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Chair Side Reling Technique

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10 views40 pages

Chair Side Reling Technique

Uploaded by

vanishaagarwal96
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as KEY, PDF, TXT or read online on Scribd
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CHAIR SIDE RELING

TECHNIQUE
Using this technique acrylic or plastic
material can be added to denture and
allowed to set in mouth for instant relining
and rebasing .
DISADVANTAGES :-
□Material produces chemical burn of
mucosa.

□Resultant reline was porous and develops


bad odour.
Low colour stability.
□Material is difficult to remove if denture is
not positioned properly .
Rebasing:
laboratory process to replace
DISADVANTAGES :- the entire
denture base material on an existing
□Material produces chemical burn of
prosthesis.
mucosa.
LAB PROCEDURES FOR
RELINING /REBASING

For relining
□Articulator method
□Relining JIG
method
ARTICULATOR METHOD

Procedure
Box the denture with impression
material
Pour the cast
After the stone has set remove the cast
with denture in place and index base
Point the base with repeating medium .
Fill the palatal section of maxillary
and Lingual mandibular denture with
clay
Adapt clay to the facial surafce
of teeth exposing the
occlusal 3rd of teeth
D Mix stone and put on the lower
member of articulator then seat denture
on it
D Place the cast over denture and
close the articulator and do mounting
D After some sets remove modelling clay
Separate the denture from cast and
remove impression material
Remove thin layer of resin
from interior of denture reduce 2-3
mm borders
Deepen the frenal notch
Place the posterior platal seal
area in cast
□Paint the cast with tin foil substitute
Mix autopolymerizing resin and add
on
denture surface and on cast filling the
borders
Seat the denture in dentation and close
the articulator
Curing is done after curing denture is removed
finishing and polishing is done
RELINING JIG METHOD
Here relining JIG is used instead of articulator
same procedure is done on it as for above
□Then carefully remove the denture from cast .
□After mixing and applying resin assemble the
relining JIG and screw it with colour nuts
□Cure the relived denture in pressure pot
□Finish and polish it
FOR REBASING :
Required when existing denture base
is discoloured or too thin. Done by
□JIG method
flask
method
JIG METHOD
Procedure
Mount the denture on cast as done for relining
Open JIG and carefully remove denture from the
cast
Remove the teeth from the denture base by
cutting with help of bur and seat them in
indentitions
□adapt a layer of base plate wax on cast and
assemble the JIG and wax the denture teeth

,
,
Waxed up denture is ready on jig
denture is removed and flasked
□Heat cure denture base resin can be
used
Paint silicone mold material over the denture
Do complete flasking of denture
Open flask after stone has set
Remove porcelain or resin teeth from denture
base
□REBASED DENTURE IS REPLACED ON
JIG
FLASK METHOD

PROCEDURE:-
Pour a cast in the denture as done earlier
Half flask the denture
□Replace the teeth in silicon mold
□Place PPS in max cast
Pack the denture with resin, after
painting cast with tinfoil substitutes
Curing is done
□Denture is ready for finishing and polishing

then finish and polish the denture


Indication for relining and rebasing
when to do relining /rebasing:

loss of retention and stability


loss of orientation of occlusal plane .
loss of vertical occlusal dimensions.
facial tissue support is lost .
immediate denture at 3-6 months
after their original construction.
when patient cannot afford new denture.
Rebasing is usually done when tissue
surface damage is more
General consideration.
The occlusal vertical dimension should be
satisfactory .
Centric occlusal should coinside with centric
relation ,it is allowable if slight as to
be correctable .
The patient appearance must be acceptable to
the patient and dentist the
shape, size shade arrangement of artificial teeth
must be satisfactory,
The oral tissue should be in optimal health .
The posterior limit of maxillary denture
should be correct.
The denture base extension should be
adequate.
The interocclusal distane is correct

Speech is satisfactory with existing


tooh arrangement

No existing hard or soft tissue


condition that will interfere with technique
,
such as severe osseous undercuts
CONTRAINDICATIONS :

Excessive resorption of alvelor ridges


When abuse soft tissue are present
Temporomandibularual joint problems until
accurate diagonsis and treatment of problem has
been accomplished relining and rebasing is
contraindicated.
If dentures have poor esthetics.
Unsatisfactory jaw relationships.
If major speech problem due to denture
serve osseous undercuts .
DIAGNOSIS AND TREATMENT PLAN:

Diagnosis in essential to plan the treatment


patient usually returns due to
looseness, soreness, chewing inefficiency,
or esthetic changes,
These may be due to occlusal disharmony changes
in the supporting tissue that may or may not
associated with occlusal disharmony
TREATMENT PLAN :

In cases of dentures with built in error in occlusion


may not require relining only occusal correction is
sufficient.
If supporting tissue is badly destructed surgical
correction is needed prior to relining
CLINICAL PROCEDURES :

Tissue preparation :

excessive hypertropic tissue should


be surgically removed.
The oral mucosa should be free of irritants
dentures must be removed during sleep for
several weeks before treatment.
The dentures should be left out of the mouth
at least two to three days before making the 1•
mpress1• on.
daily massage of soft tissue.
DENTURE PREPARATION :

pressure areas on the tissue surface of the


dentures should be relieved.

minor occlusal disharmony is corrected


by selective grinding.
small border in adequacies must be corrected.
A posterior palatal seal area should be
established using stick compound or auto
polymerizing resin before final impression .
PRINCIPAL PITFALLS :

Principal pitfalls that must be avoided are:-


do not increase the occlusal verticaldimension.
multiple even contacts should be present in
centric relation.
do not permit maxillary denture move forward
during impression making.
ensure that centric relation and centric occlusion
are identical.
ensure that an accurate palatal seal has
established .
an equal thicknedd of final impression material
should be used.
CLINICAL PROCEDURE :-
Patient is educated not to
wear denture overnight
The old denture are examined and
occlusal errors are corrected
The basal surface of the denture is
reduced
This surface is dried before material
is placed
The minimum thickness of the tissue
conditioning material is placed over the
tissue surface of denture and inserted in
mouth
After removal from mouth the
material is trimmed to remove all
excess
Overextended borders should be
removed and voids shold be
filled
The PT is instructed in the care of the
resilient lining before being
dismissed
When the patient returns to the dentist
after 3-5 days the denture should be
examined for denuded area
Releive the pressure area
Underextended border should be
corrected with impression compound
The material is renewed periodically it
is never allowed to remain in denture
for more than a week as material
itself may become a source of irritation
when the tissue becomes normal
impression making is scheduled zinc
oxide eugenol or light bodies is used
Impression is poured and casts are made
polysulphide rubber wash impression
are used
During one of the appointment
an accurate face bow transfer of
the maxillary denture should be
made.
After cast are made mount the
maxillary cast on semiadjustable
articulator using face bow transfer
record
Relate the mandibular to maxillary
denture which is already mounted using
interoccusalrecords
If an accusal disrepancy exists it
should be corrected before seperating
impression from cast.
After finishing of denture remount plaster
casts are made and mounted on
articulator .
A new interoccusal record is used to
mount lower denture in centric relation .
Occlusion is adjusted by selective
grinding

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