Utilizing the Neutral Zone: Concept and Technique for Stabilizing Complete Denture - Case Report
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 8
Abstract
Resorption of mandibular ridges is a multifactorial and biomechanical disease that is chronic, progressive, irreversible, and cumulative leading to loss of sulcular depth, vertical dimension loss, and decreased lower facial height. Some common neurological, hormonal, and metabolic disorders affect the adaptability of dentures, and this can be diagnosed by a trained prosthodontist with proper history-taking and clinical examination. The denture becomes passive due to complex neuromuscular control and causes difficulties in impression-making, mastication, and swallowing, which in turn leads to loss of retention and stability in complete dentures. Hence, residual ridge resorption becomes a challenging scenario for a clinician during fabrication of complete dentures. The neutral zone concept plays a significant role in overcoming these challenges. The neutral zone is the area where the outward forces from the tongue are neutralized or nullified by the forces of the lips and cheeks acting inward during functional movements.The neutral zone technique is an alternative approach for the construction of lower complete dentures.. The technique aims to construct a denture that is shaped by muscle function and is in harmony with the surrounding oral structures.
Authors and Affiliations
Dr Anil Kumar, Dr. Nilmani Paswan, Dr. Surendra Prasad, Dr. Neeta Sinha, Dr. Sarita Singh, Dr. Rakhi Kumari, Dr. Ankitha Priya
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