- Visibility 286 Views
- Downloads 305 Downloads
- Permissions
- DOI 10.18231/j.aprd.2025.036
-
CrossMark
- Citation
Innovative impression strategy in maxillary defect rehabilitation: A prosthodontic perspective
- Author Details:
-
Sonali Sharma
-
Tarun Kalra
-
Manjit Kumar *
-
Ajay Bansal
-
Arpit Sikri
Flabby ridge is a common clinical finding that affects the alveolar ridge in both the mandibular and maxillary arches. The anterior region of the maxilla is the most commonly affected area in edentulous patients. Dentures fabricated over flabby ridges often exhibit compromised stability, poor support, and inadequate retention. Management includes surgical intervention, specialized impression techniques, redistribution of occlusal loads, and implant therapy. Among these, the window impression technique is employed to record flabby tissues in a static, undistorted state. However, these techniques present several clinical challenges. This case report presents a modified window technique for accurately recording anterior maxillary flabby tissue, allowing controlled application of light-body polyvinyl siloxane (PVS) impression material and improved clinical outcomes. This technique was adapted using a previously reported method (Zafarullah Khan's technique), with precise cutting of the window after the zinc oxide eugenol impression set, ensuring no damage to the primary impression.
Keywords: Anterior maxillary residual alveolar ridge defect, Flabby ridge, Hypermobile tissue, Hyperplastic tissue, Impression techniques, Polyvinyl siloxane
References
- Brown KE. Clinical considerations improving obturator treatment. J Prosthet Dent. 1970;24(6):461–6.
- Beumer J, Curtis TA, Marunick MT. Maxillofacial Rehabilitation: Prosthodontic and Surgical Considerations. 3rd ed. Quintessence Publishing; 2011.
- Desjardins RP. Obturator prosthesis design for acquired maxillary defect. J Prosthet Dent. 1978;39(4):424-35.
- Keyf F. Obturator prostheses for hemimaxillectomy patients. J Oral Rehabil. 2001;28(9):821–9. 188 Sharma et al./ IP Annals of Prosthodontics and Restorative Dentistry 2025;11(2):185-188
- Parr GR, Tharp GE, Rahn AO. Prosthodontic principles in the framework design of maxillary obturator prostheses. J Prosthet Dent. 1989;62(2):205–12.
- Basker RM, Davenport JC, Thomason JM. Prosthetic Treatment of the Edentulous Patient. 5th ed. Wiley-Blackwell; 2011.
- Zarb GA, Bolender CL, Eckert SE, Rhonda J. Prosthodontic Treatment for Edentulous Patients: Complete Dentures and Implant- Supported Prostheses. 13th ed. Mosby; 2012.
- Enlow DH. The principles of bone remodeling. Springfield (IL): Charles C Thomas; 1963.
- Sikri A, Sikri J, Prosthetic management of flabby ridge using customized prefabricated metal mesh custom tray impression technique: A case report. IP Ann Prosthodont Restor Dent. 2022;8(1):50-60
- Kelly E. Changes caused by a mandibular removable partial denture opposing a maxillary complete denture. J Prosthet Dent. 1972;27(2):140–50.
- Watt D, Roy M, Macgregor A. Designing complete dentures. IOP Publishing. P, Bristol; 1986. p. 21–34.
- Osborne J. Two impression methods for mobile fibrous ridges. Br Dent J. 1964;117:392–4.
- Khan Z, Jaggers JH, Shay JS. Impression of unsupported movable tissues. J Am Dent Assoc. 1981;103(4):590–2.
- Sikri A, Kalra V, Sikri J, Jassal P, Yamika. Precision Prosthodontic Rehabilitation of Flabby Ridge with a Modified Window Technique: Case Report. Dent J Indira Gandhi Int Med Sci. 2024;3(1):51–64.
- Rathee M, Jain P, Dixit P, Singh P, Mittal S, Tomar SS. Prosthetic Rehabilitation of Edentulous Flabby Ridge using Modified Hobkirk Window Impression Technique: A Case Report. Ann Dent UM. 2024;31:26–30.
- Maskey B, Kandel K, Regmi M. Prosthodontic Management of Flabby Ridge with Modified Impression Technique: A Case Report. J Nepalese Prosthodont Soc. 2024;7(1):57–60.
- Yee A, Meei TI, Ling GC. Managing Fibrous Maxillary Ridge: A Case Series of Impression Techniques. Prim Dent J. 2023;12(1):51–
- Showkat R, Sharma A, Kumar S, Kaura SM. Management of Flabby Ridge Using Hobkirk’s Technique: A Case Report. Eur J Dent Oral Health. 2021;2(1):1–4.
- Kabade AK, Mahale KM, Dange SP, Khalikar SA. A modified impression technique for flabby and severely atrophic mandibular ridge: A case report. Int J Appl Dent Sci. 2021;7(4):99–102.
How to Cite This Article
Vancouver
Sharma S, Kalra T, Kumar M, Bansal A, Sikri A. Innovative impression strategy in maxillary defect rehabilitation: A prosthodontic perspective [Internet]. IP Ann Prosthodont Restor Dent. 2025 [cited 2025 Oct 22];11(2):185-188. Available from: https://doi.org/10.18231/j.aprd.2025.036
APA
Sharma, S., Kalra, T., Kumar, M., Bansal, A., Sikri, A. (2025). Innovative impression strategy in maxillary defect rehabilitation: A prosthodontic perspective. IP Ann Prosthodont Restor Dent, 11(2), 185-188. https://doi.org/10.18231/j.aprd.2025.036
MLA
Sharma, Sonali, Kalra, Tarun, Kumar, Manjit, Bansal, Ajay, Sikri, Arpit. "Innovative impression strategy in maxillary defect rehabilitation: A prosthodontic perspective." IP Ann Prosthodont Restor Dent, vol. 11, no. 2, 2025, pp. 185-188. https://doi.org/10.18231/j.aprd.2025.036
Chicago
Sharma, S., Kalra, T., Kumar, M., Bansal, A., Sikri, A.. "Innovative impression strategy in maxillary defect rehabilitation: A prosthodontic perspective." IP Ann Prosthodont Restor Dent 11, no. 2 (2025): 185-188. https://doi.org/10.18231/j.aprd.2025.036