Management of Flabby Edentulous Ridge Using the Window Impression Technique.

Flabby ridge, also known as a mobile or displaceable ridge, is a common clinical challenge encountered in dental practice. The flabby ridge lacks firmness and stability, causing dentures to become loose and unstable. This can lead to discomfort, difficulty in speaking and eating, and a decreased quality of life for denture wearers. The flabby ridge often lacks the necessary contour and resilience to create an effective seal and maintain suction between the denture base and the underlying tissues. This compromises the retention of dentures, making them prone to dislodgement during normal oral functions. In this report, a modified window technique is presented for the impression of the anterior maxillary flabby ridge. The window ensures that no or little pressure is exerted on the flabby tissue. Therefore, this technique can be easily carried out by general dental practitioners, enabling them to manage flabby ridge complete denture cases within a primary dental care setting.

Custom Ocular Prosthesis: A Case Report.

Ocular prostheses play a vital role in restoring the appearance and functionality of the eye for individuals who have suffered from eye loss due to trauma, surgery, tumors, or congenital eye defects. This case report presents the successful fabrication and fitting of a custom-made ocular prosthesis for a patient with an eye defect. The process involved careful examination and digital imaging for the fabrication of prostheses. The custom prosthesis provided an excellent aesthetic match, improved comfort, and enhanced the patient's self-confidence, ultimately leading to an improved quality of life.

Prosthodontic Rehabilitation of a Residual Post-surgical Cleft Defect.

Cleft lip/palate is a common birth defect globally, and the impact of this condition on the dental health of affected individuals can be profound. During intricate rehabilitation of cleft lip and palate patients, the final phase is achieved with definitive prosthodontic treatment. Prosthodontic rehabilitation is often necessary due to missing teeth and the alveolar ridge, malocclusion, residual defects, and the discrepancy between maxillary and mandibular arches. This article presents a case report of a young female patient with residual post-surgical cleft palatal defect having a mobile anterior segment with missing lateral incisors rehabilitated by a cast partial denture. The prosthesis utilized provided improvements in the patient's speech and esthetics but at a low level of cost and ongoing maintenance.

3D-Printed Ergonomically Designed Feeding Aid for Patients With Limited Manual Dexterity.

Self-eating is a difficult task when hand and finger movements are restricted. Many patients find difficulty in holding utensils because of slender handles. It is essential to have a customized handle that will allow a better grip on traditional feeding aid. When the handle is customized to the patient's hands and fingers, patients will have better control while eating. This reduces their dependency on others, thus helping to regain their lost self-esteem. This technical report describes a simple method of fabricating a three-dimensional (3D)-printed ergonomically designed handle for a feeding aid from materials readily available in the dental office.

Management of Sunken Cheeks With Magnet-Retained Cheek Plumpers.

The loss of teeth, associated with sunken lips and cheeks, has a debilitating psychological effect on a person. It is essential for clinicians to incorporate facial esthetics into their treatment plan for complete denture patients in order to improve the patients' confidence and quality of life. Cheek plumpers ensure adequate support to facial muscles, which, in turn, minimizes the appearance of wrinkles, lines, and sagging over time. This case report describes the fabrication of detachable cheek plumpers using magnets to enhance the facial esthetics of a completely edentulous patient. Magnet-retained cheek plumpers, being small and lightweight, allow ease of placement and cleaning without the addition of weight to the prosthesis.

Management of Comminuted Fracture of Mandible Using Titanium Mesh.

Comminuted mandibular fractures are common following a high-velocity injury to the face and jaws. The inherent nature of injury and damage to the underlying hard and soft tissues often complicate the management of comminuted fractures. Traditionally, comminuted fractures were managed by closed reduction and external skeletal fixation. Titanium mesh serves as an excellent alternative in the management of comminuted mandibular fractures. The present case report presents the successful management of comminuted mandibular fractures using titanium mesh.

Sectional Impression Tray With Reusable Handle: A Single Solution for All Microstomia Cases.

A dimensionally accurate impression is one of the primary determinants for the precise fabrication of complete denture prostheses in microstomia patients. This can be achieved with the help of sectional trays. This technical report describes the fabrication of a sectional impression tray with a reusable sectional handle using magnets. The handles can be sterilized and reused, thus saving clinical time for future use. The proposed method provides ease of reassembling and disassembling, easy placement, and guided orientation of the two tray segments.

Prosthodontic Management With a Metal Denture Engraved With Laser QR Code.

Denture marking is a unique way of identification and is mandated by the global dental council. There are various techniques for marking a denture depending on the prosthesis and method used. In this case report, an elderly patient suffering from Alzheimer's disease complained of a lack of heat and a cold feeling in the existing denture. The acrylic denture base is replaced by a metal denture and the palatal region is laser sintered with an Aadhar card QR code. This code reveals the patient's personal details when scanned. This provides quick identification of dentures.

A Simple Technique to Manage Gag Reflex.

