case_images: PMC11738095_01
case_images: Pre-treatment intraoral picture of the maxillary edentulous arch with an anterior flabby ridge
case_images: cureus-0017-00000077508-i01.jpg
case_images: PMC11738095_01_cureus-0017-00000077508-i01.jpg
case_images: FIG1
case_images: The intra-oral examination showed an edentulous maxillary arch with a displaceable anterior flabby ridge, in opposition to an anterior dentate mandibular arch (Figure 1).
case_images: Flabby ridge area marked with an indelible pencil
case_images: cureus-0017-00000077508-i02.jpg
case_images: PMC11738095_01_cureus-0017-00000077508-i02.jpg
case_images: FIG2
case_images: The flabby ridge area was marked with an indelible pencil intraorally (Figure 2). The alginate impression was reinserted in the patient's mouth, and the area marked with an indelible pencil was transferred to the impression.
case_images: Maxillary primary cast
case_images: cureus-0017-00000077508-i03.jpg
case_images: PMC11738095_01_cureus-0017-00000077508-i03.jpg
case_images: FIG3
case_images: A maxillary cast was poured and fabricated (Figure 3) with dental stone (Dental Stone type III, Kulzer, Germany).
case_images: Upper custom tray with a handle in the mid-palate area
case_images: cureus-0017-00000077508-i04.jpg
case_images: PMC11738095_01_cureus-0017-00000077508-i04.jpg
case_images: FIG4
case_images: A custom tray with a modified handle in the mid-palate area was fabricated with a 2 mm spacer, using a single sheet of modeling wax as a spacer and tissue stops (Figure 4).
case_images: Outline of the flabby area transferred to the custom tray
case_images: cureus-0017-00000077508-i05.jpg
case_images: PMC11738095_01_cureus-0017-00000077508-i05.jpg
case_images: FIG5
case_images: Using the designated region surrounding the flabby ridge as a guide, a window was cut out of the tray (Figure 5).
case_images: Window cut following the outline of the flabby area
case_images: cureus-0017-00000077508-i06.jpg
case_images: PMC11738095_01_cureus-0017-00000077508-i06.jpg
case_images: FIG6
case_images: A round-fissured bur was used to construct a window in the flabby tissue section of the customized tray (Figure 6).
case_images: Tray with a window cut in the flabby ridge area, followed by an intraoral trial
case_images: cureus-0017-00000077508-i07.jpg
case_images: PMC11738095_01_cureus-0017-00000077508-i07.jpg
case_images: FIG7
case_images: The tray was examined in the mouth to ensure the flabby area could be seen via the window (Figure 7).
case_images: After border molding and washing impression of the peripheries
case_images: cureus-0017-00000077508-i08.jpg
case_images: PMC11738095_01_cureus-0017-00000077508-i08.jpg
case_images: FIG8
case_images: Additionally, using zinc oxide eugenol paste (Kelly's ZOE impression paste, Water Pik, Inc., USA), a thin wash imprint of the peripheries was captured (Figure 8).
case_images: Painting of the impression plaster on the anterior flabby ridge area
case_images: cureus-0017-00000077508-i09.jpg
case_images: PMC11738095_01_cureus-0017-00000077508-i09.jpg
case_images: FIG9
case_images: A thin layer of impression plaster was painted/coated over the flabby ridge area with a soft camel hair brush (Figure 9).
case_images: Tray insertion after the painting/application of the impression plaster
case_images: cureus-0017-00000077508-i10.jpg
case_images: PMC11738095_01_cureus-0017-00000077508-i10.jpg
case_images: FIG10
case_images: Then, the prepared impression tray, loaded with zinc oxide eugenol impression paste, was inserted over the painted impression plaster (Figure 10).
case_images: Final recorded impression with the window technique
case_images: cureus-0017-00000077508-i11.jpg
case_images: PMC11738095_01_cureus-0017-00000077508-i11.jpg
case_images: FIG11
case_images: The material was allowed to set completely, and then the impression was carefully removed from the patient's mouth (Figure 11).