denture lining materials

Extended use of dentures can cause changes in the oral cavity tissue
, leading to:
- poor denture fit, discomfort, and instability.due to the dissolution
of the alveolar bone and changes in the alveolar ridge.
- If a poorly fitting denture is continuously used, it can exert uneven
pressure on the mucosa, resulting in:
ulcers, inflammation, and pain. To solve this, a new denture or
denture relining is necessary to restore proper fit and alleviate
discomfort.
Tissue conditioning materials (TCM) are elastopolymers that have
the ability to flow for an extended period. This property allows them
to adapt to distorted tissue and help it, returning to its normal form.
•Tissue conditioner is a soft, high-molecular material applied to the
denture base surface in contact with the mucosa.
•Its purpose is to relieve distortion and indentation of the mucosa
under the denture base and adapt to mucosal displacement.
•Tissue conditioner is typically used as a paste formed by mixing a
powder and a liquid material together.
⚫ Soft relining material acts as a cushion or shock absorber
between the denture base and gums.
⚫ It is slightly harder than tissue conditioner and has less plastic
deformation.
⚫ relining material is used for a longer period and has higher
mechanical properties compared to tissue conditioner, such as
tensile strength
 COMPOSITION
⚫ The powdery material of the tissue conditioner is a non-crosslinked
(meth)acrylic polymer powder.
⚫ It has a glass transition temperature ranging from 0 to 60°C.
⚫ The liquid material used is a polymer mixture containing ethyl alcohol
and solvent.
⚫ Tissue conditioners often consist of (meth)acrylic polymer powder and
liquid plasticizers.
⚫ Plasticizers are essential components that provide softness and plasticity to
the tissue conditioner.
⚫ common plasticizers used in tissue conditioners include substances such as
glycerol.
⚫ Does not contain acrylic monomer
•intervals of 4 to 7 days between changes of the conditioning material
to be acceptable.
•Improvement in irritated and distorted tissue is typically observed
within a few visits, with some patients experiencing dramatic
improvement.
•Usually, 3 to 4 changes of the tissue conditioning material (TCM) are
necessary.
•If positive results are not seen within 3-4 weeks, further consultation
with a physician may be warranted to address potential underlying
health issues.
⚫ Before relining, examine the denture surface for any issues or
misfits.
⚫ Remove any areas of the denture that do not fit properly.
⚫ Clean and dry the denture surface thoroughly.
⚫ Create enough space on the denture surface to allow for the
application of gel tissue conditioner.
⚫ Apply the gel tissue conditioner at a minimum thickness of 1 mm
to ensure elasticity is maintained.

⚫ Mixing: Mix the powder and liquid for 30-60 seconds until a creamy
consistency is achieved.
⚫ APPLICATION
⚫ Apply the mixture evenly to the fitting surfaces of the prepared denture.
⚫ Use water to lubricate fingertips or instruments to prevent sticking. Avoid
using lotion or petroleum jelly.
⚫ Seat the denture in the patient's mouth.
⚫ Instruct the patient to gently bite down in centric occlusion and perform
lip and jaw movements to ensure proper muscle trimming.
⚫ After keeping the denture for about 5 min in this position,
remove and inspect for excess and deficiencies.
⚫ Remove any excess using a sharp instrument.
 HARD TISSUE RELINING
Hard tissue relining: Composition
▪ The materials are generally supplied as a powder and a liquid which
are mixed together
▪ Powder consist of:
➢ Polymer beads (PMMA)
➢ Initiator (benzoyl peroxide)
➢ Pigments (inorganic salts)
▪ Liquid consist of:
➢ Monomer (MMA or butylmethacrylate)
➢ Plasticizer (Di-a-butylpthalate)
➢ Chemical initiator (tertiary amine)
▪ is a dental procedure that adds a layer of resin or acrylic material to the tissue-
facing surface of a denture for improved fit and stability
• In hard tissue relining, the fitting surface of the denture is relieved by grinding
away some of the hard acrylic denture base.
• The "close mouth technique" is used, where the patient's denture is inserted
into the mouth and the patient is asked to close into gentle contact.
• Setting of the relining material can be accelerated by placing the denture in
warm water or using a combination of warm water and pressure in a pressure
vessel.
• It is important to remove the material from the patient's mouth during setting
to avoid the generation of excessive heat from the exothermic reaction

1. Evaluate and prepare the denture and oral tissues.

2. Grind the fitting surface of the denture to create relief.
3. Take an impression of the oral tissues.
4. Create a model from the impression.
5. Flask the try-in denture and fill the flask with heat-cured acrylic resin.
6. Cure the resin in a dental oven or curing unit.
7. Deflask, remove excess acrylic, and refine the denture's surfaces.
8. Make final adjustments for fit, occlusion, and aesthetics.