International Journal of Prosthodontics and Restorative Dentistry

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VOLUME 3 , ISSUE 2 ( April-June, 2013 ) > List of Articles

RESEARCH ARTICLE

Management of Edentulous Resorbed Mandibular Residual Ridge in Malaysian Geriatric Patients: 2-Year Clinical Study

Ammar A Mustafa

Citation Information : Mustafa AA. Management of Edentulous Resorbed Mandibular Residual Ridge in Malaysian Geriatric Patients: 2-Year Clinical Study. Int J Prosthodont Restor Dent 2013; 3 (2):83-86.

DOI: 10.5005/jp-journals-10019-1082

Published Online: 01-06-2016

Copyright Statement:  Copyright © 2013; The Author(s).


Abstract

Objectives

A combination of the neutral zone and the polished surface impression techniques is a useful method to reserve the functional and physiological forms of the underlying mandibular residual ridge by enhancing both retention and stability in Malaysian geriatric patients (2-year clinical study).

Materials and methods

A total of 25 Malaysian geriatric patients have participated in the current study. Two sets of dentures were served to the patients. The first set was constructed according the conventional method of complete denture construction whereas the second set was constructed by using neutral zone and polished surface impression techniques.

Results

The patients were followed up for 2 years and the obtained results showed that all patients have stopped using the conventional dentures and continued with the test dentures. The comparative analysis exhibited significant difference (p < 0.05) in favor of test dentures.

Conclusion

Combination of the neutral zone and the polished surface techniques can impart a physiological reservation to the underlying residual ridge without changes.

Statement of problem

It is common for completely edentulous geriatric patients to have resorbed mandibular residual ridge because of the process of aging. Some surgical interactions are contraindicated for this age group of patients, so, neutral zone technique and/or polished surface impression verified effective in improving stability for lower complete dentures. In spite of the fact that the above mentioned methods often used to enhance stability of complete denture, most of the studies were relying on only one of those methods to improve stability rather than retention. Researcher hypothesis stated that a combination of the neutral zone and the polished surface impression techniques should be performed together to enhance both stability and retention and henceforth reservation of the residual ridge under mandibular complete dentures issued to the patients with a constant follow-up for two consecutive years.

How to cite this article

Mustafa AA. Management of Edentulous Resorbed Mandibular Residual Ridge in Malaysian Geriatric Patients: 2-Year Clinical Study. Int J Prosthodont Restor Dent 2013;3(2):83-86.


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  1. Loss of natural dentition: multi-level effects among a geriatric population. Gerodontology 2012;29(2):192-199.
  2. Using the muscles to stabilize the full lower denture. J Am Dent Assoc 1933;20:2163-2169.
  3. J Prosthet Dent 2005;94:10-92.
  4. The neutral zone in complete dentures. J Prosthet Dent 1976;36(4):356-367.
  5. Tooth position in relation to the denture base foundation. J Prosthet Dent 1958;8(3):398-405.
  6. Fine arts in the fallacy of the ridges. J Prosthet Dent 1954;4(1):6-16.
  7. Classification system for complete edentulism. The American College of Prosthodontics. J Prosthodont 1999;8(1):27-39.
  8. Prosthetic status: the formation of a schedule. J Prosthet Dent 1988;59(1):105.
  9. Arrangement of artificial teeth in neutral zone after surgical reconstruction of mandible: a clinical report. J Prosthet Dent 2002; 88(2):125-127.
  10. The position of the neutral zone in relation to the alveolar ridge. J Prosthet Dent 1992;67:805-809.
  11. Using neutral zone to obtain maxillomandibular relationship records for complete denture patients. J Prosthet Dent 2001;85(6):621-623.
  12. The polished surface of complete dentures. J Prosthet Dent 1963;13(2):236-239.
  13. The neutral zone and polished surfaces in complete dentures. J Prosthet Dent 1964;14(5):854-865.
  14. Overcoming the unstable mandibular complete denture: the neutral zone impression technique. Dent Update 2006;33(1):21-22, 24-26.
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