Khurshid A Mattoo et al; Prosthetic Management of Flabby Hyperplastic Edentulous Ridge Tissue J Cont Med A Dent May - Aug 2022 Volume 10 Issue 2 13 CASE REPORT DENTISTRY Journal of Contemporary Medicine and Dentistry www.jcmad.com ISSN [P-2347-4513] ISSN [O-2349-0799] Year: 2022, Volume: 10 Issue: 2, p:13 - 19 Prosthetic Management of Flabby Hyperplastic Edentulous Ridge Tissue Using Different Clinical Impression Techniques – A Critique Case Series Khurshid A Mattoo 1* , Roma Goswami 2 , Nadeem Yunus 3 , Nishant Gaba 4 1 *Assistant Professor, Department of Prosthodontics, College of Dentistry, Jazan University, (KSA) 2 Professor, Department of Prosthodontics, Subhari Dental College, SVSU, Uttar Pradesh, India 3 Professor, Department of Prosthodontics, Faculty of Dentistry, JMI dental college, JMIU, India 4 Reader, Inderprastha Dental College and Hospital, CCSU, India Abstract Flabby tissue is not an uncommon occurrence, especially in old denture wearers with a misfit denture. Frequent denture movements during function initiates a hyperplastic tissue reaction and thus the tissue grows. As the tissue grows further away from the bone, it loses its resiliency and natural normal clinical characteristics. The tissue no longer becomes suitable to support a prosthesis. Historical approaches in managing such cases have been mainly surgical, till it was realized that the tissue growth is reversible which paved way for conservative prosthetic managements. With the advent of elastomeric impression materials, the techniques became numerous and currently there are many techniques described in the literature. With a background of strong basic sciences, this article in the form of case series reviews four commonly used techniques and discusses the pros and cons of each in the light of applied sciences. Four techniques critically analyzed are the putty reline, palatal splinting, sectional impression and window technique. The basis of this critique is the fundamental physical, rheological and clinically relevant properties of each material used with a particular technique. In the light of recent evidence, different techniques have been analyzed and wherever possible, the preferred material or alternative technique has been mentioned. Keywords: hyperplasia, edentulous, mucostatic, selective pressure, impression plaster Address for correspondence: Dr. Khurshid A Mattoo. Assistant Professor, Department of Prosthodontics, College of Dentistry, Jazan University, (KSA). drkamattoo@rediffmail.com Date of Acceptance: 25/07/2022 Introduction Flabby (adjective meaning soft, mushy, saggy, spongy) tissue has been demarcated as disproportionate movable tissue (GPT), commonly associated clinically with completely edentulous patient frequently associated with old denture use. 1 It is essentially a clinical condition that may be either physiologic or pathologic in nature. The condition is of clinical interest in removable complete or partial dentures since they are either tooth tissue supported or completely tissue supported prosthesis. The ultimate support for any dental prosthesis is the underlying compact bone. A close adaptation of the denture base to the underlying bone ensures better support. 2 Studies have demonstrated that flabby or displaceable ridges are present more in the maxillary arch (24%) than mandibular arch (5%). 3 Although flabby ridge has been generally classified based on tissue character and mobility, 4 it is the management part of flabby tissue which has been getting more clinical attention. Among three traditional approaches mentioned in the literature, surgical and implant treatment is not clinically feasible