Vol. 11, Issue 3, Part G (2025)
Management of compromised ridges in recent trends
K Nikhil, C Ravi Kumar, Y Ravi Shankar and L Sri Charitha
Prosthodontic rehabilitation of patients with compromised edentulous ridges using conventional methods poses significant clinical challenges due to factors such as severe ridge resorption, flabby tissues, bony undercuts, shallow vestibules, and unfavorable jaw relations. These anatomical limitations adversely affect the retention, stability, and support of complete dentures, making it challenging to meet both functional and aesthetic expectations. To overcome these issues, modifications in treatment protocols are essential. Techniques such as selective pressure or mucostatic impressions help accurately record the tissues. In contrast, special approaches like the window technique for flabby ridges and the neutral zone technique for severely resorbed ridges enhance denture stability and muscle harmony. Pre-prosthetic surgeries, such as alveoloplasty or vestibuloplasty, may be indicated to improve the denture-bearing area. Additional measures like the use of soft liners, tissue conditioners, denture adhesives, and reinforced bases can further improve comfort and function. Each case demands individualized planning based on ridge anatomy, tissue health, and patient expectations. Thorough patient education and regular follow-up are vital for long-term success. This comprehensive approach allows clinicians to address common compromised situations encountered in daily practice effectively, leading to improved patient satisfaction even with conventional complete denture therapy.
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