CORRECTION OF

RPD
Spoorti M S
 RELINING

 Defination : To resurface the 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 .
 Thedenture 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 .
 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 repaircast is made. The design of there placement clasp is drawn on the abutment tooth.
The cast and denture are submitted to the lab.
 Thereplacement clasp can be embedded in the resin of the denture base or electro-
soldering to the framework itself .
 Both infra-bulge clasps and circumferential clasps are used .
 They may be made of cast or wrougt metal.