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Article: Volume 41 Number 6 Page 506 - July/August 2014

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  Dent Update 2014; 41: 506-512

Prosthodontics:  The ‘Anatomically Difficult’ Denture Case

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Abstract: Complete loss of teeth from one or both arches is a disabling condition which is usually managed by a conventional removable denture. Rehabilitation may be poorly tolerated by patients, particularly in the lower jaw, and is more difficult in situations when the anatomy of the denture-bearing area is less favourable. These situations may require specific prosthodontic or surgical techniques, or a combination of both. Prosthodontic solutions involve special impression techniques and the use of soft linings and it is vitally important to manage patient expectations in such cases. This article describes prosthodontic management options for dealing with the fibrous (flabby) anterior ridge and bony exostoses.

Clinical relevance: Although tooth loss in the UK is diminishing, it is nevertheless important that dental practitioners are able to demonstrate good prosthodontic skills for managing an ageing population. Surgical correction of anatomical defects may occasionally be employed.

Author notes: Tim Friel, BDS, MSc, Senior Clinical Lecturer, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, UK.

Objective: To understand the implications of an edentulous arch opposing a dentate one and potential complications associated with bony exotoses.