PMC4993936_01
Unhealed maxillary and mandibular residual ridges with severe undercuts.
CRID2016-9312412.001.jpg
PMC4993936_01_CRID2016-9312412.001.jpg
fig1
Azad Institute of Dental Sciences, New Delhi, with the chief complaint of inability to wear dentures for longer duration and associated soreness of jaw bone. A preliminary intraoral examination revealed completely edentulous arches with generalized erythema of the mucous membrane of the upper and the lower residual ridge (Figures 1(a) and 1(b)).
Maxillary and mandibular final impression made using elastomeric impression material.
CRID2016-9312412.002.jpg
PMC4993936_01_CRID2016-9312412.002.jpg
fig2
Border molding was done using green stick compound and a wash impression was made using elastomeric impression material due to the presence of undercuts (Figure 2).
Permanent heat cure silicone liner (Molloplast B) adapted over maxillary and mandibular residual ridge crest.
CRID2016-9312412.003.jpg
PMC4993936_01_CRID2016-9312412.003.jpg
fig3
Permanent heat cure silicone based soft liner (Molloplast B, DFS) was adapted on the crest of the residual alveolar ridges (Figures 3(a) and 3(b)).
Intaglio surface of relined dentures.
CRID2016-9312412.004.jpg
PMC4993936_01_CRID2016-9312412.004.jpg
fig4
The packed dentures were cured, finished, and polished (Figure 4).
PMC4993936_02
Maxillary arch and mandibular severely resorbed irregular residual ridge with elevations and depressions.
CRID2016-9312412.005.jpg
PMC4993936_02_CRID2016-9312412.005.jpg
fig5
Intraoral examination revealed completely edentulous arches with severely resorbed lower residual ridge with body prominence in the mid symphyseal region and depressed areas with respect to 36 and 46 region (Figures 5(a) and 5(b)).
Maxillary and mandibular dentures delivered conventionally.
CRID2016-9312412.006.jpg
PMC4993936_02_CRID2016-9312412.006.jpg
fig6
Maxillary and mandibular complete dentures were fabricated in the conventional manner (Figure 6).
Pressure areas detected with pressure indicating paste and marked with pencil.
CRID2016-9312412.007.jpg
PMC4993936_02_CRID2016-9312412.007.jpg
fig7
Pressure indicating paste (COLTENE) revealed pressure spots in the anterior, 36 and 46 region (Figures 7(a) and 7(b)), which were marked with a pencil and trimmed till the time patient was fully asymptomatic.
Beaded wash impression made with noneugenol zinc oxide paste.
CRID2016-9312412.008.jpg
PMC4993936_02_CRID2016-9312412.008.jpg
fig8
A wash impression was made using noneugenol based zinc oxide paste (CAVEX) (Figure 8) after making a uniform space of 1 mm approx. for the wash impression.
Invested mandibular denture.
CRID2016-9312412.009.jpg
PMC4993936_02_CRID2016-9312412.009.jpg
fig9
Beading and boxing of impression were done; new master cast was poured in dental stone and directly invested (Figure 9).
Adhesive applied on the tissue surface after making holes 1 mm in diameter 2-3 mm apart from each other.
CRID2016-9312412.010.jpg
PMC4993936_02_CRID2016-9312412.010.jpg
fig10
Primer/adhesive was applied on the surface and was allowed to dry (Figure 10).
Relined mandibular denture and pain-free satisfied patient.
CRID2016-9312412.011.jpg
PMC4993936_02_CRID2016-9312412.011.jpg
fig11
Adjustments were done and postinsertion instructions were given (Figures 11(a) and 11(b)).