Hospital, Jamshedpur, IND.

出版信息

Cureus. 2024 Jun 13;16(6):e62345. doi: 10.7759/cureus.62345. eCollection 2024 Jun.

Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ba0/11246542/9c653e2974fc/cureus-0016-00000062345-i01.jpg

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