The posterior palatal seal (PPS) area provides denture retention through application of light pressure on the soft palate. It is located between the anterior and posterior vibrating lines in the soft palate. The most accurate technique for determining the PPS area is the fluid wax technique, which records the vibrating line markings made by the patient directly into the final impression with wax at a 30 degree head tilt. Errors in processing the PPS area can result in inadequate or excessive damming, detected by air bubbles when inserting the wet denture or gagging respectively.
We in Chinthamani Laser Dental Clinic & Implant Centre ,cover every speciality and subspeciality in dentistry so that all kind of your dental problems can be treated efficiently and effectively.
Contact us:
Chinthamani Laser Dental Clinic & Implant Centre
1/464,Mount Poonamallee High Road,
Iyyapanthangal,
Chennai-56
Phone no.044-43800059 , 92 83 786776
Email:
chinthamanidental@gmail.com,
dr_mrgvl@gmail.com
Website:
www.chinthamanilaserdentalclinic.com
We in Chinthamani Laser Dental Clinic & Implant Centre ,cover every speciality and subspeciality in dentistry so that all kind of your dental problems can be treated efficiently and effectively.
Contact us:
Chinthamani Laser Dental Clinic & Implant Centre
1/464,Mount Poonamallee High Road,
Iyyapanthangal,
Chennai-56
Phone no.044-43800059 , 92 83 786776
Email:
chinthamanidental@gmail.com,
dr_mrgvl@gmail.com
Website:
www.chinthamanilaserdentalclinic.com
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An oroantral communication is an unnatural perforation between oral cavity and maxillary sinus.
Oroantral fistula is an epithelized, pathological, communication between these two cavities. A fistulous tract present more than 14 days should be considered as chronic fistula.
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An oroantral communication is an unnatural perforation between oral cavity and maxillary sinus.
Oroantral fistula is an epithelized, pathological, communication between these two cavities. A fistulous tract present more than 14 days should be considered as chronic fistula.
The soft tissues along the junction of hard and soft palate on which pressure within the physiological limits of tissues can be applied by the denture to aid in retention of the denture.
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The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
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1. Seal Max Contact , elimination of passage of air or moisture which can dislodge denture No Retention
PPS To achieve retention Pressure within physiologic limit on soft tissue is applied along junction of
hard palate and immovable part of soft palate (palatile aponeurosis)
In maxilla only – PPS is area not line
Pressure should be with physiologic limit otherwise ulceration and inflammation will occur
If thickness of acryl in hamular notch (>0.5ml) high pressure severe pain during function
Anatomy and physiology
Palatile aponeurosis Immovable part of soft palate that include PPS
Fovea palatinin anterior to anterior vibrating line by (1.3 ml) .. not included in PPS otherwise no retention
Med palatine raph End in hard palate … not included in PPS
Need relief otherwise midline fracture of denture or mid palatal fissure
Torus palatinus If large and extended to PPS surgical removal
Narrow cord like band of tissue Extend between post nasal spine and aponeurosis of tensor veli palatine muscle
Need relief
Saliva Thick ropy saliva create hydrostatic pressure create dislodging forces no retention
Classification of soft palate
Class 1 5 mm or more of movable tissue available wide area for PPS ideal for retention
Class 2 Less than 5 mm movable tissue available moderate area for PPS
Class 3 2mm movable tissue available associated with high V shaped palate narrow area for PPS the worst
PPS area area between anterior and posterior vibrating line cupid bow (butterfly shape)
Ant vibrating line Imaginary line run from hamular notch in one side to hamular notch in the other side in
junction between hard palate and immovable part of soft palate
Most of line in soft palate and some of it in hard palate
Cupid bow due to presence of posterior nasal spine
Techniques :
1. Valsalva maneuver close nostrils with skipping of air from nose , draw line
2. Ah technique short vigorous (exaggerated) burst or motion
Post vibrating line Imaginary line run from hamular notch in one side to hamular notch in the other side in soft
palate from tensor veli palatine muscle to movable part of soft palate
All of line in soft palate
Techniques :
1. Ah technique normal non-vigorous (unexaggerated) burst or motion
Functions of PPS 1. Retention 2- determine posterior extension 3- reduce gag reflex 4- provide patient comfort
Techniques of post daming for placement of posterior palatal seal
Conventional technique 1) Mouth mirror or T-burnisher is used to locate hamular notch by palpating posteriorly to
maxillary tuberosity on both sides , then marking hamular notch by indelible pencil
2) Post vibrating line is marked by asking patient to say “Ah” in normal non-vigorous manner
3) Ant vibrating line is marked by asking patient to say “Ah” in short vigorous manner
4) The markings are transferred to the master cast , the visual outline is in shape of cupid bow
area between ant & post vibrating line is usually narrowest in the mid palatal region
because of the projection of posterior nasal spine
5) Kingsley scraper or burs with low speed hand scraping in master cast to depth of :
0.5 ml in region of hamular notch
1 ml in region of mid palatine raphe
1.5 ml on either side of mid palatine raphe
Fluid wax technique
(mouth temp technique)
functional technique The most accurate technique – done in presence of patient
1) As above in conventional method 1,2,3 without scraping
2) The markings are recorded in final impression by one of the four type of fluid wax :
Iowa wax korecta wax - no.4 adaptol wax H-L physiologic paste
3) Patient head is tilted downward by keeping frank-fort plane(canthus tragus) 30 degree
using protractor … why 30 degree ? it provide the most favorable flexion of soft palate
Arbitrary technique Unphysiologically correct the least accurate
Extended palatal technique
Erors in processing Post
Palatal Seal area
Under post daming need addition Over post daming need subtraction
Detected by air bubble on inserting wet denture Detected by gag reflex – asphyxia
POSTERIOR PALATAL SEAL
PROSTHEASY