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    CD Relining &amp Rebasing Complete Dentures

    Uploaded by

    Mohsin Habib
    This document discusses relining and rebasing complete dentures to improve their adaptation. Relining involves resurfacing the tissue side with acrylic resin using a jig to maintain the bite registration and occlusal contacts. Rebasing replaces the entire denture base, usually with porcelain teeth. Relining is indicated when a denture no longer fits due to ridge changes, while the occlusion and vertical dimension are still acceptable. The causes of looseness must be determined before relining. Impression techniques capture the tissues at rest while functional relines allow assessing retention before processing. Partial denture relines follow similar procedures.

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    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd

    CD Relining &amp Rebasing Complete Dentures

    Uploaded by

    Mohsin Habib
    791 views42 pages
    This document discusses relining and rebasing complete dentures to improve their adaptation. Relining involves resurfacing the tissue side with acrylic resin using a jig to maintain the bite registration and occlusal contacts. Rebasing replaces the entire denture base, usually with porcelain teeth. Relining is indicated when a denture no longer fits due to ridge changes, while the occlusion and vertical dimension are still acceptable. The causes of looseness must be determined before relining. Impression techniques capture the tissues at rest while functional relines allow assessing retention before processing. Partial denture relines follow similar procedures.

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    CD Relining & Rebasing Complete Dentures

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    This document discusses relining and rebasing complete dentures to improve their adaptation. Relining involves resurfacing the tissue side with acrylic resin using a jig to maintain the bite registration and occlusal contacts. Rebasing replaces the entire denture base, usually with porcelain teeth. Relining is indicated when a denture no longer fits due to ridge changes, while the occlusion and vertical dimension are still acceptable. The causes of looseness must be determined before relining. Impression techniques capture the tissues at rest while functional relines allow assessing retention before processing. Partial denture relines follow similar procedures.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    791 views42 pages

    CD Relining &amp Rebasing Complete Dentures

    Uploaded by

    Mohsin Habib
    This document discusses relining and rebasing complete dentures to improve their adaptation. Relining involves resurfacing the tissue side with acrylic resin using a jig to maintain the bite registration and occlusal contacts. Rebasing replaces the entire denture base, usually with porcelain teeth. Relining is indicated when a denture no longer fits due to ridge changes, while the occlusion and vertical dimension are still acceptable. The causes of looseness must be determined before relining. Impression techniques capture the tissues at rest while functional relines allow assessing retention before processing. Partial denture relines follow similar procedures.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
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    The document discusses several technical concepts and processes over many pages in detail. Key information is repeated and summarized to reinforce important points.

    The document covers a variety of technical topics related to systems, processes, components, and their interactions. Specific mechanisms and functions are explained across pages.

    Information is organized into sections on each page with descriptive headings. Diagrams and lists are used to clearly present relationships and sequential steps. Important details are revisited periodically to aid comprehension.

    RELINING & REBASING COMPLETE DENTURES

    Improving the Adaptation of Existing Dentures

    Rebasing
    Replacing entire denture base. Flasking, heat-cured acrylic. Flasking, heat Usually porcelain teeth.

    Relining
    Resurfacing the tissue surface. Jig used to maintain OVD & occlusal contacts with chemical-coldchemical-cold-cure / light-cure acrylic resin. lightOr Reprocessing with heat cure resin.

    Indications
    Denture no longer fits residual ridge. Retention, stability are lacking. PLUS
    Occlusion is acceptable. Vertical dimension is acceptable. Denture teeth / gingival contours acceptable.

    Contraindications
    Complaints of a loose denture DOES NOT in itself: itself: - constitute evidence of a lack of fit and stability. stability.

    Determine Cause of Looseness

    Pivoting on bony structures


    - PIP

    Occlusal interferences
    - Tactile, articulating paper, remount

    Inadequate posterior palatal seal


    - Pull upward & outward on lingual of canines

    Evaluate Cause of Looseness

    Coronoid interferences
    Side to side movements, PIP

    Flanges overextensions
    Pull on the cheeks, lips, patient move tongue

    Tight pterygo-mandibular raphe pterygo-

    Relines Can Only Solve Retention Problems Related to Denture Base Adaptation

    Retention problems must be: - diagnosed as to their cause

    Types of Relines
    Processed or chairside Impression or functional technique Hard acrylic or resilient Permanent, temporary Complete or partial dentures

    Processed Acrylic Permanent Complete Denture Relines

    Make impression for least stable denture first. Easier to stabilize the other denture.
    Reference for occlusion & vertical dimension.

