Pdf flabby ridge is a common clinical finding affecting the alveolar ridges of the mandibular or maxillary arches. It can develop when hyperplastic soft tissue replaces the alveolar bone and is a common finding particularly in the upper anterior region of long term denture wearers. Prosthodontic management of a patient with a flabby maxillary ridge can be challenging problem and taking care to consider the influence of both the impression surface and occlusal surface detail in paramount. Unless managed appropriately, such flabby ridges adversely affect the support, retention and stability of complete dentures. Management of flabby ridge midsr journal of dental research vol. Prosthodontic rehabilitation of patient with flabby ridges. Case studies dental science india volume 7 issue 5, may 2018. A new approach to manage flabby ridge a case report.
A fibrous or flabby ridge is a superficial area of mobile soft tissue affecting maxillary or mandibular alveolar ridges. Removal of the fibrous material may also reduce the height of the ridge decreasing the chances of a stable denture. Understand the various techniques and materials available when. Impression technique for effective management of flabby ridge an overview. It is nothing but a hyperplastic soft tissue that has replaced the underlined resorbed bone. Apr 27, 2014 flabby ridge also called as fibrous ridge or displaceable ridge is mobile soft tissue present on the superficial aspect of the alveolar ridge. A new approach to manage flabby ridge a case report prosthodontic management of flabby ridges in completely edentulous patients poses a challenge to the clinician since the mobile tissue can cause transfer of undue forces to the ridge causing loss of retention, stability and support of the dentures and trauma to the underlying tissue. Conventional prosthodontics without surgical intervention. Nov 19, 2014 there is also the risk that the flabby ridge may recur. Fibrousor flabbyridge is a superficial area of mobile soft tissue affecting the maxillary or mandibular alveolar ridges. Prosthodontic management of edentulous patient with bucket. A single step impression technique of flabby ridges using. Standard mucocompressive impression techniques distort the flabby tissues which results in an unretentive and unstable denture.
Management of maxillary flabby tissue with two part tray. Clinical examination revealed maxillary and mandibular edentulous ridge with flabby ridge on the maxillary anterior region fig 6. Abstract prosthodontic rehabilitation of a patient with poorly resorbed ridges in a conventional manner is a. Five steps to flabby ridge success british dental journal. Management of the flabby ridge using a modified window technique and polyvinylsiloxane impression material article pdf available in saudi dental journal 301 october 2017 with 1,069 reads. Upon radiographic examination, it was found that there was a malunion of the fractured part with full. There is also the risk that the flabby ridge may recur. Multiple techniques for the management of flabby ridges have been proposed lynch and allen, 2006. Pdf a simplified approach for management of flabby. Management of the flabby ridge in complete denture. Current dentures have lost proper retention, seal, and stability accurate impressions are very difficult to capture the tissue is not at optimum health diagnosis upon palpation flabby ridges influence denture fit and ability to make an accurate. It has been stated that while the flabby ridge may provide poor retention for a denture, it is better than no ridge as could occur following surgical excision of the flabby tissues. Pdf impression techniques for management of flabby ridges in. Keywords complete denture, flabby ridge, impression technique.
Pdf management of the flabby ridge using a modified. This article describes some of the clinical problems, and suggests some management strategies. Management of a flabby ridge is mainly by three approaches. Casereport open access management of maxillary flabby tissue. A common finding is that of the flabby ridge, which affects retention and stability of the maxillary complete denture. Ridge augmentation by subperiosteal injection of hydroxyapatite 15. However, sometimes ridge augmentation would be indicated. Maru, et al prosthodontic management of edentulous patient with bucket handle fracture 177 international journal of scientific study july 2015 vol 3 issue 4 residual ridge, anterior to the scar tissue, severely resorbed figure 1. Making the unstable stablea case series of management of the. This clinical report describes the prosthodontic management of a patient with flabby ridge.
More simply, epulis fissuratum is where excess folds of firm tissue form inside the mouth, as a result of rubbing on the edge of dentures that do not fit. Using contemporary materials to solve an old problem article pdf available in british dental journal 2005. Management of flabby highly displaceable ridge poses a challenge to the operator. Abstract prosthodontic rehabilitation of a patient with poorly resorbed ridges in a conventional manner is a difficult task. If adequate alveolar height will remain after reduction of hypermobile tissue, then excision may be indicated. Appreciate the challenges presented by a flabby ridge when constructing complete dentures. A simplified approach for management of flabby ridges a case report international dental journal of students research. Surgical methods include removal of flabby ridge using scalpel surgery or by injecting a sclerosing agent prior to fabrication of complete denture pai et al.
