PMC7990560_01
Extraoral appearance: (a) front view and (b) side view.
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Prosthesis examination.
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Intraoral examination: (a) inflamed maxillary fibromucosa and (b) inflamed and flabby tissue in the mandibular anterior region.
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TENCH articulated technique. (a, b) Interocclusal record using wax. (c, d) Replacing the wax with chemopolymerized resin on the right side. (e) Centric relation. (f) Prosthesis polishing. (g, h) Procedure on the right side.
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fig4
Finally, eliminate the excess of resin, polish the prostheses, and recheck accuracy of previously made centric relation record (Figures 4(a)-4(h)).
Regression of the inflammation of the maxillary and mandibular fibromucosa after occlusal conditioning treatment: (a, b) one week and (c) two weeks.
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The fibromucosa status was evaluated in one and 2 weeks after the occlusal conditioning treatment; there was a significant regression of the inflammation (Figures 5(a)-5(c)).
The surgical procedure: (a) preoperative view, (b) horizontal semilunar incision followed by Supra periosteal dissection deepening the vestibule, (c) suturing of the mucosal flap, (d, e) epithelioconnective palatal flap, and (f) immediate postoperative view.
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Healing process of the treated area: (a) 7 days and (b) 14 days.
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Prostheses adjustments: (a) border molded mandibular prosthesis, (b) chemopolymerized resin molding, and (c) occlusal adjustments.
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Finally, occlusal adjustments were performed (Figures 8(a)-8(c)).
Surgical correction of the disinserted fibromucosa: (a) clinical examination of the disinserted fibromucosa and (b, c) surgical treatment.
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PMC7990560_02
Extraoral examination: (a) front view and (b) side view.
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Intraoral examination: (a) flabby tissue in the maxillary anterior region and (b) fibrous hyperplastic mass.
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An area of flabby tissue in the maxillary anterior region and a fibrous hyperplastic mass in relation with the anterior mandibular vestibule were found (Figures 11(a) and 11(b)).
Prosthesis examination: (a) old maxillary prothesis and (b) old mandibular prosthesis.
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Misadjusted occlusion: (a) right side and (b) left side.
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Tissue conditioning using soft tissue conditioner mixed with an anti-inflammatory mouthwash.
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The procedure is repeated every 2-3 weeks until the soft tissues recovery (Figures 14 and 15).
Healthy oral fibromucosa further to a tissue conditioning treatment.
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The procedure is repeated every 2-3 weeks until the soft tissues recovery (Figures 14 and 15).
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