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Anatomy and histology of the denture bearing area - Dentistry ...

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• Fovea palatinae<br />

These are a pair <strong>of</strong> mucous gl<strong>and</strong> duct orifices<br />

near <strong>the</strong> midline at <strong>the</strong> junction <strong>of</strong> <strong>the</strong> hard <strong>and</strong><br />

s<strong>of</strong>t palate.<br />

These l<strong>and</strong>marks provide a guide to <strong>the</strong> position<br />

<strong>of</strong> <strong>the</strong> posterior palatal border <strong>of</strong> a <strong>denture</strong>.<br />

• Incisive papilla<br />

Incisive papilla is a mass <strong>of</strong> fibrous tissue about 1<br />

cm behind <strong>the</strong> upper incisors.<br />

Its position in <strong>the</strong> edentulous mouth indicates<br />

where <strong>the</strong> incisors <strong>and</strong> canines should be set.<br />

Facial curtain<br />

The orbicularis oris <strong>and</strong> buccinator muscles<br />

are draped around <strong>the</strong> mouth to form a<br />

curtain, which is supported by teeth <strong>and</strong><br />

alveoli.<br />

In edentulous patients, this curtain collapses<br />

to give <strong>the</strong> characteristic toothless look.<br />

Maxilla <strong>and</strong> m<strong>and</strong>ible<br />

There is difference in resorption pattern for<br />

maxilla <strong>and</strong> m<strong>and</strong>ible.<br />

This leads to <strong>the</strong> appearance <strong>of</strong> prognatism<br />

<strong>and</strong> gross positional discrepancies between<br />

opposing residual ridges.<br />

Muscles limiting <strong>the</strong> extension <strong>of</strong><br />

a upper <strong>denture</strong><br />

• Anterior labial flange<br />

Anterior labial flange is limited by <strong>the</strong><br />

orbicularis oris as far as <strong>the</strong> first premolar<br />

region.<br />

• Buccally<br />

From <strong>the</strong> second premolar region<br />

posteriorly, <strong>the</strong> buccal flange is limited by<br />

<strong>the</strong> buccinator.<br />

Collapse <strong>of</strong> elevator <strong>and</strong> depressor muscles<br />

<strong>and</strong> modiolus following loss <strong>of</strong> teeth<br />

Edentulous face<br />

4

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