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 Table of Contents  
LETTER TO THE EDITOR
Year : 2017  |  Volume : 5  |  Issue : 2  |  Page : 281-282

Ridge guard


1 Department of Oral Pathology and Microbiology, Nair Hospital Dental College, Mumbai, Maharashtra, India
2 Department of Oral Pathology and Microbiology, School of Dentistry, D. Y. Patil University, Mumbai, Maharashtra, India
3 Department of Prosthodontics, Nair Hospital Dental College, Mumbai, Maharashtra, India
4 Department of Prosthodontics, Government Dental College and Hospital, Mumbai, Maharashtra, India

Date of Web Publication15-Dec-2017

Correspondence Address:
Subraj J Shetty
Department of Oral Pathology and Microbiology, School of Dentistry, D. Y. Patil University, Nerul, Mumbai - 400 706, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/amhs.amhs_77_17

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How to cite this article:
Desai RS, Shetty SJ, Ganesan R, Chauhan M. Ridge guard. Arch Med Health Sci 2017;5:281-2

How to cite this URL:
Desai RS, Shetty SJ, Ganesan R, Chauhan M. Ridge guard. Arch Med Health Sci [serial online] 2017 [cited 2018 Sep 22];5:281-2. Available from: http://www.amhsjournal.org/text.asp?2017/5/2/281/220831



Sir,

Fabrication of a single complete denture opposite natural dentition is a common practice in general dentistry. Patients undergoing extraction of all teeth of a single arch experience a lot of discomforts while eating, speaking, and swallowing due to impingement of teeth on the mucosa adjacent to fresh extraction sockets. To avoid this, we advocate fabrication of a immediate ridge guard using Sof-Tray sheets (Ultradent Products, Inc.). The sheets are available in various thicknesses and 6 square inch form. A 2 mm thick sheet is optimum for fabricating a ridge guard since 1 mm thick sheet is sharp and thicker sheets (3 and 4 mm) are harder and used to fabricate mouth guards and occlusal splints [Figure 1].
Figure 1: Ridge guard fabricated on the edentulous cast

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  Procedure Top


The process of thermoforming involves the placement of the sheet in a clamping frame of a vacuum forming machine (UltraVac vacuum former/Accuvac). The cast is placed underneath it and over the vacuum plate. The sheet starts sagging towards the cast by the heat conducted from the heating element when the unit is switched on. When the sheet comes closer to the edentulous cast, the clamping frame is lowered manually, and the vacuum is activated simultaneously to ensure good adaptation. The material is allowed to cool to room temperature. It is subsequently trimmed to the desired extension with sharp scissors. The edges of the ridge guard are smoothened by slight flaming using micro torch.[1]

Apart from preventing trauma, ridge guard prevents food lodgment in the extraction sockets [Figure 2]. The ridge guard functions similar to an immediate denture with a soft lining and acts as a splint covering the edentulous area. The material is inert and has been used for fabrication of bleaching trays, soft splints, and night guards since decades.[2] Due to its transparent nature, it does not compromise on esthetics, and hence can be worn during the daytime. This appliance should be worn during the transitional period between extraction and denture fabrication, which usually ranges between 2 and 3 months. Since the guard is constructed in a thermoplastic material (ethyl vinyl acetate), patients should be instructed not to eat or drink very hot food to avoid deformation of the guard.
Figure 2: Ridge guard placed in the patients' oral cavity

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Askinas SW. Fabrication of an occlusal splint. J Prosthet Dent 1972;28:549-51.  Back to cited text no. 1
[PUBMED]    
2.
Alqahtani MQ. Tooth-bleaching procedures and their controversial effects: A literature review. Saudi Dent J 2014;26:33-46.  Back to cited text no. 2
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    Figures

  [Figure 1], [Figure 2]



 

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