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Pg1}{\bkmkend Pg1}\par\pard\ql \li920\sb0\sl-230\slmult0 \par\pard\ql\li920\sb220\sl-230\slmult0 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf18\f19\fs20 10.5005/jp-journals-10019-1020 \par\pard\ql \li900\sb1\sl-169\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf1\f2\fs18 YA Bindhoo et al \par\pard\ql \li967\sb0\sl-198\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf10\f11\fs22 REVIEW ARTICLE \par\pard\ql \li1511\sb96\sl-434\slmult0 \up0 \expndtw0\charscalex97 \ul0\nosupersub\cf4\f5\fs44 Posterior Palatal Seal: A Literature Review \par\pard\ql \li2116\sb215\sl-230\slmult0 \up0 \expndtw-2\charscalex100 \ul0\super\cf5\f6\fs22\ul0\super\cf5\f6\fs21 1\ul0\nosupersub\cf6\f7\fs20 YA Bindhoo, \ul0\super\cf5\f6\fs21 2\ul0\nosupersub\cf6\f7\fs20 VR Thirumurthy, \ul0\super\cf5\f6\fs21 1\ul0\nosupersub\cf6\f7\fs20 Sunil Joseph Jacob, \ul0\super\cf5\f6\fs21 3\ul0\nosupersub\cf6\f7\fs20 Anjanakurien, \ul0\super\cf5\f6\fs21 4\ul0\nosupersub\cf6\f7\fs20 KS Limson \par\pard\ql \li1498\sb88\sl-184\slmult0 \up0 \expndtw-1\charscalex100 \ul0\super\cf7\f8\fs17\ul0\super\cf7\f8\fs16 1\ul0\nosupersub\cf8\f9\fs16 Senior Lecturer, Department of Prosthodontics, Sri Ramakrishna Dental College and Hospital, Coimbatore, Tamil Nadu, India \par\pard\ql \li1335\ri1168\sb14\sl-260\slmult0\tx1703\tx1784 \up0 \expndtw-1\charscalex100 \ul0\super\cf7\f8\fs16 2\ul0\nosupersub\cf8\f9\fs16 Professor and Head, Department of Prosthodontics, Sri Ramakrishna Dental College and Hospital, Coimbatore, Tamil Nadu, India \line\tab \up0 \expndtw-1\charscalex100 \ul0\super\cf7\f8\fs16 3\ul0\nosupersub\cf8\f9\fs16 Professor, Department of Prosthodontics, Sri Ramakrishna Dental College and Hospital, Coimbatore, Tamil Nadu, India \line \tab \up0 \expndtw-1\charscalex100 \ul0\super\cf7\f8\fs16 4\ul0\nosupersub\cf8\f9\fs16 Reader, Department of Prosthodontics, Sri Ramakrishna Dental College and Hospital, Coimbatore, Tamil Nadu, India \par\pard\qj \li911\sb0\sl-200\slmult0 \par\pard\qj\li911\sb0\sl-200\slmult0 \par\pard\qj\li911\ri743\sb70\sl-200\slmult0 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf9\f10\fs18 Correspondence: \ul0\nosupersub\cf3\f4\fs18 YA Bindhoo, Senior Lecturer, Department of Prosthodontics, Sri Ramakrishna Dental College and Hospital \up0 \expndtw-2\charscalex100 Coimbatore, Tamil Nadu, India, e-mail:bindhoomds@yahoo.co.in \par\pard\ql \li900\sb0\sl-184\slmult0 \par\pard\ql\li900\sb0\sl-184\slmult0 \par\pard\ql\li900\sb66\sl-184\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf17\f18\fs16 ABSTRACT \par\pard\qj \li1020\ri733\sb143\sl-200\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf8\f9\fs16 Complete dentures may suffer from a lack of proper border extension, but most important of all is the posterior palatal extension on maxillary \up0 \expndtw-3\charscalex100 complete dentures. The posterior border terminates on a surface that is movable in varying degrees and not at a turn of tissue as are the other \up0 \expndtw-2\charscalex100 denture borders. Locating and designing of posterior palatal seal after thorough understanding of the anatomic and physiological boundaries \up0 \expndtw-2\charscalex100 of this dynamic region greatly enhances border seal and increases maxillary complete denture retention. \par\pard\qj \li1020\ri876\sb1\sl-200\slmult0\fi300 \up0 \expndtw0\charscalex100 The diagnostic evaluation and placement of posterior seal are often given only minor attention in complete denture construction. This \up0 \expndtw0\charscalex100 article reviews the importance of the posterior palatal seal with regard to its anatomy, location, design and placement. \par\pard\qj \li1020\ri869\sb61\sl-200\slmult0 \up0 \expndtw0\charscalex104 \ul0\nosupersub\cf17\f18\fs16 Keywords: \ul0\nosupersub\cf8\f9\fs16 Complete denture retention, Border seal, Posterior palatal seal, Posterior palatal seal region, Vibrating line, Soft palate, \up0 \expndtw-3\charscalex100 Velopharyngeal closure.