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NEUTRAL ZONE [case report]

Dr.swapnil pande ,lucknow


INTRODUCTION
POTENTIAL DENTURE SPACE
NEUTRAL ZONE

The portion of the oral cavity that is or may be occupied by


the maxillary and / or mandibular denture (s).
DIRECTION OF THE FORCES
Indications

Ill fitting dentures due to hyper tonicity of


the musculature.
Long standing cases of edentuluism .
Resorbed and atrophic ridges.
Enlarged tongue.
Abnormal anatomy.
PIEZOGRAPHY
`recording of neutral zone’.
 Contouring of wax rim on the maxillary
base in conventional way .
 The use of the fox plane is mandatory
because the occlusal plane will be dictated
by the contours of maxillary rim.
Neutral zone determination
 Materials used
– Waxes.
– Self curing acrylic.
– Dimethyl siloxane filled with calcium silicate.
– Low fusing gray and green compound.
– Modeling compound.
Neutral zone determination

 On accurate master casts, stabilized denture


bases are constructed.
 Wire loops embedded over ridge crest for
retention.
 Compound rims softened and denture bases inserted ; functional
movements carried out.
 Patient trained to perform a range of functional movements such
as smiling, swallowing, speaking, etc
Recommended movements

– sucking
– Swallow
– Smile
–   ‘ooh’
– ‘ah’
 Mandibular record base with modeling plastic impression
compound formed to patient’s neutral zone.
contd…

 Mandibular rim is uniformly reheated and placed into


patient’s mouth.
 Mandible is Guided into centric relation until the rims
lightly touch.And patient instructed to swallow.
 An imprint of the maxillary occlusal rim into mandibular
rim is resulted.
 The tentative vertical dimension has been determined and
anterior stop is created.
contd…

 1mm of the mandibular rim is trimed posteriorily


with out altering anterior portion .
 Then `v’ shaped notches are placed.
 Record the position by injucting fast setting vinyl
polysiloxane material onto the mandibular rim,and
have the patient close into centric relation
contd….
contd….
Case-2
Precautions

– Stable record bases not interfering with muscle activity.


– Patient to be trained in molding procedure prior to
insertion of loaded tray.
– Excessive volume of molded material to be avoided –
causes distortion of potential denture space.
– External impression may be totally unlike the shape of a
“normal” denture, hence laboratory staff must be
instructed about reproduction of the recorded contours.
Conclusion

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