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Denture Reliners

The document discusses different types of soft denture lining materials used to improve the fit and comfort of dentures. It describes chairside relines made from materials containing plasticizers that are mixed at the clinic and cured in the mouth. Hard relines made from powder and liquid are mixed and cured outside the mouth. Tissue conditioners are temporary soft liners that deform over time to adapt to tissues. Permanent soft liners made of silicone or soft acrylic are processed in the laboratory. Regular reviews are needed as soft liners are not truly permanent.

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Ayesha
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26 views50 pages

Denture Reliners

The document discusses different types of soft denture lining materials used to improve the fit and comfort of dentures. It describes chairside relines made from materials containing plasticizers that are mixed at the clinic and cured in the mouth. Hard relines made from powder and liquid are mixed and cured outside the mouth. Tissue conditioners are temporary soft liners that deform over time to adapt to tissues. Permanent soft liners made of silicone or soft acrylic are processed in the laboratory. Regular reviews are needed as soft liners are not truly permanent.

Uploaded by

Ayesha
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
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Impression/Fitting

Surface

Polished
Surface Occlusal Surface
To improve fit of the denture:
1.Replace the denture with new
2.Lining applied on fitting surface.
Denture Trauma

Epulis
Pt. who are
unable to
tolerate ‘hard’
denture base.
A soft material providing
cushioning effect, enabling
traumatized soft tissues to
recover before recording
new impression.
 Chairside reline materials.
Hard Reline Materials

Closed mouth technique


Bench cured
Trimming and polishing
Hard Reline Materials

 Type I contains MMA- direct contact with soft


tissue. (type II BMA- less irritant).
 Low Tg (due to plasticizers).
 Porous due to manual mixing- affecting
esthetics & inc. Candidal growth.
 Little control over thickness, occlusal errors
can not be corrected.
 Temporary or semi-permanent.
 Powder No initiator
 Poly Ethyl Methylmethacrylate (PEM)
 Pigments
 Liquid
 10% Ethyl Alcohol
 90% Pthalate ester - Plasticizer

No
monomer
 Types
 Pthalate Esters
 Di Butyl Pthalate
 Butyl Phthalyl Butyl Glycolate
 Problem
 3-6000 PPM leach from liner in 14 days
 Replaced with fresh material every 2 to 3 days
 Gel formation not polymerization
 Physical process= GELATION
 Solvent dissolves small polymer beads
 Large beads become swollen with solvent which
acts as carrier for plasticizers.
 SET MATERIAL= gel like swollen plasticized
spheres cemented together with matrix
(polymer+ matrix)
 Temporary cushion
 They should undergo degree of plastic flow for
24-36 hours after mixing to allow for soft tissue
changes and capture shape of the supporting
tissues in function.
1. Trauma to soft tissue- allowing time for
recovery.
2. Pt. undergone surgery (immediate denture)
3. Functional impression materials (over a
period of few days)
 Should remain soft during use (cushion) but
be resilient to absorb masticatory loads
without deformation.
 However a degree of permanent deformation
is required in functional impression.
 Initially very soft and viscoelastic.
 When loaded slowly undergo permanent
deformation.
 Alcohol + plasticizers leach= dec cushioning.
 Non irritant.
 65 Year old Woman
 13 Year old Denture
 Powder
 Liquid
 Plastic cup
 Steel
Spatula
 Mix 45-60 seconds

Wait
 Even Pressure by closing in CR
 Border Mould
 Hold in light contact for 15 mins
 Even 2mm thick
 No bare spots
 Peripheral Roll
 Maintain OVD
 No Heavy Pressure
 Wrap in moist towel
 Clean carefully
 Stain
 1 TSB bleach(Javex)/1 cup H2O
 20 minute soak, wash/rinse well
 Loss of resiliency – 2 weeks
 Taste
 Peel
 Allergy
 Temporary (1 – 2 months)
 Permanent (max 6 months)
 Powder and liquid
 Liquid has monomer alongwith activator
 Applied to an existing denture in a chairside
technique.
 APPLICATTIONS:
 Where it is not practical to replace tissue
conditioner every 2-3 days
 Temporarily improving the fit of denture until
a new denture is constructed
 As a diagnostic aid to ascertain whether
patient would benefit from permanent liner.
 Silicon elastomer (autopolymerized or heat
polymerized).

 Soft acrylic (heat polymerized).


 Improve the comfort or fit of old denture until
the new denture is made for a period of several
weeks.
 Provide comfort for patients who cannot
tolerate occlusal pressure such as in case of
(alveolar ridge resorption, knife edge ridge, and
sharp lingual mylohyoid ridge when surgery is
contraindicated), chronic soreness because of
(heavy bruxism, poor health, vitamin deficiency,
with oral cancer).
 Treatment of congenital or acquired defects of
palate.
 provided in the form of a cartridge
containing two pastes which are mixed when
the pastes are extruded through the nozzle.

 The other items shown are those which are


required to achieve bonding of the silicone
to the acrylic denture base.
Paste : (Hydroxyl terminated polydimethyl
siloxane).

Liquid: (Tetraethyl silicate and dibutyl


tindilurate).
 used for applying a permanent soft lining to
the fitting surface of an acrylic denture.

 consists of a powder and a liquid which are


mixed and applied to the fitting surface of
the denture.

 The two other items of equipment shown are


used for proportioning the powder and
liquid.
Powder: (Polymethyl or polyethyl
methacrylate and peroxide initiator).

Liquid:(Ester such as dibutyl phthalate and


methyl methacrylate and tertiary amine
activator).
 Processed in the laboratory

 Applied to a denture at the time of


production

 Powder and liquid mixed to form a dough


which is heat processed simultaneously with
the hard acrylic base.
 Denture hygiene  dilute sol. Of
hypochlorite Denture induced stomatitis.

 None of the soft liners  truly permanent


regular reviews essential.

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