Zilpilwar Namita, Nimonkar Sharayu, Dubey Surekha A, Belkhode Vikram
Department of Prosthodontics, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 Jul 7;16(7):e64006. doi: 10.7759/cureus.64006. eCollection 2024 Jul.
A common clinical condition affecting the alveolar ridges of the mandibular or maxillary arches is known as a "flabby ridge." This condition involves a superficial region of movable soft tissue. It is particularly prevalent among long-term denture users, especially in the lower anterior region. Flabby ridges occur when hyperplastic soft tissue replaces the alveolar bone, resulting in mobile, hypermobile, and frequently edematous tissue. This condition is most commonly found in the edentulous areas of the oral cavity, especially in the maxillary anterior region. To provide a good fit for the patient, it is necessary to create a denture with accurate morphology, unique contours, and mobility of flabby tissue. The presence of a flabby ridge can significantly impact the stability, fit, and functionality of dentures. Management of flabby tissue includes various methods such as impression techniques, surgical intervention, and denture designing. This case report aims to provide an improved and controlled application of polyvinyl siloxane impression material in managing flabby tissue conditions, which is commonly used in dental practices. It presents a modified window technique for making impressions of anterior mandibular flabby tissues with their natural, undistorted state, leading to a more accurate and stable denture fit.
一种影响下颌或上颌牙槽嵴的常见临床病症被称为“松软牙槽嵴”。这种病症涉及可移动软组织的表层区域。它在长期佩戴假牙者中尤为普遍,尤其是在下颌前部区域。当增生的软组织取代牙槽骨时,就会出现松软牙槽嵴,导致组织可移动、过度活动且常常水肿。这种情况最常见于口腔的无牙区,尤其是在上颌前部区域。为了给患者提供合适的假牙,有必要制作一副形态精确、轮廓独特且能适应松软组织活动的假牙。松软牙槽嵴的存在会显著影响假牙的稳定性、贴合度和功能。对松软组织的处理包括多种方法,如印模技术、手术干预和假牙设计。本病例报告旨在改进并控制聚硅氧烷印模材料在处理松软组织病症中的应用,这种材料在牙科实践中常用。它介绍了一种改良的开窗技术,用于获取下颌前部松软组织自然、未变形状态的印模,从而使假牙更精确、稳定地贴合。