JICDRO is a UGC approved journal (Journal no. 63927)
CASE REPORT
Year : 2020  |  Volume : 12  |  Issue : 1  |  Page : 78-83

The concept of neutral zone and rehabilitation of severely resorbed alveolar ridges: A special case file


1 Department of Prosthodontics and Crown and Bridge, Dr. Hedgewar Smruti Rugna Seva Mandal, Dental College and Hospital, Hingoli, India
2 Department of Prosthodontics and Crown and Bridge, SB Patil Dental College and Hospital, Bidar, Karnataka, India
3 Department of Prosthodontics and Crown and Bridge, Rajah Muthiah Dental College and Hospital, Annamalai University, Annamalai Nagar, Tamil Nadu, India
4 Department of Prosthodontics and Crown and Bridge, Rajas Dental College and Hospital, Kavalkinaru, Tirunelveli, Tamil Nadu, India
5 Department of Oral Medicine and Radiology, Saraswati Dhanwantari Dental College and Hospital and Post-graduate Research Institute, Parbhani, Maharashtra, India

Correspondence Address:
Dr. Abhishek Singh Nayyar
Department of Oral Medicine and Radiology, Saraswati-Dhanwantari Dental College and Hospital and Post-Graduate Research Institute, Parbhani, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jicdro.jicdro_11_19

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Mandibular dentures often present greater difficulty in achieving retention, stability, and support than do maxillary dentures, primarily, due to a complex anatomy because of bone architecture and muscle attachments, and consequently, increased number of anatomic limitations. Long-term edentulism as well as prolonged use of ill-fitting dentures result in severe resorption of the alveolar ridges, further, worsening this situation. The present case report describes a similar case of a 90-year-old male patient who reported to the department of prosthodontics seeking replacement of his missing teeth. On examination, the lower denture was ill fitting with a severely resorbed mandibular alveolar ridge. Intraoral examination revealed an Atwood's Class III maxillary edentulous ridge with Class VI edentulous mandibular ridge. Special measures were adopted for the management of the patient through a modified impression technique along with physiologic registration of the neutral zone.


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