The document describes a technique for defining the posterior palatal seal area on a definitive impression for a maxillary complete denture using a non-fluid wax addition. The key steps are to identify the posterior palatal seal area intraorally, mark it on the impression, abrade the impression surface, and apply a mixture of baseplate and sticky wax to build up the seal area. This provides a more precise seal definition than traditional techniques and improves retention and stability of the denture.
3. The posterior palatal seal is defined as, “the
soft tissues along the junction of the hard and
soft palates on which pressure within the
physiological limits of the tissues can be applied
by a denture to aid in the retention of the
denture”
4. Posterior palatal seal aids in
retention of complete denture.
It serves as a barrier and prevents ingression of
fluid, food, air between denture and tissue
surface.
It helps in decreasing gag reflex by maintaining
positive contact with moving soft palate.
It guides the positioning of custom tray during
secondary impression.
By providing a thick border it compensates the
warpage that occur during polymerization.
It provides comfort and confidence to the
patient by increasing the retention of denture.
7. Evolution of Techniques in Recording Posterior Palatal Seal – A Review Journal of
Academy of Dental Education, 13-17, DOI: 10.18311/jade/2017/16451
Functional or Physiologic Technique
- Fluid wax Technique (Millsap-1964)
Semi functional Technique
- Border moulding
Empirical Technique
- Conventional Technique (Winkler)
- Boucher’s Technique
- Bernard Levin’s Technique
- Swenson’s Technique
- Pound’s Technique
- Silverman’s Technique
- Calomeni, Feldman, Kuebker’s Technique
- Hardy and KapurTechnique
8. Millsap CH. The posterior palatal seal area for complete dentures. Dent Clin North
Am1964;1:663-73
9. Defining the posterior palatal seal on a definitive impression for a maxillary complete denture by
using a non-fluid wax addition technique, W. Russell et al. (J Prosthet Dent 2014;112:1597-1600)
Disadvantages
•More time is necessary during the
impression appointment
•Difficulty in handling materials
•Wax may not remain dimensionally stable
during impression procedure or cast
production.
10. Winkler S. Essentials of complete denture prosthodontics. 2nd ed. St Louis: Ishiyaku
EuroAmerica; 1994. p. 119.
11. Defining the posterior palatal seal on a definitive impression for a maxillary complete denture by
using a non-fluid wax addition technique, W. Russell et al. (J Prosthet Dent 2014;112:1597-1600)
Disadvantages
•Not a physiologic technique
•Potential for overcompression of tissues
12. Defining the posterior palatal seal on a definitive impression for a maxillary complete denture by
using a non-fluid wax addition technique, W. Russell et al. (J Prosthet Dent 2014;112:1597-1600)
Definitive impressions for tissue-supported
prosthetics are made with polyvinyl siloxane or
polysulfide impression materials.
This article presents a technique in which static
wax can be firmly applied to these elastomeric
impression materials and with which a PPS can
be precisely formed.
13. Defining the posterior palatal seal on a definitive impression for a maxillary complete denture by
using a non-fluid wax addition technique, W. Russell et al. (J Prosthet Dent 2014;112:1597-1600)
Make an accurate polyvinyl siloxane maxillary
definitive impression
Identify the hamular notches in the mouth by running
the blunt head of the mirror on the crest of the ridge
Identify the posterior vibrating line by asking the
patient to say “Ah.”
Palpate the glandular region of the hard palate with a
burnisher to clinically evaluate its compressibility and
anterior extent
Mark the area intra-orally with an indelible indicator
Transcribed the markings to the definitive cast.
14. Defining the posterior palatal seal on a definitive impression for a maxillary complete denture by
using a non-fluid wax addition technique, W. Russell et al. (J Prosthet Dent 2014;112:1597-1600)
15. Defining the posterior palatal seal on a definitive impression for a maxillary complete denture by
using a non-fluid wax addition technique, W. Russell et al. (J Prosthet Dent 2014;112:1597-1600)
Place the impression in the mouth, and transfer
the marked zone that identifies the PPS area to
the polyvinyl siloxane material
Dry the impression and abrade the marked area
with airborne particle (90 mm aluminum oxide at
200 kPa)
16. Defining the posterior palatal seal on a definitive impression for a maxillary complete denture by
using a non-fluid wax addition technique, W. Russell et al. (J Prosthet Dent 2014;112:1597-1600)
17. Defining the posterior palatal seal on a definitive impression for a maxillary complete denture by
using a non-fluid wax addition technique, W. Russell et al. (J Prosthet Dent 2014;112:1597-1600)
Formulate a melted mixture of one-half medium-
soft base plate wax (Baseplate wax; Kerr Corp)
and one-half sticky wax (Sticky wax; Kerr Corp)
Create the form for the PPS by using an additive
drawn beading technique for mass application
Detail it into a suitable dimension by subtractive
carving
Place the impression into the mouth and
evaluate retention and patient comfort.
Bead and box the impression and pour the cast
to reveal a discretely formed, customized PPS
area.
18. Defining the posterior palatal seal on a definitive impression for a maxillary complete denture by
using a non-fluid wax addition technique, W. Russell et al. (J Prosthet Dent 2014;112:1597-1600)
19. Defining the posterior palatal seal on a definitive impression for a maxillary complete denture by
using a non-fluid wax addition technique, W. Russell et al. (J Prosthet Dent 2014;112:1597-1600)
This wax mixture, when heated thoroughly, will
adhere to most non-aqueous impression
materials.
Wax is stiff enough so can be shaped and carved
easily.
More dimensional stability.
This approach is less arbitrary than
traditional methods of carving the definitive
cast.
Helps promote retention and stability in record
bases and definitive prosthesis.
20. Defining the posterior palatal seal on a definitive impression for
a maxillary complete denture by using a non-fluid wax addition
technique, W. Russell et al. (J Prosthet Dent 2014;112:1597-1600)
Winkler S. Essentials of complete denture prosthodontics. 2nd ed.
St Louis: Ishiyaku EuroAmerica; 1994. p. 119
Millsap CH. The posterior palatal seal area for complete
dentures. Dent Clin North Am1964;1:663-73
The glossary of prosthodontic terms. J Prosthet Dent 2005;94:63.
Evolution of Techniques in Recording Posterior Palatal Seal – A
Review Journal of Academy of Dental Education, 13-17, DOI:
10.18311/jade/2017/16451