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MANDIBULAR ANATOMICAL LANDMARKS PRESENTED BY ROSHALMARIA THOMAS IV/II THE ANATOMY OF EDENTULOUS RIDGES IN THE MAXILLA AND MANDIBLE IS VERY IMPORTANT FOR THE DESIGN OF THE COMPLETE DENTURE THE TOTAL AREA OF SUPPORT FROM THE MANDIBLE IS SIGNIFICANTLY LESS THAN FROM THE MAXILLA. THE AVERAGE AVAILABLE DENTURE BEARING AREA FOR AN EDENTULOUS MANDIBLE IS 14cm2 , WHEREAS FOR EDENTULOS MAXILLA IT IS 24cm2. THEREFORE THE MANDIBLE IS LESS CAPABLE OF RESISTING OCCLUSAL FORCES THAN THE MAXILLA. Labial frenum Fibrous band Muscles incisivus and orbicularis oris Active Labial vestibule Space between residual alveolar ridge and lips Length and thickness of labial flange-influences lip support and retention Buccal frenum Overlies depressor anguli oris Fibers of buccinators attached Buccal vestibule Extends- posteriorly from buccal frenum to retromolar pad region Residual alveolar ridge on one side and buccinators on other Influenced by action of masseter Lingual frenum Should be relieved High lingual frenum is called tongue tie –affects stability Alveololingual sulcus Extends from lingual frenum to retromylohyoid curtain Divided into 3 parts- anterior, middle and posterior Anterior region- from lingual frenum to premylohyoid fossa Flange is shorter anteriorly and should touch the floorof the mouth whentip of tongue touches upper incisors Middle- extends from premylohyoid fossa to distal end of mylohyoid ridge Shallower due to prominence of mylohyoid ridge and action of mylohyoid muscle Posterior- retromylohyoid fossa Typical S form of lingual sulcus Retromolar pad Posterior seal of mandibular denture Pear shaped Triangular keratinized soft pad of tissue at distal end of ridge Bounded posteriorly by tendons of temporalis, laterally by buccinators and medially by pterygomandibular raphe and superior constrictor Denture should extend one half to two thirds of retromolar pad Buccal shelf area Area between buccal frenum and anterior border of masseter Width increases as resorption continues Lies at right angles to occlusal forces- primary stress bearing area Residual alveolar ridge Edentulous mandible may become flat with concave denture bearing surface In such cases, structures attaching on lingual side of ridge attach over the ridge Due to resorption mandible inclines outwards and becomes progressively wider Mylohyoid ridge Runs along lingual surface of mandible Anteriorly lies close to inferior border of mandible, posteriorly lies flush along the ridge Thin mucosa- easily traumatized- hence should be relieved Undercut present under the ridge Mental foramen Between first and second premolar region Relieved- as pressure may cause paresthesia Genial tubercles Pair of bony tubercles Present anteriorly on lingual side of body of mandible Due to resorption may become increasingly prominent- denture usage difficult

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