Comprehensive Prosthodontic Treatment of an Elderly Patient with Compromised Ridges:  A Clinical Case Report

Nada Fathalla Abdelbagi; Ibrahim Ahmed Ismail; Fadia Awadalkreem; Mohammed Nasser Alhajj

doi:10.17126/joralres.2021.068

Nada Fathalla Abdelbagi Department of Oral Rehabilitation, Faculty of Dentistry, University of Khartoum, Khartoum, Sudan.
Ibrahim Ahmed Ismail Department of Oral Rehabilitation, Faculty of Dentistry, University of Khartoum, Khartoum, Sudan
Fadia Awadalkreem Department of Oral Rehabilitation, Faculty of Dentistry, University of Khartoum, Khartoum, Sudan
Mohammed Nasser Alhajj Department of Oral Rehabilitation, Faculty of Dentistry, University of Khartoum, Khartoum, Sudan. Department of Prosthodontics, Faculty of Dentistry, Thamar University, Dhamar, Yemen

DOI: https://doi.org/10.17126/joralres.2021.068

Abstract

Introduction: The objective of a complete denture prosthesis is restoring aesthetics, comfort, and function by the replacement of missing dental and alveolar structures employing a stable prosthesis. Case Report: Many conditions can complicate the treatment plan and fabrication of a complete denture prosthesis. Complete denture fabrication in clinically compromised conditions is a challenging task for the dentist. In this clinical report, we present comprehensive management of a patient with denture-induced hyperplasia, flabby ridge, and severely resorbed edentulous ridge. The three-part strategy for management of the above-mentioned challenges can provide high-quality complete dentures, based on recognized prosthodontic principles. This first part will discuss the management of denture induced hyperplasia by elimination of the inflammation and excision of the lesion. Part two will cover management of the flabby ridge using a modified window technique for the impression of maxillary flabby tissues for an improved and controlled application of the impression material that is usually obtainable in dental practice. Part three highlights the rehabilitation procedure of the resorbed mandibular ridge using a functional impression technique with minimum soft tissue displacement and neutral zone arrangement of teeth to improve stability of the denture. Conclusion: rehabilitation of a patient with denture induced hyperplasia, flabby ridge, and severely resorbed edentulous ridges was successful.

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