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1. A REVIEW OF PROSTHODONTIC
MANAGEMENT OF FIBROUS RIDGES
INDIAN DENTAL ACADEMY
Leader in continuing dental education
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2. • Fibrous or flabby alveolar ridges pose significant
problems for the provision of stable & retentive
dental prostheses.
• Fibrous or flabby ridge is a superficial area of mobile
soft tissue affecting the maxillary or mandibular
alveolar ridges.
• Common finding in upper anterior region of long
term denture wearers.
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3. • Combination syndrome:
1. loss of bone from the anterior part of the maxillary
ridge.
2. overgrowth of the tuberosities.
3. papillary hyperplasia in the hard palate.
4.extrusion of the lower anterior teeth.
5.the loss of bone under the partial denture bases.
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4. • Flabby ridges are composed of mucosal hyperplasia &
loosely arranged fibrous connective tissue as well as
more dense collagenised connective tissue.
• In the soft tissue, varying amounts of metaplastic
cartilage and bone have been reported.
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5. • Management:
3 main approaches to the management of the flabby
ridges are:
1.surgical removal of fibrous tissue prior to
conventional prosthodontics.
2. implant retained prosthesis
fixed
removable.
3.conventional prosthodontics without surgical
intervention.
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6. Conventional prosthetic management:
•
•
mucodisplacive impression technique.
mucostatic impression technique.
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7. 1. one part impression technique.
2. controlled lateral pressure technique.
3. palatal splinting using a two-part tray
system.
4. selective composition flaming.
5. two part impression technique : mucostatic
& mucodisplacive combination.
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8. Thank you
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