title: To determine and compare the position of neutral zone in relation to crest of mandibular alveolar ridge with different duration of edentulousness: A clinico-radiographic study.
abstract: OBJECTIVE
  The purpose of this study was to establish a relation between the crest of alveolar ridge and functionally obtained neutral zone and to determine the effect of duration of edentulousness on the location of neutral zone in relation to the crest of residual alveolar ridge.
  
  
  METHODS
  The study included three groups: Group I-15 subjects edentulous for 0 months to 2 years; Group 2-15 subjects edentulous for 2-5 years; and Group 3-15 subjects edentulous for more than 5 years. Neutral zone recording was performed for each subject and the buccolingual relationship of the crest of the mandibular alveolar ridge and position of the neutral zone was examined. The results were analyzed by the Kruskal-Wallis H test and the Chi-square test.
  
  
  RESULTS
  The results suggested that the location of the neutral zone varies from individual to individual depending on their musculature and that there is a significant relation to the duration of edentulousness. As edentulousness increases, there is more lingual positioning of the neutral zone at the molar region of both sides of the arch. At the premolar region, there is no change in position of the neutral zone; it remains constant as resorption of the alveolar ridge is directly under the buttress. In the anterior region, there is more labial positioning of the neutral zone as edentulousness increases.
  
  
  CONCLUSIONS
  This technique proves itself to be an easy and inexpensive way to determine the relationship between the crest of alveolar ridge and neutral zone. Incorporating this technique into practice will be a great aid that can be exploited by the clinicians for functional and psychological comfort of the patients.
authors.affiliation: Department of Prosthodontics, Faculty of Dentistry, AIMST Dental Institute, AIMST University, Kedah, Malaysia.
authors.forename: Ajay
authors.initials: A
authors.lastname: Jain
authors.affiliation: Department of Prosthodontics, A.B.Shetty Memorial Institute of Dental Sciences, Mangalore, Karnataka, India.
authors.forename: N Sridhar
authors.initials: NS
authors.lastname: Shetty
authors.affiliation: Department of Prosthodontics, Faculty of Dentistry, AIMST Dental Institute, AIMST University, Kedah, Malaysia.
authors.forename: Sridevi
authors.initials: S
authors.lastname: Ugrappa
keywords: Completely edentulous; neutral zone; perioral musculature