International Journal of Oral Health Dentistry 2022;8(4):322–328 Content available at: https://www.ipinnovative.com/open-access-journals International Journal of Oral Health Dentistry Journal homepage: www.ijohd.org Case Series Prosthodontic way of overcoming the hurdle of flabby tissues: A case series Himanshu Aeran 1, *, Varun Kumar 1 , Jyotsna Seth 1 , Goutami Deshpande 1 1 Dept. of Prosthodontics Crown and Bridge, Seema Dental College and Hospital, Rishikesh, Uttarakhand, India ARTICLE INFO Article history: Received 25-10-2022 Accepted 22-11-2022 Available online 19-12-2022 Keywords: Flabby tissues Tissues ABSTRACT Flabby ridges displaceable tissues are a common finding in long term denture wearers. Careful management is mandatory, failing which flabby ridges adversely affect the retention, stability and support of complete dentures. Management of flabby ridges can be driven either surgically or prosthodontically. A list of techniques has been noted in the literature for prosthetically managing flabby tissues such as Zafarullah Khan Technique, modified Zafarullah Khan Technique, Shum & Pow Technique, Hobkirk’s Technique, Palatal splinting using two part tray technique, etc. The decision to consider which material & or technique is appropriate depends on the particular clinical situation. Moreover, the advent of newer dental materials has added to this confusion. The proper diagnosis and planning is required for selecting the material and technique according to the displaceability of the tissues. This article describes a series of clinical scenarios, incorporating these impression techniques and materials for managing the condition. This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. For reprints contact: reprint@ipinnovative.com 1. Introduction Mobile or resilient tissues over the underlying supportive bone appears as “flabby tissues”. Such a situation arises in long term complete denture wearers where excessive pressure has been applied on the alveolar bone & is most commonly seen in maxillary anterior region usually in correlation with Combination syndrome. 1 Management of flabby ridges can be either-1. Surgical removal of fibrous tissue before conventional procedures 2. Implant retained Prosthesis (Fixed/ Removable). 3. Conventional prosthodontics without surgical intervention. 2 Prosthodontic rehabilitation of compromised ridges in conventional manner stands as an outdated treatment option. A customised treatment procedure must be considered for each clinical scenario. Flabby tissues, because of their resilient nature, get displaced while impression making, thus displacing the final prosthesis. Hence, the need for recording * Corresponding author. E-mail address: drhimanu4@gmail.com (H. Aeran). the tissues in a state of rest is the basis on which these impression techniques have been developed. Thus, selection of proper impression technique and material is a crucial decision while fabricating dentures on such abused tissues. A list of techniques has been noted in the literature for prosthetically managing flabby tissues such as conventional & modified Zafarullah Khan Technique, 3 Shum & Pow technique, 4 Hobkirk’s technique, 4,5 etc. Selection of appropriate technique & material depends on the particular clinical scenario and necessitates a thorough knowledge about the pros and cons of each technique and material. Continued advancement of dental materials have added to this confusion. This article describes a series of three clinical cases, which incorporated Zafarullah Khan technique with combination of tunnel technique, Modified zafarullah Khan technique and Shum & Pow technique for managing this condition. https://doi.org/10.18231/j.ijohd.2022.061 2395-4914/© 2022 Innovative Publication, All rights reserved. 322