    Impression Technique
    Difficult to reline without:
    Encroaching on inter-occlusal space. inter Displacing the supporting tissues. Altering occlusal contacts.

    USE CARE

    Positioning the Denture


    OVD & Occlusion

    Adjust Occlusion
    Obtain stable occlusal contacts. Remount & adjustment may be required. Assess need for tissue conditioning.

    Remove Tissue Undercuts

    Allows impression to be removed from the: the: - cast without breaking cast or denture. denture.

    Clean the Denture

    Border Mold
    Relieve borders 2 mm short of vestibule. Border mold with compound. Maxillary posterior border at vibrating line (indelible stick).

    Reduce Tissue Base


    1 mm if acceptable intero-cclusal distance: intero Use guide grooves.

    If inter-occlusal distance is excessive, relief may not be interrequired. Perforate denture with #4 round bur.

    Impression Material
    Poly-vinylPoly-vinyl-siloxane

    Ease of use. Cleaning, removal from undercuts. Requires adhesive carried to the external surface of denture borders.

    Impression Procedure
    Load carefully. Excessive material can reduce freeway space. Dry tissues.

    Impression Procedure
    Seat denture anteriorly. anteriorly. Slowly rotate posterior into place. Ensure denture is not too far forward.

    Verifying Position
    Patient closes lightly until first contact If occlusal interdigitation is poor, physically move denture Maintain position until set

    Evaluate Impression
    Trim impression to posterior border. Place / mark the posterior palatal seal. Check retention, extension, periphery. Remove excess (occlusal, facial etc). (occlusal,

    Check relations intraorally Send to lab for processing

    Deliver ASAP, usually next clinical appointment Same day in practice, if possible

    Remount
    Adjust Occlusion

    Impression Technique
    Advantages
    Only two appointments needed. Tissues are captured at rest (less possibility of distortion). Allows for greater extension of peripheries. Allows placement of functional posterior palatal seal.

    Impression Technique
    Disadvantages

    Possible alteration in VDO, occlusion, facial support. No chance to test retention and comfort under function.

    Functional Relines
    (Lynal, Visco-gel) Lynal, Visco-

    Similar procedure Minor variations

    Functional Relines:

    Limitations:
    Cannot extend borders greater than 4 mm. Reline material distorts too easily. If grossly under extended: - use impression technique.

    Functional Relines
    Material requires greater thickness for accuracy Usually need to reduce denture to allow for thickness

    Variation in Accuracy of Materials

    (Visco-gel > Coe-Comfort) ViscoCoe-

    Lynal
    10 ml powder : 2 ml liquid, mix 30 sec. If borders short or too thin, add more powder for increased viscosity. Thicker consistency can be formed into a 3 - 4 mm rope and placed around borders.

    Lynal
    For tissue base, mix as per instructions. Place intra-orally. intra Remove excess with cotton swab prior to set.

    Set time: 8 - 10 minute


    Lightly border mold. During setting, allow patient to:
    Talk. Swallow. Rinse mouth. Lightly occlude.

    Remove Excess Material


    Reduce material on flanges with HOT scalpel or knife. Remove from teeth, Polished / oral surfaces. Patient wears reline home.

    Patient Returns in 24-48 Hours 24-

    A cast is poured within 2 hours. Otherwise, accuracy compromised

    Functional

    Impression: Impression:

    Advantages
    Functionally molds peripheries. Ability to assess patient comfort and retention prior to reline proper.

    Functional Impression
    Disadvantages

    Variability of materials, handling characteristics. Resiliency masks overextensions which can subsequently irritate, when converted to acrylic resin.

    Functional Impression
    Disadvantages
    Dimensional stability variable:
    Patient care. Pouring of casts.

    Can' t significantly increase borders. Do not use simultaneously as a tissue conditioner.

    Partial Denture Relines


    Similar procedures. Ensure rests, direct and indirect retainers are fully seated. Seat with pressure over the rests, NOT over the distal extension bases. Allow no impression material under rests or guiding planes. If so, remake impression .

    Partial Denture Clinical Remount

    If required, a new cast must be made. Make an alginate impression with the RPD in place.

    Partial Denture Clinical Remount


    Block out undercuts on the framework while RPD is in the impression. Pour the model with the partial denture in place.

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