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All Journal Indonesian Journal of Prosthodontics
Taufik Sumarsongko
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Dentistry

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Management of fully edentulous with flabby ridge using double spacer custom tray and modified impression techniques Sara Stefany; Taufik Sumarsongko; Rasmi Rikmasari
Indonesian Journal of Prosthodontic Vol 7 No 1 (2026): June 2026
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46934/ijp.v7i1.331

Abstract

Background: A flabby ridge refers to an area of alveolar ridge with hypermobile and fibrous soft tissue that typically forms as a result of prolonged pressure or unstable occlusion, which posing difficulties in achieving proper denture retention, support, and stability. A precise impression is essential for ensuring the stability of complete dentures with flabby ridge. The fundamental principle for impressions of a flabby ridges is to apply minimal pressure on the flabby area to prevent distortion impression outcome. To achieve that, double spacer custom tray along with selective pressure impression techniques was employed. Objectives: This case report aims to gain impression with minimum pressure on flabby ridge to enhance retention, support, and stability of the complete denture. Case Report: A 70-year-old male patient came to the Policlinic Prosthodontics Oral dan Dental Hospital Universitas Padjadjaran complaining that his old 10-years-used denture felt loose and uncomfortable. Intraoral examination showed that both maxillary and mandibular arches were fully edentulous, with flabby ridges present. Following the assessment, it was decided to make a new complete denture using double spacer custom tray and selective pressure impression techniques. Conclusion: Double spacer custom tray and selective pressure impression techniques have been effective in minimizing pressure that could lead to tissue compression during impression procedures, resulting more comfortable dentures with greater retention and stability. Keywords: Flabby Ridge, Complete Denture, Double Spacer Custom Tray, Selective Pressure Impression Technique
Prosthetic rehabilitation of a severely resorbed mandibular ridge using the effective suction method Novita Gabriela Andreas; Taufik Sumarsongko; Rasmi Rikmasari
Indonesian Journal of Prosthodontic Vol 7 No 1 (2026): June 2026
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46934/ijp.v7i1.332

Abstract

Background: Mandibular ridge resorption commonly occurs after tooth loss and progressively reduces ridge height and contour, often resulting in a flat ridge. Severe resorption in edentulous patients creates challenges in complete denture fabrication, particularly in achieving adequate retention and stability. The mandibular suction effective denture technique was developed to improve retention by establishing a complete border seal and negative pressure beneath the denture base. Objectives: This case report aims to describe prosthetic rehabilitation of a patient with a flat mandibular ridge using the effective suction impression technique. Case Report: A 67-year-old female with complete edentulism and a flat mandibular ridge complained of difficulty in mastication and speech due to a loose, fractured denture. Rehabilitation was performed using the effective suction impression technique with a frame cut-back (FCB) tray and a closed-mouth impression method. Procedures included final impression making, jaw relation recording, artificial teeth arrangement, and insertion of complete dentures for both arches. Post-insertion evaluation showed good retention and stability, with improved comfort and masticatory function. Conclusion: The effective suction technique can provide improved retention, stability, and patient comfort in patients with flat mandibular ridges. Further clinical studies are needed to confirm its long-term success.
Complete denture rehabilitation in a patient with flabby ridge using an open-Window impression technique and double-spacer custom tray: A case report Richard Austeen Halim; Taufik Sumarsongko; Rasmi Rikmasari
Indonesian Journal of Prosthodontic Vol 7 No 1 (2026): June 2026
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46934/ijp.v7i1.337

Abstract

ABSTRACT Background: A flabby ridge is an area of mobile soft tissue found superficially, which affects both maxillary and mandibular alveolar ridges. It is a common finding in long term denture wearers, where the rate of bone resorption is very fast leading to development of hyperplastic soft tissue over the alveolar bone. These mobile, hyperplastic tissues compromise denture stability and retention, leading to patient discomfort and functional limitations. A precise impression is essential for ensuring the stability of complete dentures with flabby ridge. The fundamental principle for impressions of a flabby ridges is to apply minimal pressure on the flabby area to prevent distortion impression outcome. To achieve that, open-window technique and double spacer custom tray along with selective pressure impression techniques was employed. Objectives: This case report aims to gain impression with minimum pressure on flabby ridge to enhance retention, support, and stability of the complete denture. Case Report: A 63-year-old male patient came to the Department of Prosthodontics, Padjadjaran University, complaining that his old 10-years-used denture felt loose and uncomfortable. Intraoral examination showed that both maxillary and mandibular arches were fully edentulous, with flabby ridges present. Following the assessment, it was decided to make a new complete denture using double spacer custom tray and open-window impression techniques. Conclusion: Double spacer custom tray and open-window impression techniques helped in recording flabby tissue with minimal displacement and hence enhanced the stability, support, and retention of the denture. Keywords: Flabby Ridge, Complete Denture, Impression Techniques, Double Spacer Custom Tray, Open-Window Technique
Co-Authors Novita Gabriela Andreas Rasmi Rikmasari Richard Austeen Halim Sara Stefany