\par\pard\sect\sectd\sbknone\cols2\colno1\colw5900\colsr160\colno2\colw5680\colsr160\ql \li900\sb0\sl-230\slmult0 \par\pard\ql \li900\sb0\sl-230\slmult0 \par\pard\ql \li900\sb0\sl-230\slmult0 \par\pard\ql \li900\sb18\sl-230\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf11\f12\fs20 INTRODUCTION\par\pard\qj \li900\ri30\sb127\sl-260\slmult0 \up0 \expndtw0\charscalex101 \ul0\nosupersub\cf12\f13\fs20 GPT-8 defines postpalatal seal (PPS) area as the soft tissue \up0 \expndtw-1\charscalex100 area at or beyond the junction of the hard and soft palates on \up0 \expndtw-3\charscalex100 which pressure, within physiologic limits, can be applied by a \up0 \expndtw0\charscalex104 complete RDP to aid in its retention.\ul0\super\cf13\f14\fs21 1\ul0\nosupersub\cf14\f15\fs20 \ul0\nosupersub\cf12\f13\fs20 This soft tissue seal \up0 \expndtw0\charscalex103 around the posterior border of maxillary complete denture \up0 \expndtw0\charscalex108 requires special consideration during denture extension \up0 \expndtw-1\charscalex100 determination because the range and extent of the soft tissue \up0 \expndtw0\charscalex100 activity along this border is profound, when judged with the \up0 \expndtw-2\charscalex100 labial and buccal sulcus tissues.\ul0\super\cf13\f14\fs21 2\par\pard\qj \li900\ri29\sb1\sl-261\slmult0\fi300 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf12\f13\fs20 The role of physical factors controlling retention has been \line \up0 \expndtw0\charscalex109 studied vastly by Cox, Fry, Howland, Moses, Page and \line \up0 \expndtw-3\charscalex100 Pryor.\ul0\super\cf13\f14\fs21 1,3-9\ul0\nosupersub\cf12\f13\fs20 Skinner and Chung have experimentally shown that \line \up0 \expndtw0\charscalex100 the posterior palatal seal effectively resists rotational thrusts \line \up0 \expndtw-4\charscalex100 exerted on complete denture by utilizing the retentive function \line \up0 \expndtw-3\charscalex100 of atmospheric pressure.\ul0\super\cf13\f14\fs21 1,10-12\ul0\nosupersub\cf12\f13\fs20 Presence of intact border seal is \line \up0 \expndtw-6\charscalex100 indispensable for the retentive function of atmospheric pressure. \line \up0 \expndtw-5\charscalex100 Posterior palatal seal complements the buccal and labial border \line \up0 \expndtw0\charscalex116 seal and converts the denture to function as a sealed \line \up0 \expndtw-2\charscalex100 compartment resisting torquing forces.\ul0\super\cf13\f14\fs21 2,7,8,10,11,13-20\par\pard\ql \li900\sb0\sl-230\slmult0 \par\pard\ql \li900\sb36\sl-230\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf15\f16\fs20 Functions of the Posterior Palatal Seal\ul0\super\cf16\f17\fs18\ul0\super\cf16\f17\fs17 2,21- 26\par\pard\qj \li900\ri29\sb125\sl-260\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf12\f13\fs20 The primary function is that of completing the peripheral seal \up0 \expndtw0\charscalex101 and enhancing the retention of complete denture. The other \up0 \expndtw-2\charscalex100 purposes served by the palatal seal are as follows:\par\pard\qj \li900\ri30\sb0\sl-260\slmult0\tx1200 \up0 \expndtw-1\charscalex100 1. Diminishes the gag reflex by making the posterior border \line\tab \up0 \expndtw-2\charscalex100 indiscernible to the tongue.\par\pard\ql \li900\ri30\sb0\sl-260\slmult0\tx1200\tx1200 \up0 \expndtw-3\charscalex100 2. Compensates for polymerization shrinkage of acrylic resin \line\tab \up0 \expndtw-2\charscalex100 thereby blocks air and food entry beneath the denture. \line \up0 \expndtw-5\charscalex100 3. Strengthens the maxillary denture due to the additional bulk \line\tab \up0 \expndtw-2\charscalex100 at the posterior border.