The Neutral zone technique revisited

Neutral zone

  • Dhiren Shah Teerthanker mahaveer dental college and research centre
  • Shalabh Kumar Teerthanker Mahaveer Dental College and Research Centre
  • Aatika Teerthanker Mahaveer Dental College and Research Centre
  • Taniya Bhatia Teerthanker Mahaveer Dental College and Research Centre
Keywords: complete denture, functional movements, neutral zone, neutral zone technique, residual ridge resorption.

Abstract

          The success of a complete denture is an interplay of many factors. The diminution of denture foundation is critical for mandibular ridges pertaining to less surface area. Neutral zone techniques have long been employed to address the cases of severe residual ridge resorption in an attempt to achieve adequate denture stability. Accurate registration of neutral zone is essential for optimum denture stability as teeth arrangement in such cases is dictated by the complex as well as individual actions of oral musculature. Accurate neutral zone registration requires that the denture base remains stable in the patient's mouth when the patient is asked to do various functional movements involving the tongue, lips, cheeks, etc. Through this case report, we would like to address this problem by introducing a modification to the commonly followed neutral zone techniques which facilitates accurate myodynamic registration as well as recording the tentative centric jaw relation in a single step.

Author Biographies

Shalabh Kumar, Teerthanker Mahaveer Dental College and Research Centre

Professor and Head,  Department of Prosthodontics and crown and bridge

Aatika, Teerthanker Mahaveer Dental College and Research Centre

Postgraduate,  Department of Prosthodontics and crown and bridge

Taniya Bhatia, Teerthanker Mahaveer Dental College and Research Centre

Postgraduate,  Department of Prosthodontics and crown and bridge

References

1) Fish EW. An analysis of the stabilising factors in full denture construction. Br Dent J 1931;52:559-570.
2) Beresin VE, Schiesser FJ. The neutral zone in complete dentures. J Prosthet Dent 1976;36:356-367.
3) Cagna DR, Massad JJ, Schiesser FJ. The neutral zone revisited: From histrorical concepts to modern applications. J Prosthet Dent 2009;101:405-412.
4) Yeh YL, Pan YH, Chen YY. Neutral zone approach to denture fabrication for a severe mandibular ridge resorption patient: Systematic review and modern technique. Journal of Dental Sciences 2013;8:432-438.
5) Porwal A, Sasaki K. Current status of the neutral zone: A Literature review. J Prosthet Dent 2013;109:129-134.
6) McCord JF, Tyson KW. A conservative prosthodontic option for the treatment of edentulous patients with atrophic mandibular ridges. Br Dent J 1997; 182: 469-472.
7) Devan MM. The concept of neutrocentric occlusion as related to denture stability. J Am
Dent Assoc 1954;48:165-169.
8) Becker CM, Swoope CC, Guckes AD. Lingualized occlusion for removable prosthodontics. J Prosthet Dent 1977;38:601–608.
Published
2022-05-26
How to Cite
Shah, D., Kumar, S., Aatika, & Bhatia, T. (2022). The Neutral zone technique revisited. UNIVERSITY JOURNAL OF DENTAL SCIENCES, 8(3). Retrieved from https://ujds.in/index.php/ujds/article/view/753