case_images: PMC4020562_01
case_images: edentulous maxillary arch with arrows showing areas of flabby tissue.
case_images: CRID2014-104541.001.jpg
case_images: PMC4020562_01_CRID2014-104541.001.jpg
case_images: fig1
case_images: The anterior canine-canine region in maxilla along with the maxillary tuberosity and the mandibular canine-canine region was flabby (Figures 1 and 2).
case_images: edentulous mandibular arch with arrows showing areas of flabby tissue.
case_images: CRID2014-104541.002.jpg
case_images: PMC4020562_01_CRID2014-104541.002.jpg
case_images: fig2
case_images: The anterior canine-canine region in maxilla along with the maxillary tuberosity and the mandibular canine-canine region was flabby (Figures 1 and 2).
case_images: Additional wax placed to create relief over areas of flabby tissues.
case_images: CRID2014-104541.003.jpg
case_images: PMC4020562_01_CRID2014-104541.003.jpg
case_images: fig3
case_images: The mandibular cast was first adapted with a layer of wax to provide extra relief in the flabby region (Figure 3) followed by addition of one more layer of wax covering the ridge except the buccal shelf area (Figure 4).
case_images: Relief wax placed over the mandibular arch.
case_images: CRID2014-104541.004.jpg
case_images: PMC4020562_01_CRID2014-104541.004.jpg
case_images: fig4
case_images: The mandibular cast was first adapted with a layer of wax to provide extra relief in the flabby region (Figure 3) followed by addition of one more layer of wax covering the ridge except the buccal shelf area (Figure 4).
case_images: Relief wax placed over the maxillary arch.
case_images: CRID2014-104541.005.jpg
case_images: PMC4020562_01_CRID2014-104541.005.jpg
case_images: fig5
case_images: On the maxillary cast, an "I" shaped spacer was applied along the mid palatine raphe using modelling wax with additional relief given in the flabby area from canine-canine region (Figure 5).
case_images: Clear acrylic custom "open" tray.
case_images: CRID2014-104541.006.jpg
case_images: PMC4020562_01_CRID2014-104541.006.jpg
case_images: fig6
case_images: A maxillary custom tray was fabricated using clear autopolymerising acrylic resin (RR self-cure acrylic resin, Dentsply, India) covering the tissues except the area that was flabby (Figure 6).
case_images: Maxillary custom tray with "supporting" tray covering areas of flabby tissue with the handle placed at the center of the palatal area.
case_images: CRID2014-104541.007.jpg
case_images: PMC4020562_01_CRID2014-104541.007.jpg
case_images: fig7
case_images: The handle was placed in the palatal portion of the maxillary tray to ensure visualization of the underlying tissues through the clear acrylic tray and also to facilitate uniform distribution of pressure during impression making (Figure 7).
case_images: Mandibular custom tray fabricated with clear acrylic resin.
case_images: CRID2014-104541.008.jpg
case_images: PMC4020562_01_CRID2014-104541.008.jpg
case_images: fig8
case_images: A mandibular custom tray was fabricated with autopolymerising clear acrylic (Figure 8).
case_images: Buccal shelf area recorded with impression compound.
case_images: CRID2014-104541.009.jpg
case_images: PMC4020562_01_CRID2014-104541.009.jpg
case_images: fig9
case_images: The Buccal shelf area was recorded by using mucocompressive impression material like impression compound Type 1 (Y Dents, Mumbai, India) (Figure 9).
case_images: Custom tray with complete mandibular border moulding.
case_images: CRID2014-104541.010.jpg
case_images: PMC4020562_01_CRID2014-104541.010.jpg
case_images: fig10
case_images: The remaining borders of impression were recorded by selective pressure technique using green stick compound (Pinnacle tracing stick, DPI, Mumbai, India) (Figure 10).
case_images: Mandibular custom tray with wax spacer removed. Multiple relief holes are placed in areas of flabby tissue.
case_images: CRID2014-104541.011.jpg
case_images: PMC4020562_01_CRID2014-104541.011.jpg
case_images: fig11
case_images: A final impression with monophase (medium body) (Aquasil LV Monophase, Dentsply Caulk) addition silicone was made (Figure 11).
case_images: Completed mandibular impression with monophase polyvinylsiloxane material.
case_images: CRID2014-104541.012.jpg
case_images: PMC4020562_01_CRID2014-104541.012.jpg
case_images: fig12
case_images: A monophase impression material was preferred as it has the desirable thixotropic property thereby ensuring adequate flow under pressure (Figure 12).
case_images: Maxillary custom tray with wax spacer removed.
case_images: CRID2014-104541.013.jpg
case_images: PMC4020562_01_CRID2014-104541.013.jpg
case_images: fig13
case_images: The maxillary borders were recorded by selective pressure impression technique using green stick compound (Figure 13).
case_images: Maxillary custom tray with multiple relief holes.
case_images: CRID2014-104541.014.jpg
case_images: PMC4020562_01_CRID2014-104541.014.jpg
case_images: fig14
case_images: The relief wax was removed and multiple holes were drilled in the "supporting tray (Figure 14)." Placement of multiple relief holes was done to ensure prevention of pressure build-up in the flabby area thereby leading to inadvertent tissue compression.
case_images: Completed secondary impression with monophase polyvinylsiloxane material.
case_images: CRID2014-104541.015.jpg
case_images: PMC4020562_01_CRID2014-104541.015.jpg
case_images: fig15
case_images: Similar to the lower impression a monophase impression of addition silicone was made (Figure 15).