POST DAM AND RELIEF

CHAMBER
MUHAMMAD HERRY SEPTIANOOR, DRG
INTRAORAL LANDMARK

SUPPORTIN
LIMITING STRESS
G
STRUCTURE RELIEF AREA BEARING
STRUCTURE
S AREA
S
 Supporting Areas

Alveolar
Maxillary
ridge Hard Incisive Palatal Median Fovea
tuberosit
(Residual palate papilla rugae raphe palatinae
y
ridge)
 Peripheral / Limiting
Areas

Posterior
Labial Labial Buccal Buccal Distobucca Hamular
palatal seal
frenum sulcus frenum sulcus l space notch
area
 PRIMARY:
RESIDUAL
RIDGE

STRESS
BEARING
AREA SECONDARY:
MAXILLARY RUGAE
ARCH

RELIEF INCISIVE
AREA PAPILLA,
MEDIAN
PALATAL
RAPHE,
FOVEA
PALATINI.

According to 9th edition of Boucher & 12th edition of Zarb & Bolender
Primary stress bearing area
• Area yang mampu menahan gaya vertikal oklusi.

Secondary Stress Bearing Areas

• Area yang menahan gaya lateral oklusi dan dapat membantu ketahanan terhadap
gaya vertikal.

Relief Areas
• Bagian gigi tiruan yang berguna untuk menghilangkan tekanan berlebihan pada
jaringan pendukung gigi tiruan.
Correlation of anatomical landmarks -
No Landmark on mouth Landmark in
. impression

1 Labial frenum Labial notch

2 Labial vestibule Labial flange
3 Buccal frenum Buccal notch
4 Buccal vestibule Buccal flange
5 Coronoid bulge Coronoid contour

6 Residual alveolar ridge Alveolar groove

7 Maxillary tuberosity Maxillary

tubercular fossa
8 Hamular notch Pterigomaxillary
seal
9 Posterior palatal seal Posterior palatal
region seal
10 Foveae palatinae Foveae palatinae
11 Median palatine Median palatine
raphae groove
12 Incisive papilla Incisive fossa
13 Rugae region rugae
14 Displacable soft & Butterfly outline
hard palate of pps
Relief Chamber
Definisi
Relief area:

“Bagian gigi tiruan yang berguna untuk

menghilangkan tekanan berlebihan
pada jaringan pendukung gigi tiruan.”
 1-Scrap
1-Scrap the
the final
final
impression
impression
I-
I- Direct
Direct
2-Build
2-Build tin
tin foil
foil
Methods
Methods of
of Relief
Relief on the master
on the master
cast
cast
II-
II- Automatic
Automatic
POST DAM AREA
 Posterior Palatal Seal Area -

Disebut juga dengan Post dam atau Post palatal seal .

• Adalah area jaringan lunak yang terletak pada persimpangan

antara palatum durum dan palatum molle dimana tekanan gigi
tiruan dalam batas fisiologis dapat diterapkan. – untuk
membantu retensi

Horizontal and lateral torquing of the maxillary denture can be

resisted only by adequate border seal.
•Boundaries of posterior palatal seal area –
i. Anteriorly – Anterior vibrating line
ii. Posteriorly - Posterior vibrating line
iii. Laterally – Pterygomaxillary notch
 Position of the Post
dam area

Posterior vibrating
line
Fungsi:

1. Mempertahankan kontak gigi tiruan dengan jaringan lunak selama gerakan

fungsional sistem stomatognatik.
2. Menurunkan refleks muntah.
3. Mengurangi akumulasi makanan
4. Mengurangi ketidaknyamanan lidah pasien dengan bagian belakang gigi tiruan
5. Kompensasi penyusutan volumetrik yang terjadi selama polimerisasi PMMA.
6. Memungkinkan pergerakan normal otot dan ligamen.
7. Meningkatkan retensi dan stabilitas
8. Meningkatkan kekuatan basis gigi tiruan maksila.
 Fovea Palatina

Fovea palatina adalah “Dua lubang kecil atau depresi pada posterior mukosa
palatum.

Merupakan sebuah saluran / ductus yang menerima distribusi dari glandula

mucosa sekitar

• Posisinya mempengaruhi batas posterior gigi tiruan.

•Gigi tiruan dapat diperpanjang 1-2 mm di atasnya.
•Pada pasien dengan saliva tebal/ kental, fovea palatina harus dibiarkan tidak
tertutup
HOUSE CLASSIFICATION OF PALATAL
THROAT FORM:-
Class I :- Large and normal in form with a relatively
immovable band of resilient tissue 5-12 mm distal to
a line drawn across distal edge of the tuberosities.
Class II :- Medium size and normal in form with
relatively immovable resilient band of tissue 3-5 mm
distal to a line drawn across distal edge of the
tuberosities.
Class III :- Usually accompanies a small maxilla.
The curtain of soft tissues turns down abruptly 3-5
mm anterior to a line drawn across distal edge of the
tuberosities.

20
 John M. Young and Roger D. Winland

Bead posterior palatal seal Double Bead posterior palatal

extending through hamular seal. Posterior bead located on
notch posterior limit of denture

Butterfly posterior palatal seal Butterfly posterior palatal seal

21
with width and depth depending with a bead on posterior limit of
 Methods of
postdamming

1-Scraping method 2-Functional method

 Methods of post damming
1-Scraping method
 Methods of post damming
2- Functional method
 Methods of post damming
2- Functional method
CROSS-SECTIONAL VIEWS OF VARIOUS
POSTERIOR PALATAL SEALS-

Bead
Double Bead
Butterfly
Butterfly With Bead

WINLAND AND YOUNG, MAXILLARY COMPLETE DENTURE

POSTERIOR PALATAL SEAL: VARIATION IN SHAPE, SIZE
AND LOCATION, J PROSTHET DENT, MARCH 1973 32
Dimension

Class I – modified butterfly

approx. 3-4mm wide
Class II – modified
butterfly approx. 2-3mm
wide
Class III – a bead
Terima Kasih ....
Daftar Pustaka
1. Zarb,Bolender,Carlson – Boucher’s prosthodontic treatment for edentulous patients,12 th edition
3.Heartwell Charles – syllabus for complete dentures Ed.4,Philadelphia
4 .Sheldon Winkler – Essentials of complete denture Prosthodontics,ed.2
5. O Boucher – Swenson’s complete denture Prosthodontics,ed.6
6. Yasmen, alousi. Reliability of fovea palatini in determining the posterior palatal seal. J Bagh College
dentistry 2009;21(1): 41-45.