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POSTERIOR PALATAL
SEAL (PPS): A brief
review
JOURNAL OF SCIENTIFIC & INNOVATIVE
RESEARCH
2014
1
PRESENTED BY,
DR. PRAGATI AGRAWAL
16
INTRODUCTION
 Posterior palatal seal area is
stated as “the soft tissues along
the junction of the hard and soft
palates on which pressure within
the physiologic limits of the
tissues can be applied by a
denture to aid in the retention of
the denture.”
-- GPT
2
16
FUNCTIONS OF POSTERIOR
PALATAL SEAL
 Ettinger and Scandrett:-
1. to provide retention
2. prevents ingress of fluid, air, and food between denture and tissue
3. diminishes gagging reflex
4. provides embedded sunken distal border which is less conspicuous to
tongue
5. supplies a thick border to counteract denture warpage due to
dimensional changes during the polymerization shrinkage of methyl
methacrylate resin.
 Weintraub added following:
1. adds confidence and comfort to the patient by enhancing retention
2. establishes a positive contact posteriorly, and therefore prevents the final
impression material from sliding down into the pharynx
3
16
4
POSTERIOR PALATAL SEAL AREA
PTERYGO-
MAXILLARY
SEAL
POST
PALATAL
SEAL
16
5
POSTERIOR PALATAL SEAL LIES BETWEEN
ANTERIOR AND POSTERIOR VIBRATING LINES
Anterior vibrating line is an
imaginary line located at the
junction of the attached tissues
overlying the hard palate and the
tissues of the immediately adjacent
soft palate.
Posterior vibrating line is an
imaginary line at the junction of
aponeurosis of tensor veli palatine
muscles and the muscular portion
of the soft palate. It represents
demarcation between slightly
movable part of soft palate and
highly movable part of soft palate.
16
6
LOCATING ANTERIOR VIBRATING
LINE
1. Valsalva maneuver
2. Ah line – short vigorous burst
LOCATING POSTERIOR VIBRATING
LINE
Ah line – short burst in a normal,
unexaggerated fashion.
16
7
CLASSIFICATION OF SOFT PALATE M.M.
HOUSE
16
METHODS OF RECORDING POSTERIOR
PALATAL SEAL
 CONVENTIONAL APPROACH (WINKLER TECHNIQUE)
8
16
 FLUID WAX TECHNIQUE (FUNCTIONAL /
PHYSIOLOGICAL)
 ARBITRARY SCRAPING
OF MASTER CAST
9
• MODIFIED BORDER
MOULDING TECHNIQUE
16
 EXTENDED PALATAL TECHNIQUE (SILVERMANN)
• Complete maxillary dentures can be extended for an
average distance of 8.2 mm dorsally to the “vibrating line”
or flexion line where the soft palate joins the hard palate.
 BOUCHER’S TECHNIQUE
• The width of the posterior palatal seal is limited to a bead
on the denture that is 1.5 mm deep and 1.5 mm broad at
its base with a sharp apex. The resulting design is a
beaded posterior palatal seal.
10
16
11
DIAGNOSIS CAUSES CORRECTION
OVER-
EXTENSION
• Painful and
difficulty in
swallowing due
to ulceration in
soft palate.
• Rapid
extension of
denture base.
• Selective relief
of pressure
areas and
minimize the
distal length.
UNDER-
EXTENSION
• Loss of physical
retention.
• Consideration
of fovea
palatine as the
terminating
border.
• Over-trimming
due to fear of
gagging.
• Adding a
posterior
palatal seal to
existing
denture.
TROUBLESHOOTING
16
12
DIAGNOSIS CAUSES CORRECTION
OVER-
POSTDAMMING
• Displacement
of posterior
border
inferiorly.
• Mild irritation.
• Due to
aggressive
scraping of
the cast.
• Selective reduction
of denture border
with bur followed
by light pumicing.
UNDER-
POSTDAMMING
• By placing the
wet denture
and gently
pressing in
mid-palatal
region.
Observe for air
bubbles
through distal
denture
border.
• Improper
technique
of
recording
PPS.
• Recording
PPS in a
wide open
position.
