Residual Ridge Resorption: Asha C S, Second Year Mds
Residual Ridge Resorption: Asha C S, Second Year Mds
Residual Ridge Resorption: Asha C S, Second Year Mds
RESORPTION
CONTENTS
• INTRODUCTION • MANAGEMENT
• CLASSIFICATION • CONCLUSION
• PATHOPHYSIOLOGY • REFERENCES
• PATHOGENESIS
• EPIDEMIOLOGY
• ETIOLOGY
• CONSEQUENCES OF
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RRR
RESIDUAL RIDGE
INTRODUCTION
RESORPTION
Residual ridge is a term used to describe the shape of the clinical alveolar ridge
after healing of bone and soft tissues following tooth extraction.
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-’GPT8’
The size of the residual ridge is reduced most rapidly in the first 6 months
The rate of RRR is different among persons and even at different sites in
the same person.
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ACCORDING TO BOUCHER,
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PATHOLOGY OF RRR
Gross Pathology:
Microscopic Pathology :
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DIRECTION OF BONE RESORPTION
CONSEQUENCES OF RRR
• Apparent loss of sulcus width and depth.
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• Resorption of the mandibular canal wall and exposure of the
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mandibular nerve.
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PATHOGENESIS OF RRR
ATWOOD’S CLASSIFICATION(1983)
Order I: pre-extraction
Order II: post-extraction
Order III: high , well
rounded
Order IV: knife edge
Order V: low well rounded
Order VI: depressed.
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The original alveolar crest height= 3 times the distance from inferior border of mandible to lower
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edge of mental foramen
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PATHOPHYSIOLOGY OF RRR
• It is clear that RRR does not stop with the residual ridge but
may go well below the apices of the teeth
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EPIDEMIOLOGY
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ETIOLOGY
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•I T I S P O S T U L AT E D T H AT R R R I S A
MU LT I FA CTO RI A L , B I O ME C H A N I C A L
DISEASE TH AT R E S U LT S FROM A
C O MBI N ATI O N O F :
•A N ATO MI C
•META BO L I C
•MECH A N I CA L
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ANATOMIC FACTORS
• It is postulated that RRR varies with the quantity and quality of the bone of
the residual ridges
• i.e, the more bone there is, the more RRR ultimately be
• evaluate the present status of the residual ridge to determine what has gone
on before(amount and density of bone)
anatomic factors
METABOLIC FACTORS
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LOCAL SYSTEMIC
Endotoxins from dental Incorrect amount of circulating estrogen,
plaque growth hormone,calcium ,phosphorous.
Prostaglandins Hypophosphetemia
Human gingival bone Vitamin D deficiency
resorption factor
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RRR α FORCE
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rest.
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TREATMENT OF RRR IS IDEALLY
MANAGEMENT BY PREVENTING IT
OF RRR
•Prevention of loss of natural teeth
edentulous residual ridge receives
vertical, diagonal and horizontal loads
applied by a denture with a surface
area much smaller than the total area
of the periodontal ligament of all the
natural teeth that had been present
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• PROPER DESIGN OF DENTURE AND MAINTENANCE
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SYSTEMIC EVALUATION :
DIET
• Patients with bone disease need a diet high in proteins, vitamins
and mineral content.
• PRE-PROSTHETIC SURGERY
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REFERENCES
•WINKLER S : ESSENTIALS OF COMPLETE DENTURE
PROSTHODONTICS. 2ND EDITION,2000.
• B O U C H E R : P R O S T H O D O N T I C T R E AT M E N T F O R
E D E N T U L O U S PAT I E N T S . 1 2 T H E D I T I O N , 2 0 0 4 .
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THANK YOU