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    Anatomical Landmarks of Upper Edentulous Arches: Dr. Enas Abdul-Sattar

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    Mahalakshmi E
    This document discusses the anatomical landmarks of the edentulous maxillary arch that are important to understand when constructing a denture. It describes the stress-bearing and peripheral areas. The stress-bearing area includes the residual alveolar ridge and hard palate. The peripheral area includes features like the labial and buccal frenums, vestibules, and hamular notch. Understanding these anatomical structures is essential for properly designing and fitting a denture.

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    Anatomical Landmarks of Upper Edentulous Arches: Dr. Enas Abdul-Sattar

    Uploaded by

    Mahalakshmi E
    52 views16 pages
    This document discusses the anatomical landmarks of the edentulous maxillary arch that are important to understand when constructing a denture. It describes the stress-bearing and peripheral areas. The stress-bearing area includes the residual alveolar ridge and hard palate. The peripheral area includes features like the labial and buccal frenums, vestibules, and hamular notch. Understanding these anatomical structures is essential for properly designing and fitting a denture.

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    This document discusses the anatomical landmarks of the edentulous maxillary arch that are important to understand when constructing a denture. It describes the stress-bearing and peripheral areas. The stress-bearing area includes the residual alveolar ridge and hard palate. The peripheral area includes features like the labial and buccal frenums, vestibules, and hamular notch. Understanding these anatomical structures is essential for properly designing and fitting a denture.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    52 views16 pages

    Anatomical Landmarks of Upper Edentulous Arches: Dr. Enas Abdul-Sattar

    Uploaded by

    Mahalakshmi E
    This document discusses the anatomical landmarks of the edentulous maxillary arch that are important to understand when constructing a denture. It describes the stress-bearing and peripheral areas. The stress-bearing area includes the residual alveolar ridge and hard palate. The peripheral area includes features like the labial and buccal frenums, vestibules, and hamular notch. Understanding these anatomical structures is essential for properly designing and fitting a denture.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 16

    Anatomical

    Landmarks Of upper
    Edentulous Arches

    Dr. Enas Abdul-Sattar


    Anatomical Landmarks Of
    Edentulous Arches

    In order to properly construct a


    denture, one must understand
    the anatomy and physiology of
    the edentulous patient.
    Anatomical Landmarks Of Maxillary
    Arch
    It comprises two areas:
    1.supporting or stress-bearing area
    2.peripheral or limiting area
    A.The stress-bearing area :
    is composed of bone of the hard palate and residual ridge
    covered by mucous membrane (m.m) which serves as a cushion
    between the denture base and the supporting bone.
    1.Residual alveolar ridge (R.R):

    alveolar ridge and its soft tissue covering remains following the removal of teeth.

    It resorbs rapidly following extraction at first and continues throughout


    life at a reduced rate

    The crest of the R.R is regarded as a secondary stress bearing area


    2.Hard palate:
    The ultimate support for a maxillary denture
    Consists of the two maxillae and palatine bone,
    provides the primary stress bearing area for the
    denture.

    *Incisive papillae:
    fibrous connective tissue overlying the orifice of
    the incisive foramen . nasopalatine nerves and
    blood vessels pass through

    Incisive papilla
    in the edentulous mouth it comes to lie
    nearer on or labial to R.R crest due to
    bone resorption.
    * Midline palatal suture : extends from
    the incisive papilla to the distal end of the
    hard palate.

    * Median palatine raphe :


    It is the mucosa overlies median palatine suture
    the underlying bone union being very dense and often raised
    so it should be relieved during denture fabrication.

    * Rugae area:
    is a raised area of dense connective tissue
    radiating from the median palatine suture in the
    anterior 1/3 of the palate.
    Anatomical features that influence the shape of the
    supporting structures:

    1. Incisive foramen:

    2. Maxillary tuberosity (alveolar tubercle):

    it is the distal end area of the R.R ,


    extends from the 2nd molar
    area to the hamular notch .
    3.Torous palatinus:
    is a hard bony enlargement occurs in
    median palatine suture area found in
    about 20% of the population.

    4. Sharp spiny processes:


    which may occur on maxillary and palatine
    bones ,they cause no problem when
    covered deeply by soft tissue
    B. The Peripheral or limiting area
    1.Labial frenum: is a fold of m.m at the
    median line extends from upper lip m.m
    toward the labial surface of R.R crest.
    2.Buccal frenum :is a fold or folds of m.m
    extends from buccal m.m reflection area toward
    R.R crest,

    NOTE: on the denture the area that is


    opposite to labial or buccal frenum is known
    as a notch
    buccal frenum movement is effected by buccinator and orbicularis muscles
    3.Labial vestibule: a space lined by a thin m.m, extends on both
    sides of the arch from the labial frenum to buccal frenum

    4.Buccal vestibule: is a space lined by a thin


    m.m, extends from the buccal frenum to the
    hamular notch on both sides of the arch .

    NOTE: the area of the denture that fill the


    vestibular space is called labial or buccal
    flange
    5. Hamular notch (pterygo-maxillay notch):it is a depression situated between
    the maxillary tuberosity and the hamulus of medial pterygoid plate. The
    denture border should extent till the hamular notch.

    6.Vibrating line: it is an imaginary line drawn across the palate extends


    from one hamular notch to the other at the junction between movable
    and immovable parts of the soft palate
    7.Foveae palatinae: two small pits or depressions in the posterior aspect
    of the palate, one on each side of the midline, which formed by mucous
    gland ducts.
    8. Zygomatic process:
    is located distal to buccal frenum opposite the first molar region .

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