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Relining and Rebasing in Complete Dentures: Indian Dental Academy
Relining and Rebasing in Complete Dentures: Indian Dental Academy
REBASING IN
COMPLETE
DENTURES
INDIAN DENTAL ACADEMY
Leader in continuing dental education
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CONTENTS
Introduction
General considerations
Indications
Contraindications
Tissue preparation
Denture preparation
Relining materials
Rigid materials
Short term-soft lining materials
Long term-soft lining materials
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Relining procedures
Static methods:
open mouth technique
closed mouth technique
Functional methods
Chair side technique
Laboratory procedures
articulator method
jig method
flask method
conclusion
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INTRODUCTION
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Definitions
According to GPT 8 :
Relining :
The procedure used to resurface the tissue side of a
denture with new base material, thus producing an accurate
adaptation to the denture foundation area.
Rebase :
Rebasing is a process of replacing all the base material
of a denture. The purpose of which is to fill the space between
the tissue and denture base without changing the position of the
teeth and the relation of the dentures.
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PATTERN OF RESORPTION
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General considerations
A through examination of the patient and of the
existing denture must be accomplished before commencing
therapy.
1. vertical dimension
2. Centric occlusion should coincide with centric relation
3. The size, shape, shade, and arrangement of the artificial teeth
must be satisfactory.
4. The oral tissues should be in optimum health.
5. The posterior limit of the maxillary denture is correct.
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6. The denture base extensions
7. Distribution of masticatory forces over as large an area as
possible.
8. The interocclusal distance is correct
9. Speech
10. redundant tissue or severe osseous undercuts.
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INDICATIONS
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Contraindications
1. Excessive resorption
2. Abused soft tissues are present.
3. Temporomandibular joint problems.
4. Poor esthetics
5. Unsatisfactory jaw relationships.
6. Speech problem
7. Severe osseous undercuts
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Tissue preparation
Hypertrophic tissues
Free of areas of irritation.
Removal of the dentures from the mouth during sleep is a must
for several weeks.
The dentures should be left out of the mouth at least two to
three days before making final impression.
Daily massage of the soft tissue
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Denture preparation
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RELINING MATERIALS
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Hard and soft materials for modifying the
impression surface of dentures
• Rigid materials
• Short-term soft lining materials
• Long-term soft lining materials
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Rigid materials
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Manipulation:
Relieve the fitting surface of the denture.
Mix powder and liquid in 1:2.5 to attain a fluid mix.
Applied to the fitting surface of the denture and seated in
patients mouth while it is still fluid.
The reline soon becomes rubbery and the impression of the
patients soft tissue is recorded.
The denture is allowed to bench cure after removal from the
patients mouth. Warm water will accelerate the curing.
The relined denture is ready within 30 minutes.
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Short term soft relining materials
Composition :
Powder : Polyehtylmethacrylate
Liquid : mixture of
An aromatic ester, such as dibutyl pthalate which acts as a
plasticizer.
Ethyl alcohol
The setting process :
After the powder and liquid have been mixed, the ethyl
alcohol causes swelling of the polymer particles and permits
penetration by the ester so that a gel is formed. This is a
physical change ; there is no chemical reaction.
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Clinical applications :
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Long-term soft lining materials
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Types of long-term soft lining
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Relining procedure
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Relining procedure
3. Chair-side technique
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Relining procedure
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Open mouth technique ( boucher )
Relining of both dentures at same time
New centric relation is recorded
Selective pressure technique
Interocclusal record with quick setting plaster
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FUNCTIONAL METHOD (WINKLER)
Easy to use
Excellent for refitting of denture
Good dimensional stability
Good in bonding to denture base resins
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Tissue conditioners
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This material undergoes through
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CHAIRSIDE RELINE PROCEDURE
DISADVANTAGES:
chemical burn
material is porous and
develops a bad odour
poor color stability
material not easy to remove
if not placed correctly
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VISIBLE LIGHT CURE ( VLC )
Similar to tisssue conditioners
Select appropriate viscosity and partial intraoral
polymerisation with hand-held curing light
Taken to laboratory for unpolymerised molecules
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LAB PROCEDURES
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Articulator method
Indexing
Stone pouring
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separating media applied
Modeling clay application Stone over lower member
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Procedure
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Removal of porcelain teeth
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Flask method
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Porcelain teeth removed &
Flask opened
Replaced in silicone mold
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Resin teeth replaced, Cure denture
Rebasing with Articulator method
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Denture trimmed Wax build-up done
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Invested waxed denture
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CONCLUSION
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Thank you
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