\par\pard\column \ql \li6060\sb0\sl-230\slmult0 \par\pard\ql \li6060\sb0\sl-230\slmult0 \par\pard\ql \li6060\sb0\sl-230\slmult0 \par\pard\ql \li20\sb17\sl-230\slmult0 \up0 \expndtw0\charscalex102 4. Decreases the forces on the residual ridge by increasing\par\pard\ql \li320\sb26\sl-230\slmult0 \up0 \expndtw-2\charscalex100 the denture bearing area.\par\pard\qj \li20\ri699\sb5\sl-255\slmult0\fi300 \up0 \expndtw-3\charscalex100 Silverman\ul0\super\cf13\f14\fs21 22 \ul0\nosupersub\cf12\f13\fs20 reported that the hypothesis for extending the \up0 \expndtw-6\charscalex100 denture border more posteriorly to contact the soft palate during \up0 \expndtw0\charscalex105 function is supported by anatomic, neurophysiologic and \up0 \expndtw0\charscalex101 radiographic considerations. He stated that the contour and \up0 \expndtw-3\charscalex100 design of the posterior border of a maxillary complete denture \up0 \expndtw0\charscalex103 should allow dual valving action of soft palate, permitting \up0 \expndtw0\charscalex103 uninterrupted speech and swallowing, thereby making the \up0 \expndtw-2\charscalex100 denture work in harmony with patient\u8217?s function.\par\pard\qj \li20\ri699\sb3\sl-255\slmult0\fi300 \up0 \expndtw0\charscalex106 The range of soft palate movement and the degree of \up0 \expndtw0\charscalex106 displaceability of the seal area differ in every individual. \up0 \expndtw-1\charscalex100 House\ul0\super\cf13\f14\fs21 23 \ul0\nosupersub\cf12\f13\fs20 proposed three classes of palatal throat forms based \up0 \expndtw-4\charscalex100 on the angle, the soft palate makes with the hard palate and the \up0 \expndtw-1\charscalex100 soft palate muscle activity that will be necessary to establish \up0 \expndtw-2\charscalex100 velopharyngeal closure.\par\pard\ql \li20\ri699\sb2\sl-256\slmult0\tx330\tx330\tx330 \up0 \expndtw-2\charscalex100 \u8226? In class I, the soft palate is horizontal (Fig. 1) as it extends \line\tab \up0 \expndtw0\charscalex109 posteriorly, requiring minimal muscular activity for \line \tab \up0 \expndtw-1\charscalex100 velopharyngeal closure allowing more than 5 mm of seal \line \tab \up0 \expndtw-2\charscalex100 area\par\pard\ql \li20\ri699\sb0\sl-256\slmult0\tx330\tx330\tx330 \up0 \expndtw0\charscalex100 \u8226? In class III,\ul0\nosupersub\cf14\f15\fs20 \ul0\nosupersub\cf12\f13\fs20 the soft palate is more acute in relation to the \line\tab \up0 \expndtw-2\charscalex100 hard palate, (Fig. 2) necessitating marked elevation of the \line \tab \up0 \expndtw-6\charscalex100 musculature for velopharyngeal closure permitting a narrow \line \tab \up0 \expndtw-2\charscalex100 seal of less than 1 mm\par\pard\ql \li20\ri700\sb0\sl-256\slmult0\tx330\tx330\tx330 \up0 \expndtw-4\charscalex100 \u8226? Class II type of soft palatal contour lies somewhere between \line\tab \up0 \expndtw-4\charscalex100 class I and class III classes allowing 1 to 5 mm of seal area \line \tab \up0 \expndtw0\charscalex107 depending on the muscular activity of the soft palate \line \tab \up0 \expndtw-2\charscalex100 (Fig. 3).\par\pard\ql \li6060\sb0\sl-230\slmult0 \par\pard\ql \li20\sb32\sl-230\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf15\f16\fs20 Anatomy of Posterior Palatal Seal Area\par\pard\qj \li20\ri699\sb120\sl-258\slmult0 \up0 \expndtw0\charscalex101 \ul0\nosupersub\cf12\f13\fs20 Edward, Boucher, Pendleton, Zack and Appleby\ul0\super\cf13\f14\fs21 4,27-30\ul0\nosupersub\cf12\f13\fs20 have \line \up0 \expndtw0\charscalex100 explained the general and microscopic anatomy of this area. \par\pard\sect\sectd\sbknone \ql \li900\sb172\sl-253\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf2\f3\fs22 108 \par\pard\ql \li10269\sb0\sl-162\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf3\f4\fs18 JAYPEE \par\pard\sect\sectd\fs24\paperw11880\paperh16920{\shp{\*\shpinst\shpleft0\shptop0\shpright11880\shpbottom16920\shpwr3\shpfblwtxt0\shpz-10000\shplid1{\sp{\sn shapeType}{\sv 75}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn pib}{\sv 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