• Conventional
technique-score
the cast and
readapt the
denture base.
• Fluid wax
technique, add
more wax and
prevent the patient
from opening the
mouth.
16
ADDITION OF POSTERIOR PALATAL SEAL TO
EXISTING DENTURE
 Moghadam and Scandrett
• Fluid wax technique for
recording posterior palatal seal
and addition of posterior palatal
seal with auto-polymerizing
acrylic resin.
 Ansari
• Recording posterior palatal seal
on existing denture using
modeling compound and
prepare a cast using putty
material and replacing modeling
compound with auto-
polymerizing resin.
13
16
 Sato
• Adding posterior palatal seal immediately to existing denture by
use of cross-linked reline resin, light polymerized reline resins, or
dual polymerized reline resins with fabrication of silicone putty core
intraorally.
14
16
CONCLUSION
 The recording of posterior palatal seal is of great
significance, because it is vital factor in establishing
the peripheral seal which enhances retention by
utilizing the atmospheric pressure.
 According to Tilton- No step in the denture
construction should be stopped short of perfection.
Thus, the posterior palatal seal should be prepared with
an understanding of patient palatal throat form,
anatomical boundaries, extent and depth of displaceable
tissues for successful, retentive, functional, and
biological acceptable complete denture prosthesis.
15
16
CROSS REFERANCES
 The posterior palatal seal: Its rationale and importance: An overview;
Shelly Goyal, Mukesh K Goyal, Dhanasekar Balkrishanan, Veena
Hegde, Aparna I Narayana; European Journal of Prosthodontics | May-
Aug 2014 | Vol 2 | Issue 2 |
 Evolution of Techniques in Recording Posterior Palatal Seal – A Review;
Rajakumari Natarajan, Priyadharshini Ramesh, Sunantha Selvaraj and
Jayashree Mohan; Journal of Academy of Dental Education Vol 3 (1)|
2017
 Ansari IH. A procedure for adding posterior palatal seal to an existing
denture in dental office. J Prosthet Dent 1994;72:449.
 Sato Y. Immediate maxillary denture base extension. J Prosthet Dent
2000;83:371-3.
16
16

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posterior palatal seal

  • 1. POSTERIOR PALATAL SEAL (PPS): A brief review JOURNAL OF SCIENTIFIC & INNOVATIVE RESEARCH 2014 1 PRESENTED BY, DR. PRAGATI AGRAWAL 16
  • 2. INTRODUCTION  Posterior palatal seal area is stated as “the soft tissues along the junction of the hard and soft palates on which pressure within the physiologic limits of the tissues can be applied by a denture to aid in the retention of the denture.” -- GPT 2 16
  • 3. FUNCTIONS OF POSTERIOR PALATAL SEAL  Ettinger and Scandrett:- 1. to provide retention 2. prevents ingress of fluid, air, and food between denture and tissue 3. diminishes gagging reflex 4. provides embedded sunken distal border which is less conspicuous to tongue 5. supplies a thick border to counteract denture warpage due to dimensional changes during the polymerization shrinkage of methyl methacrylate resin.  Weintraub added following: 1. adds confidence and comfort to the patient by enhancing retention 2. establishes a positive contact posteriorly, and therefore prevents the final impression material from sliding down into the pharynx 3 16
  • 4. 4 POSTERIOR PALATAL SEAL AREA PTERYGO- MAXILLARY SEAL POST PALATAL SEAL 16
  • 5. 5 POSTERIOR PALATAL SEAL LIES BETWEEN ANTERIOR AND POSTERIOR VIBRATING LINES Anterior vibrating line is an imaginary line located at the junction of the attached tissues overlying the hard palate and the tissues of the immediately adjacent soft palate. Posterior vibrating line is an imaginary line at the junction of aponeurosis of tensor veli palatine muscles and the muscular portion of the soft palate. It represents demarcation between slightly movable part of soft palate and highly movable part of soft palate. 16