Gagging poses a clinical difficulty to the dentist in all facets of therapy, from diagnostic techniques to active treatment. Various treatment methods to manage the gagging include behavioral techniques, acupressure, acupuncture, hypnosis, systemic desensitization, and pharmacological techniques. This article presents a straightforward method for getting rid of the gag reflex using an eye massager. Eye massagers can help reduce the stress and anxiety associated with dental procedures by providing an effective alternative to traditional methods. This technique can be a valuable aid in making short dental procedures more comfortable and successful.

Management of Pediatric Mandibular Fracture With Acrylic Cap Splint.

Trauma during childhood can have an extreme mental jolt on the minds of growing children. The fundamentals of treatment of jaw fractures vary among children and adults. In children, minimal manipulation of facial skeleton is necessary to rehabilitate the supporting bony framework to pre-trauma condition. The procedure should not only be non-intrusive but also cause minimum malfunction and aesthetic disability. The case report presents the successful management of a seven-year-old boy with mandibular symphysis fracture using an acrylic cap splint retained with circum-mandibular wiring.

Prosthodontic Rehabilitation of a Completely Edentulous Patient With a Cleft Palate: A Case Report.

Clefts of the lip and palate are congenital anomalies that affect the orofacial region. Completely edentulous patients with a cleft palate present a unique challenge during complete denture fabrication. Complete dentures with an obturator and palatal extension need to be accurately fabricated to fulfill the functions of esthetics, speech, deglutition, and mastication. The case report presents the successful prosthodontic rehabilitation of a cleft palate female patient using a complete denture with a palatal obturator and pharyngeal extension. The palatal obturator extension provided good retention and stability for the maxillary denture. The patient's skill and previous experience with her old dentures played an important role in successful treatment. The patient was satisfied with dentures in terms of esthetics, chewing, swallowing, and speech.

Acrylic Finger Prosthesis: A Case Report.

Partial-finger amputations not only affect the function of the hand but also the psychology of patients. Amputation can be caused by traumatic injuries, congenital defects, or malformations. Patients will benefit esthetically as well as functionally when a finger prosthesis is uniquely sculpted for each patient. This article describes the fabrication of a custom-made finger prosthesis with heat-cured acrylic material which not only matched the patient's hand esthetically but was also easy to use. Finger prosthesis offered both esthetic as well as functional rehabilitation to the patient.

Massage Therapy to Control Anxiety Before Extraction of an Impacted Tooth.

Anxiety creates a stressful situation for the dentist as well as the patient. This article describes a simple technique to manage anxiety using an eye massager. The audio and visual distraction technique helps the patient relax and complete the procedure. This article also stresses some basic skills like good communication skills and establishing mutually trustworthy dentist-patient relationships to enhance patient satisfaction during treatment. Managing anxiety during dental visits will help improve oral health in the long term.

Aadhar Number Marking on Surgical Plate for Forensic Identification.

Dental identification is the most reliable and frequently applied method of human identification, predominantly by comparing the antemortem and post-mortem records. Hence, all types of dental treatment should be recorded and kept properly. Aadhaar is a 12-digit individual identification number issued by the Unique Identification Authority of India on behalf of the Government of India to all residents of India.Marking an Aadhar number on a surgical plate can play an important role in forensic identification when other methods fail. In the case presented here, considering the importance of forensic records, the patient's surgical plates were labeled with the Aadhar number using a laser. A little effort from all dental practitioners to get surgical plates marked with patient details can help in quick identification if the need arises in the future.

A Simple Denture-Marking Technique for Patients Residing at Old Age Homes.

Denture marking helps to identify unknown individuals in social and forensic scenarios. This article describes a simple technique of incorporating a patient's photograph with details in the patient's denture. The photographic marker will help in quick identification in old age homes as it is easily readable by a layperson, playing an important role in day-to-day identification. This technique can be used to label both new and existing dentures that are not marked. The simple technique will ensure positive identification of denture wearers.

Customized Pen for Patients With Arthritis.

Patients with arthritis present with pain, stiffness and limited movement of fingers and hands. Performing tasks independently lead to a lot of anxiety and emotional trauma. Holding simple things like a toothbrush or pen is a cumbersome task. This article describes a simple technique to customize a pen for arthritis patients. The pen holder is customized to the patient's fingers making it easier to write.

A Simple Technique to Manage Anxiety During Tooth Extraction.

Pain-free dental treatment is important for reducing anxiety, treatment completion, and enhancing acceptance of future dental treatment. Injectable local anesthesia assists this pain-free approach but can cause anxiety in few patients. Achieving proper anesthesia is important to complete the procedure successfully, thereby adding to patient's care and comfort. This article describes a simple technique to manage dental anxiety using virtual reality headset. Audio visual aid helped the patient to relax and eliminate the phobia of local anesthesia injection during surgical tooth extraction. The simple technique enhanced the patient's ability to continue the dental procedure.

Custom Sectional Impression Tray With Sectional Handle for Microstomia Patients.

Microstomia presents a unique challenge to the dentist as well as the patient. Microstomia patients often face difficulty in inserting or removing removable dental prostheses due to constricted opening of the oral cavity. Dentists often face difficulty in inserting impression trays in these patients because of the limited mouth opening. Standard impression procedures need to be modified in such patients. This article describes a simple design for the fabrication of a sectional handle for a definitive impression in microstomia patients. The sectional handle could be sterilized and reused.