DAYANANDA SAGAR COLLEGE OF DENTAL SCIENCES

Department of Prosthodontics, Crown and Bridge

CORRECTION OF RPD

RELININGSpoorti
IV BDS
MS

➢ Defination : To resurface the2023-2024

tissue
side of a denture base
 with new base material to make the denture fit more

accurately –GPT

Indications :

• Loss of occlusion which is

correctable.
• Loss of retention.
 • Denture base is in good condition and extension is adequate.

• Need for relining is assessed by

- using alginate
-using finger pressure.

Techniques for relining :

 • Laboratory technique or extraoral technique.
• Intraoral reline technique.

1. Laboratory technique :
▪A uniform amount of resin is removed from the tissue side of
the denture base.
▪The reduced denture base is used as special tray .
▪The impression material of choice varies for individual cases:
-mobile tissue on the crest of the alveolar ridge – free
flowing ZOE
-dense , firm edentulous ridges –polysulfide , silicone ,
mouth temperature wax.

▪Maintenance of tooth-framework relationship.

▪Small defects in the impression are corrected using mouth temperature wax.
▪The completed reline impression is reinserted in the mouth
and need to verify whether the reline has restored the desired
 support to the denture base.
▪The impression is forwarded to the lab for the processing.
▪The RPD with the reline impression is directly flasked in the
lab.
▪After the plaster in the flask is set , the flask is opened up.
▪Dewaxing.

▪Separating media is applied in the mould space.

▪Resin is kneaded and placed in the flask. Tight closure of flask
is necessary.
 ▪After complete polymerization of resin deflasking is done with

sand blaster.

2. Intraoral reline technique

▪A uniform amount of denture base resin is
removed from tissue
side of the base and undercuts.
▪ Mouth curing resin or auto-polymerizing
resin is mixed.
▪ The external surface of denture base is covered by adhesive tape.

▪ The inner surface is wetted with monomer and prepared

resin is applied .
▪ The denture is held in the mouth and removed after the

initial set and any excess should be trimmed off with sharp

curved scissors in dough stage itself.

▪ The denture is reseated while the resin is still plastic and held
 in place.

▪ It is then removed and placed in a pressure pot for final curing.

▪ Mouth curing resins will completely polymerize in 12–15 min
from the start of mix.
▪ Late finishing and polishing is done.

Advantages
▪ Quick procedure.
Disadvantages
▪ Chair side or mouth relining is inferior to lab reline. Therefore
it is indicated only in temporary or transitional situations.
▪ The material is porous and is not colour stable.
▪ Patient discomfort due to exothermic heat if material is not

handled properly.
 REBASING
➢ Defination : A process of refitting a denture by the

replacement of the denture-base material –GPT

Indications
▪ When the denture borders do not extend to cover all the
supporting tissue.
▪ When the denture is fractured in the denture base.
▪ When the denture is stained or discoloured.

Technique
▪ The tissue surface of the denture base is relieved and trimmed
2 mm short of borders.
▪ Border moulding with green stick compound.
▪ Final impression done with ZOE paste.
▪ Cast is poured against rebase impression.
▪ Flasking is done to a brief boil out procedure to soften the
 modelling plastic .

▪ When the flask is opened, the remaining denture resin can be

ground away just short of the denture teeth to allow the
majority of the rebase to be in new resin .

o When anterior teeth are involved, the junction of old and new
resin should not be visible when patient smiles.

▪ Shaping the old denture border to finish in a butt joint with

 the new, will greatly reduce this visible junction .

▪ The denture is packed, cured, finished and polished.

RECONSTRUCTION

Here the entire denture base along with the teeth is replaced.
The framework should have a clinically acceptable fit.

Indication:
• When the denture base is damaged beyond repair.
• When the fit of the denture is not satisfactory.
• Loss of aesthetics , function etc.

Procedure:
• The denture base and teeth are completely removed by
heating the resin from the tissue side while holding the
framework in a cotton or artery forceps.

• The framework is sandblasted.

• The framework is seated in the mouth and alginate
impression is made over it.
• The framework should come out along with the impression.
• Cast is poured with dental stone.
• Then the RPD is articulated and fabricated as ususal.

REPAIR OF RPD :
 It can be classified into two types:

1. Simple – accomplished without the need for impressions.

2. Complex – requires an impression and cast

Simple
➢Denture base repair

▪ If the broken segments are available and can be accurately re-

positioned, the sections are held together and luted with sticky
wax along the fracture line.
▪ dental stone is poured against the tissue side of the denture base.
▪ When the stone sets , the denture
is removed and the sticky wax is
cleaned.
▪ The denture is separated along the
fracture line.
▪ The fractured margins are
dovetailed.
▪ The separating medium is applied over the cast.
▪ The pieces of denture are assembled and held in position.
▪ Auto-polymerizing resin is added along the fracture line by
sprinkle-on method.
▪ It is placed in a heated pressure pot to complete the curing.

Replacement of denture teeth

▪ An accurate opposing cast and a jaw relation record is necessary.
▪ Acrylic denture tooth of same mould and shade is selected and
fitted into the missing tooth space.
▪ Trimming of denture base to create space is made from the
lingual aspect and the labial (or buccal) surface is not touched.
▪ The ridge lap area is relieved to
allow at least 2 mm of repair resin
to attach the tooth to the base.
▪ The tooth is attached to the adjacent
denture teeth or frame work with
sticky wax.

▪ Autopolymerizing denture resin is

added to the gingival repair space using a brush in small
increments.
▪ The repair is completed by curing in a pressure pot followed by
finishing and polishing.
▪ The completed repair is articulated with the opposing cast and
occlusal adjustments are performed.
▪ If a number of teeth need replacement or associated denture base
areas are also missing, procedure described for rebasing should be
followed .
Repair of porcelain facings
▪ Broken porcelain facings are completely replaced by cementing
a new facing of the same shade and mould intraorally. If
chairside time is to be reduced, a cast can be made with the
framework and the facing is cemented to the backing in the
laboratory.
Repair of tube tooth
▪ Broken tube tooth is replaced by waxing a replacement on to
framework, flasking the mould with appropriate shade of acrylic
resin and curing it. The new tooth is then cemented on the denture.
▪ Acrylic denture tooth can also be hollowed out to fit the post and

cemented with thin mix of autopolymerizing resin.

Complex
Metal repair:
▪ The most common of the metal repairs is retentive clasp arm.
▪ A repair cast is made. The design of
there placement clasp is
drawn on the abutment tooth. The
cast and denture are submitted
to the lab.
▪ The replacement clasp can be
embedded in the resin of the
denture base or electrosoldering to
the framework itself .
▪ Both infra-bulge clasps and circumferential clasps are used .
▪ They may be made of cast or wrougt metal.