Relining:

The procedure used to resurface the tissue side

of denture with new base material thus
producing an accurate adaptation to the
denture foundation area,

Rebasing:
laboratory process to replace the entire
denture base material on an existing
prosthesis.
Functional impression technique-

It is a simple practical and commonly used procedure.

most
It depends on a thorough understanding of the versatile
properties of tissue conditoners as functional impression material.

PROCEDURE-
the dentures are observed intraorally to assess -
The need of perpheral reduction or extension and a
-posterior palatal seal extension is developed
compound on maxillary denture
with

modeling

In case of extensive resorption

Three compound stops may be required to reestablish a
proper occlusal relationship.
A treatment liner is next placed inside the denture.

If voids are evident they should be filled with a

 The patient's mandible is guided into a retruded
position-helps stabilization.

Excess material is trimmed off with a hot sharp

scalpel

The patient is instructed regarding care of the prosthesis and its lining
material
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 .
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
Procedur
e
□ 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 vertical
dimension.
□ 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