Pdf a simplified approach for management of flabby ridges. Pdf window impression technique for a single denture with. A socalled fibrous or flabby ridge is a superficial area of mobile soft tissue affecting the maxillary or mandibular alveolar ridges. Modified technique for the management of the difficulties in. Complete denture fabrication in clinically compromised situations such as flabby ridges is a challenging task for the clinician. It can be developed when hyperplastic soft tissue replaces the alveolar bone and is a common finding, particularly in long term denture wearers. However, little has been discussed in literature for impression making in flabby mandibular ridges. Impression making plays a major role in complete denture fabrication. A fibrous or flabby ridge is a superficial area of mobile soft tissue affecting the.
Management of flabby ridges using liquid supported denture. Prosthodontic management of a patient with a flabby maxillary ridge can be a challenging problem. Prosthodontic rehabilitation of patient with flabby ridges with. Management of fl abby ridge using metal occlusal a case report. Epulis fissuratum is a benign hyperplasia of fibrous connective tissue which develops as a reactive lesion to chronic mechanical irritation produced by the flange of a poorly fitting denture. Mar 11, 2006 having read this article, the reader will.
Prosthodontic rehabilitation of a patient with maxillary. Retention, stability, and support are considered the 3 most important factors for the clinical success of complete dentures. The treatment should be chosen according to patients health and need, flabby tissue extent, financial capacity and dentist skill. Management of the flabby ridge using a modified window. Kelly1 in 1972 reported that mandibular anterior teeth cause trauma to maxillary anterior ridge as all occlusal forces are directed on to this area. Excessive tissue is usually the result of the resorption of the underlying bone.
There were various impression techni q ues used in the management of flabby tissue in the maxillary anterior ridge for a single denture cases. The prevalence studies have shown that it most commonly affects the upper anterior region in denture wearers and affects edentulous maxilla 24% and edentulous mandible 5% when alveolar bone is replaced by hypertrophic. Nageswara rao siddhartha institute of dental sciences, andhra pradesh 2,3professor, dept. Clinical morbidity and sequelae of treatment with complete. Introduction fibrous or flabby ridge is a superficial area of mobile soft tissue affecting the maxillary or mandibular alveolar ridges. If the ridge is atrophic and the bone is thin and sharp, excision may result in a greater deficiency. The clinically significant problems associated with flabby maxillary ridge are that of insufficient retentionstability of the maxillary complete denture, leading to discomfort, and occlusal discrepancy which is due to tissue rebound in the flabby ridge area. Case report management of flabby ridges in complete denture. A fibrous or flabby ridge is a superficial area of mobile soft tissue affecting the maxillary or mandibular alveolar ridges.
Window impression technique for a single denture with. The three main approaches to the management of the. Rehabilitation of patients with flabby ridges poses a great amount of difficulty for a prosthodontist. Flabby ridge or movable tissue is most commonly seen in the maxillary anterior region. This is because the flabby tissues recoil when recorded in a displaced form and dislodge the dentures. Management of the flabby ridge using a modified window technique.
The clinical examination showed the maxillary complete edentulous ridge with flabby ridge area in the maxillary anterior region opposing the anterior natural teeth in the mandibular. Dentures on flabby ridges have compromised stability, support, and retention unless adequate measures for its management are employed. 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. Prosthodontic management of flabby ridge can be achieved by surgical or nonsurgical methods 2. Prosthodontic management of a patient with a flabby maxillary ridge can be challenging problem and taking care to consider the influence of both the impression surface and occlusal surface detail in. Accurate impressioning of these tissues plays a major role in ensuring a wellfitting prosthesis. Managing a patient with flabby maxillary ridge can be a challenging problem. The nonsurgical method involves impression techniques that help in recording the flabby tissue in undisplaced or static form and the denture bearing tissues in compressed state for optimal support. Methods applied for flabby ridge management, include surgical removal and. Pdf management of the flabby ridge using a modified window. Dentures on flabby ridges have compromised stability, support, and retention unless.
1486 1271 1231 1125 1349 1067 790 607 1471 115 448 122 554 509 148 733 1510 818 167 978 1262 52 1027 46 1316 879 931 244 1318 1069 326 807 378 651 522 769 1188 997