  • 6. 6 LOCATING ANTERIOR VIBRATING LINE 1. Valsalva maneuver 2. Ah line – short vigorous burst LOCATING POSTERIOR VIBRATING LINE Ah line – short burst in a normal, unexaggerated fashion. 16
  • 7. 7 CLASSIFICATION OF SOFT PALATE M.M. HOUSE 16
  • 8. METHODS OF RECORDING POSTERIOR PALATAL SEAL  CONVENTIONAL APPROACH (WINKLER TECHNIQUE) 8 16
  • 9.  FLUID WAX TECHNIQUE (FUNCTIONAL / PHYSIOLOGICAL)  ARBITRARY SCRAPING OF MASTER CAST 9 • MODIFIED BORDER MOULDING TECHNIQUE 16
  • 10.  EXTENDED PALATAL TECHNIQUE (SILVERMANN) • Complete maxillary dentures can be extended for an average distance of 8.2 mm dorsally to the “vibrating line” or flexion line where the soft palate joins the hard palate.  BOUCHER’S TECHNIQUE • The width of the posterior palatal seal is limited to a bead on the denture that is 1.5 mm deep and 1.5 mm broad at its base with a sharp apex. The resulting design is a beaded posterior palatal seal. 10 16
  • 11. 11 DIAGNOSIS CAUSES CORRECTION OVER- EXTENSION • Painful and difficulty in swallowing due to ulceration in soft palate. • Rapid extension of denture base. • Selective relief of pressure areas and minimize the distal length. UNDER- EXTENSION • Loss of physical retention. • Consideration of fovea palatine as the terminating border. • Over-trimming due to fear of gagging. • Adding a posterior palatal seal to existing denture. TROUBLESHOOTING 16
  • 12. 12 DIAGNOSIS CAUSES CORRECTION OVER- POSTDAMMING • Displacement of posterior border inferiorly. • Mild irritation. • Due to aggressive scraping of the cast. • Selective reduction of denture border with bur followed by light pumicing. UNDER- POSTDAMMING • By placing the wet denture and gently pressing in mid-palatal region. Observe for air bubbles through distal denture border. • Improper technique of recording PPS. • Recording PPS in a wide open position. • Conventional technique-score the cast and readapt the denture base. • Fluid wax technique, add more wax and prevent the patient from opening the mouth. 16
  • 13. ADDITION OF POSTERIOR PALATAL SEAL TO EXISTING DENTURE  Moghadam and Scandrett • Fluid wax technique for recording posterior palatal seal and addition of posterior palatal seal with auto-polymerizing acrylic resin.  Ansari • Recording posterior palatal seal on existing denture using modeling compound and prepare a cast using putty material and replacing modeling compound with auto- polymerizing resin. 13 16
  • 14.  Sato • Adding posterior palatal seal immediately to existing denture by use of cross-linked reline resin, light polymerized reline resins, or dual polymerized reline resins with fabrication of silicone putty core intraorally. 14 16
  • 15. CONCLUSION  The recording of posterior palatal seal is of great significance, because it is vital factor in establishing the peripheral seal which enhances retention by utilizing the atmospheric pressure.  According to Tilton- No step in the denture construction should be stopped short of perfection. Thus, the posterior palatal seal should be prepared with an understanding of patient palatal throat form, anatomical boundaries, extent and depth of displaceable tissues for successful, retentive, functional, and biological acceptable complete denture prosthesis. 15 16
  • 16. CROSS REFERANCES  The posterior palatal seal: Its rationale and importance: An overview; Shelly Goyal, Mukesh K Goyal, Dhanasekar Balkrishanan, Veena Hegde, Aparna I Narayana; European Journal of Prosthodontics | May- Aug 2014 | Vol 2 | Issue 2 |  Evolution of Techniques in Recording Posterior Palatal Seal – A Review; Rajakumari Natarajan, Priyadharshini Ramesh, Sunantha Selvaraj and Jayashree Mohan; Journal of Academy of Dental Education Vol 3 (1)| 2017  Ansari IH. A procedure for adding posterior palatal seal to an existing denture in dental office. J Prosthet Dent 1994;72:449.  Sato Y. Immediate maxillary denture base extension. J Prosthet Dent 2000;83:371-3. 16 16